Purpose of Position The QPS Advisor - Procedural Services provides guidance and operational support to promote regulatory compliance, patient safety, clinical quality, and continuous performance improvement across procedural areas of the hospital. The position partners with procedural leadership, physicians, nurses, anesthesia providers, and multidisciplinary teams to monitor clinical outcomes, identify safety risks, evaluate compliance with regulatory and accreditation standards, and implement sustainable improvement initiatives. Procedural areas may include the operating room, post-anesthesia care unit (PACU), endoscopy, OB/GYN, and other invasive or diagnostic procedural settings. The Advisor supports hospital-wide quality and patient safety programs, facilitates event reviews and root cause analyses, monitors corrective action plans, and promotes a culture of safety, accountability, and high reliability.
DescriptionQuality Assurance and Performance Improvement - Monitor quality metrics and key performance indicators (KPIs) for procedural services, such perioperative services, OB/GYN and other designated procedural areas.
- Collect, validate, analyze, and maintain quality data for procedural services.
- Prepare monthly, quarterly, and other quality reports, dashboards, and performance summaries.
- Track trends related to complications, infection prevention, patient experience, and other department-specific indicators.
- Present findings and recommendations to department leadership, quality committees, and interdisciplinary teams.
- Maintain accurate documentation of audits, findings, improvement activities, and outcomes.
- Assist with the development, implementation, and monitoring of dashboards
- Support continuous quality improvement initiatives using methodologies such as Plan-Do-Study-Act (PDSA), root cause analysis, and process mapping.
- Make clinical judgments based on evidence-based standards of care, review criteria and nursing practice guidelines when applicable
- Monitor compliance to applicable regulatory and accreditation/certification program requirements including PRO/PM measures and the Joint Commission DSC certifications.
• Manage surgical related registries including BCBS for total joint replacement and spine surgery.
Qualifications EDUCATION/EXPERIENCE/TRAINING :
• Graduate of a school of nursing
• (BSN) - A Bachelor of Science in Nursing
• Three years prior nursing experience in perioperative or procedural areas.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team -oriented environment.
• Must be able to stay focused and concentrate under normal or heavy distractions.
• Must be able to work well under pressure and/or stressful conditions.
• Must possess the ability to manage change, delays, or unexpected events appropriately
• Must have strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
• Must be able to operate a general computer, fax, copier, scanner, and telephone.
• Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Must possess excellent skills in English usage, grammar, punctuation, and style.
• Ability to follow instructions and respond to upper management's directions accurately.
• Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively, and asking questions where clarification is needed.
• Position requires long periods of time working on a computer
