Bachelor's degree in Nursing or healthcare-related field; Master's preferred.
Two or more years of healthcare experience; performance improvement experience preferred.
Certification in Lean, Six Sigma, or similar methodologies preferred.
California RN licensure preferred.
Strong knowledge of performance improvement methodologies and safety science.
Responsibilities
Conduct timely and accurate chart abstractions for regulatory compliance.
Finalize data submissions to regulatory agencies.
Track outliers and provide data reports for metric analysis.
Manage and implement performance improvement systems effectively.
Facilitate performance improvement activities for measurable outcomes.
Research and conduct organization-wide performance and quality training.
Assist departments in evaluating and improving their practices.
Benefits
Opportunity to lead and coordinate quality improvement initiatives.
Engagement with executive leadership and front-line staff.
Access to continuous learning and professional development.
Involvement in innovative program development for quality improvement.
Supportive work environment focused on patient rights and satisfaction.
Full Job Description
POSITION SUMMARY
The Quality Management Specialist (QMS) provides operations and clinical improvement support to Martin Luther King, Jr. Community Hospital by functioning as a data abstractor, project manager, facilitator, consultant, and/or analyst. The QMS manages and coordinates organization-wide efforts to ensure that performance improvement (PI) and quality improvement (QI) programs are developed and managed using a data-driven focus that sets priorities for improvements aligned to ongoing organizational strategic imperatives. In addition, the QMS assures that the area/departments assigned to a PI initiative are focused and aligned on improving operational improvement and quality as well as overall program efficiency and effectiveness. The QMS provides leadership and coordination for improving the organization's core measures and key performance indicators, evaluating the impact that system improvements have on quality of care and publicly reported data, and developing PI and QI training programs that focus on enabling the hospital to achieve its strategic goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Conducts timely and accurate chart abstractions following current abstraction guidelines for CMS, Joint Commission, and national data registries (i.e. NHSN) with minimal supervision and direction
Assists in finalizing data for submission to internal and external regulatory agencies
Tracks outliers and provides data reports and other information related to specific metrics to facilitate analysis and follow-up for the purpose of improving measure compliance.
Manages and ensures implementation and effectiveness of performance improvement systems
Facilitates the implementation of performance improvement activities that lead to a positive and measurable impact on process and outcome measures
Researches, designs and conducts appropriate organization-wide performance and quality training
Assists departments to evaluate and improve effectiveness of their practices and resource use
Establishes a continuous performance and quality improvement effort and monitoring and reporting system
Provides regular feedback of the status of performance and quality improvement efforts and impacts to executive leadership, management, and front-line staff
Makes recommendations for future improvements based on data
Researches best performance and quality improvement practices and introduces these concepts to the health care team to be implemented when appropriate
Develops innovative programs to address knowledge deficits in quality, regulatory, and performance improvement requirements
Maintains patient rights by educating patients; responding to patient and patient family complaints and grievances; resolving patient issues; reporting unresolved issues.
Resolves complaints by listening to patients and their families; directing them to a physician or supervisor; helping them present facts to the hospital representative; developing acceptable resolutions; following-up on outcomes.
Responding to patient and family grievances, via written letter, within the timeframe required by state and federal guidelines/regulations.
Other duties and projects as assigned
POSITION REQUIREMENTS
A. Education
Bachelor's degree in Nursing, or other healthcare-related discipline required. Master's degree perferred.
Background in healthcare or public health required.
B. Qualifications/Experience
Two or more years of experience in healthcare required. Experience in performance improvement preferred.
Certification in Lean, Six Sigma, and/or other process improvement methodology preferred
California RN licensure preferred.
C. Special Skills/Knowledge
Knowledge of performance improvement methodologies, safety and reliability science
Skilled in communicating effectively, facilitating group processes and training staff; preparing data analysis
Ability to establish and maintain effective and productive working relationships with all employees, public and private organizations, and regulatory agencies
Ability to work under pressure and to maintain efficiency and composure
Demonstrated commitment to participatory management and a strong service orientation
Exceptional customer service and interpersonal skills
Proficiency in planning, coordinating and implementing patient and staff safety procedures
Good judgment and decision-making abilities
Excellent verbal and written communication skills
Interest in continuous learning and a commitment to staying informed on regulatory changes
Talent for leading and facilitating group and team meetings
Attention to detail and analytical skills
Ability to work independently within a defined strategy
Comfort in handling challenging situations that may involve adverse outcomes
Ability to work within a matrix organizational structure with many stakeholders
