Current knowledge of clinical processes in healthcare
Project management knowledge and skills
CPHQ certification preferred or eligible to obtain within 1 year
Responsibilities
Lead accreditation and certification programs
Analyze and report quality data
Facilitate multidisciplinary meetings for performance improvement
Identify and mitigate barriers to change
Teach performance improvement principles to others
Use quality improvement tools to redesign processes
Participate in regulatory surveys and accreditation readiness
Benefits
Opportunities for professional development
Collaborative work environment
Access to resources for best practices
Engagement in community education initiatives
Support for obtaining relevant certifications
Full Job Description
Job Summary:
Essential Duties and Responsibilities
Supports and leads team in the accreditation and certification programs.
Applies time management and flexibility to meet the needs of the organization.
Analyzes and reports quality data internally and externally.
Uses analytical data management skills to promote patient safety and performance improvements.
Facilitates meetings and multidisciplinary teams to ensure participation of team facilitation skills and change management processes to engage others in support of the changes required to achieve performance improvement outcomes.
Identifies and mitigates barriers that impede sustainable change.
Demonstrates and teaches others the principles of performance improvement.
Uses a range of quality improvement tools and techniques to evaluate and successfully redesign processes toward improved performance.
Accesses and uses resources to demonstrate current / best practice, identify opportunities for improvement, and leads efforts toward improved outcomes.
Advises on future data and information needs and resources to support performance and process improvement initiatives.
Participates in DNV Hospital Accreditation, other regulatory surveys, and the hospital's survey readiness program
Serves as a partner, teacher, and coach with assigned customer base.
Other duties as consistent with this role.
Job Requirements
Job Knowledge and Skills
Experience with Regulatory and Accrediting bodies.
Current computer skills, graphics, spreadsheets, and presentation software.
Quantitative and analytic skills relevant to the role.
Current knowledge of clinical processes and operations in a health care system
CPHQ certification preferred, or eligible to obtain within 1 year
An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.
**DNV Stroke Coordinator requirements
Quality management or Quality Improvement experience preferred.
Serves as the DNV Primary Stroke Certification (PSC) subject matter expert
Coordinates and facilitates the DNV Primary Stroke Certification Survey
Ensures successful recertification surveys and accurate, timely post-survey activities.
Facilitates the PSC committee and drives program performance improvement to meet the requirements of the certification program
Abstracts chart data or validates third party abstraction and maintains stroke registry
Uses data management skills and the use of analytical and statistical tools to promote patient safety and process improvements
Utilizes resources to ensure policies and procedures related to the stroke program are evidence-based and demonstrate best-practice
Develops, facilitates, or collaborates with education or others to provide stroke-related education to staff, providers and others to meet the PSC education requirements
Participates in the formal orientation and training of new staff members and providers related to the stroke program
Collaborates with the stroke program medical director and/or stroke team to provide stroke-related community education to meet or exceed the PSC requirements
Demonstrates critical thinking and problem-solving skills related to tele-stroke
Maintains nursing competencies, as appropriate, to meet or exceed PSC requirements and to support the patient care team
**DNV Hip & Knee Coordinator requirements
Quality management or Quality Improvement experience preferred.
Serves as the DNV Hip and Knee Replacement Program Certification (HKRPC) subject matter expert
Coordinates and facilitates the DNV Hip and Knee Replacement Certification (HKRC) Survey
Ensures successful recertification surveys and accurate, timely post-survey activities.
Collaborates with Surgical Services Director or designee to ensure the HKRP committee meets routinely, and HKRP performance improvement indicators meet the requirements of the certification program
Abstracts chart data or validates third party abstraction and maintains HKRP registry
Uses data management skills and the use of analytical and statistical tools to promote patient safety related to the Hip and Knee Replacement Program (HKRP) and process improvements
Utilizes resources to ensure policies and procedures related to the HKRP are evidence-based and demonstrate best-practice
Develops, facilitates, or collaborates with education or others to provide HKRP-related education to staff, providers and others to meet the HKRC education requirements
Participates in the formal orientation and training of new staff members and providers related to the HKRC
Collaborates with the HKRP team to provide stroke-related community education to meet or exceed the HKRC requirements
Demonstrates critical thinking and problem-solving skills related HKRC
Maintains nursing competencies, as appropriate, to meet or exceed HKPC requirements and to support the patient care team
Comp Range: $73,014.51 - $100,552.37 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.
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About Covenant Health
Covenant Health is a not-for-profit healthcare system providing comprehensive, community-wide health services in East Tennessee. It is the largest employer in the region with more than 10,000 dedicated employees working to improve the health of the communities they serve. Covenant Health operates nine acute-care hospitals, numerous outpatient facilities, and physician clinics serving communities throughout East Tennessee. The health system also includes specialty providers of behavioral, oncology, and rehabilitation services, along with home care, physician practices, and community outreach programs. Covenant Health is committed to providing excellent care to every patient, every time, and to making its communities healthier places to live.
