This position oversees, fosters, and supports the effectiveness of Functional Unit Quality Improvement teams. Responsibilities include supporting Functional Unit Physician Advisors and departmental Quality Improvement Committees in: establishing, measuring, and reporting on QI priorities; providing quality improvement technical assistance to Physician Advisors and the Functional Units’ quality improvement teams; assisting quality improvement teams in identifying, planning, and executing quality improvement activities; interacting with Physician Advisors; and designing and initiating special projects as supervised by the Senior Director or Director.
Master’s degree or Masters Candidate required in the fields of Nursing, Public Health, Health Policy, Business Administration, Health Administration, or a field related to quality engineering or business process improvement. Completion of an accredited Nursing, Pharmacy, Medical Doctor, Doctor of Osteopathy or Physician’s Assistant program preferred. Substantial record of participating in educational programs involving quality improvement tools/methods, leadership, teaching, problem solving, and project management is strongly preferred.
Strong practical knowledge of quality improvement methods and their application at the functional level in a hospital setting, working knowledge of multiple clinical areas,
Capable of providing in-service education to health care providers on quality issues based on data outcomes or industry standards.
Proficient to advanced knowledge of unit operations, performance improvement, regulatory and professional standards, evidence-based practice patient safety/risk management, and outcomes management.
Must possess advanced leadership, facilitation, teaching, presenting, written and verbal communication skills necessary to collaborate with senior clinical and administrative leaders to define and execute QI initiatives through multidisciplinary teams.
Advanced presentation skills- ability to promote Quality Improvement Initiatives and outcomes to a variety of audiences- including departmental and senior leadership and other key stakeholders.
Ability to analyze complex data sets using the computer. Ability to apply Statistical Process Control (SPC) as part of quality improvement projects preferred. Proficient data mining/management, data collection instruction, including ability to show data in a user-friendly format for a variety of audiences.
Ability to develop and facilitate quality improvement projects/teams utilizing various quality tools i.e. Lean/Six Sigma, Failure Mode Effects Analysis, etc.
Required Licensure, Certification, Etc.:
If using clinical degree to meet the position’s education requirement, licensed in the State of Maryland as a Registered Nurse (RN), Pharmacist, a Medical Doctor (MD), a Doctor of Osteopathy (DO, or a Physician Assistant (PA). All Quality Improvement (QI) Team Leaders must attain National Association for Healthcare Quality (NAHQ) Certified Professional in Healthcare Quality (CPHQ) professional certification within one year of employment in the Team Leader role, and then maintain the certification.
Five years of experienceapplying the skills described above is required. At least three years of this experience (preferably in health care organizations) must involve the application of scientific quality improvement methods in the workplace, specifically:
Leading or actively participating in quality improvement projects/activities using quality tools to analyze problems (e.g. fish-bone diagrams, cause and effect analysis, flow-charting, pareto analyses), and applying six sigma, lean, Toyota production System, or PDSA/PDCA for the overall project;
Applying quality measurement methods in projects such as sampling, frequency/distributional analysis, reliability analysis, and statistical process control.
Executing small tests of change, building small tests of change into implementation, spreading changes across the larger organization, and sustaining change over-time;
Working with senior organizational leaders to commission quality improvement projects, report on results, solve problems, implement organization-wide, and sustain changes.
A minimum of five years clinical experience as staff nurse, M.D., Pharmacist, D.O., or P.A is preferred. Experience in the assigned specialty is preferred.
Commensurate experience with the latest regulatory agency requirements pertaining to Quality Improvement.
Minimum of two years of experience in project management (this experience can overlap with other experience).