Schedule: 8 HR DAY
Facility: MAIN CAMPUS
Date Posted: Feb 7, 2024
Location: Main Campus
Department: QUALITY IMPROVEMENT/PT SAFETY
Schedule: , 8 HR Day Shift,
Responsible for Chart review and data abstraction in support of quality measurement, analysis, and improvement across SGMC. Participates in regulatory requirements/standards which may include core measures, accreditation, registries and other quality metrics. The Quality Improvement Specialist II develops interventions through interdepartmental collaboration and planning, multi-disciplinary communication and implementation/analysis of new care delivery processes impacting quality metrics. Serve as a facilitator for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirements. Assist in achieving goals of high quality, cost effective patient care and services, while demonstrating compliance with Joint Commission, CMS and other regulatory agencies. Leads collaborative efforts with the Director by providing complete, accurate and timely feedback on status of compliance and collaboration for improvement of quality metrics and/or accreditation standards. Reports unusual or questionable situations to Director/CMO. Facilitate compliance with quality metrics through collaborative planning, coordination, implementation, and evaluation of new care delivery processes, documentation processes and data. Assists the organization in maintaining preparedness for accreditation and licensure surveys. Identify specific patient populations requiring Core Measure and registry documentation, Sepsis, Stroke, NCDR) utilizing electronic processes and when indicated, concurrent chart reviews. Perform daily chart review and documentation of core measures, registry and selected quality indicators as directed. Responds to requests for data aggregation and analysis. Educates Providers/clinical staff on compliance with quality measures/reporting. Serve as a primary liaison to IS for integration of electronic processes impacting quality metrics/data. Facilitates patient safety activities as assigned. Performs other duties as requested or assigned.
KNOWLEDGE, SKILLS & ABILITIES
Office setting. Requires considerable setting. May be subject to moderate to high stress at times. Requires light lifting (not to exceed 25 pounds). Requires high computer usage.