Responsibilities- Design, build, validate, and maintain standardized and ad hoc reports from:
o Electronic Health Records (EHR)
o RLDatix safety and risk management platform
o Financial systems
o Clinical registries
o Benchmarking and regulatory databases - Develop automated reporting workflows to improve efficiency and reduce manual data manipulation.
- Build complex SQL queries or equivalent data extraction processes to integrate multi-source datasets.
- Establish and maintain data dictionaries, metric definitions, and governance standards to ensure enterprise data consistency.
- Maintain data quality controls and audit processes for performance and safety reporting.
- Serve as primary system administrator and subject matter expert for RLDatix modules, including:
o Patient Safety Event Reporting
o Risk Management
o Peer Review
o Feedback and Complaints Management
o Policy and Document Management
o Audit and Compliance Monitoring - Configure workflows, forms, dictionaries, user roles, and reporting structures to support organizational safety and regulatory goals.
- Manage system upgrades, enhancements, and vendor coordination.
- Maintain system performance, reliability, and data accuracy.
- Lead governance and standardization of safety event taxonomies and reporting structures.
- Partner with quality and clinical leadership to optimize event reporting workflows and improve reporting adoption.
- Support integration of RLDatix data into enterprise analytics platforms and data warehouses.
- Design and develop interactive dashboards using platforms such as Power BI, Tableau, or equivalent visualization tools.
- Create executive-level dashboards aligned to enterprise strategic priorities, KPIs, and board reporting requirements.
- Develop service-line, departmental, and unit-level dashboards to support real-time operational decision-making.
- Ensure dashboards incorporate trend analysis, benchmark comparisons, targets and thresholds, and statistical process control indicators.
- Provide education and training to leaders and staff regarding dashboard interpretation and data literacy.
- Develop and maintain visual management boards (digital and physical) displaying key quality, safety, throughput, and financial performance metrics.
- Partner with frontline teams to align visual management tools with unit-based goals and improvement initiatives.
- Support tiered huddle and performance review structures by ensuring accurate and timely performance data availability.
- Design visual analytic tools including control charts, run charts, heat maps, and trend dashboards.
- Standardize visual reporting frameworks across departments to promote organizational transparency and accountability.
- Support Lean, Six Sigma, DMAIC, and PDSA improvement initiatives through development of robust measurement plans.
- Conduct root cause analyses and identify performance gaps using advanced data analysis techniques.
- Monitor and analyze KPIs related to CMS Star Ratings, Vizient benchmarks, NHSN metrics, Patient Safety Indicators, Value-Based Purchasing programs, and patient safety indicators, and risk event trends.
- Provide analytical support for cost reduction, operational efficiency, and revenue enhancement initiatives.
- Develop sustainability monitoring tools to ensure long-term performance improvement.
- Prepare, validate, and submit data for external reporting requirements including CMS, NHSN, Vizient, Leapfrog, NSQIP, and other external entities.
- Monitor organizational performance against national benchmarks and peer institutions.
- Support accreditation and survey readiness through accurate and timely reporting.
- Assist leadership with financial impact modeling related to quality performance and regulatory measures.
- Serve as a liaison between clinical operations, quality departments, information technology, and executive leadership.
- Provide RLDatix training, user onboarding, and ongoing system education.
- Develop workflow documentation, training materials, and system user guides.
- Facilitate multidisciplinary committees and quality improvement initiatives.
- Translate complex analytics into actionable recommendations for operational and executive audiences.
- Demonstrated experience developing dashboards, reporting automation, and visual management systems.
- RLDatix platform administration and workflow configuration
- Advanced SQL and database querying
- Advanced Microsoft Excel (Power Query, advanced formulas, pivot tables)
- Data visualization tools including Power BI, Tableau, or equivalent platforms
- Automated reporting and ETL workflow development
- EHR reporting tools and healthcare data warehouse environments
- Statistical process control and healthcare quality measurement methodologies
- Data governance, validation, and regulatory reporting standards
- Microsoft Office and collaboration platforms
- Certifications (Preferred)
- Certified Professional in Healthcare Quality (CPHQ)
- Lean Six Sigma Green Belt or Black Belt
- Certified Analytics Professional (CAP)
- Healthcare Risk Management or Patient Safety certification preferred
- Strong understanding of healthcare regulatory requirements, accreditation standards, and performance improvement methodologies.
- Ability to synthesize complex data sources into meaningful performance insights.
- Expertise in safety event analysis and predictive quality monitoring.
- Ability to present complex information through intuitive dashboards and visual performance tools.
- Demonstrated ability to lead enterprise analytics and system optimization initiatives.
- Ability to translate technical findings into strategic, actionable recommendations for leadership.
- Strong ability to partner across clinical, operational, and technical teams.
- Commitment to maintaining high standards of data accuracy, regulatory compliance, and reporting consistency.
- Completes all mandatory department, educational and hospital requirements
- Adheres to current Infection Control and Safety Standards
- Regular and prompt attendance
- Ability to work schedule as defined and overtime as required
- Related duties as assigned
Additional InformationEmployees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.
Qualifications- Bachelor's Degree in Healthcare Administration, Public Health, Data Analytics, Statistics, Business, Nursing, Information Systems, or related field and 2 years of healthcare data analytics, quality improvement, or performance measurement experience. Required
- Master's Degree Preferred
- Experience administering RLDatix or similar healthcare patient safety/event reporting platforms. Preferred
- Comparable combination of education and experience may substitute for the above requirements.
