Overview

Job Summary:

Responsible for supporting day to day quality management and performance improvement activities for assigned facilities and collaborates with leadership to promote continuous survey readiness.

Essential Functions:

• Proficiently facilitates performance improvement efforts and coaches others in the development of performance improvement initiatives.
• Maintains competence in applicable licensure, certification, accreditation, and other regulatory body requirements.
• Coordinates department and facility Quality Management System (QMS) Oversight Committee meetings, analyzes trends of performance metrics/business unit level dashboards, identifies opportunities for improvement, develops and maintains management actions plans, measures success of these action plans, creates the records, and follow-up metrics for each meeting and activity; reassesses approach to maximize success.
• Provides consultation to teammates and leadership in areas of quality, compliance, accreditation, and safety.
• Facilitates assessments, develops, implements, and evaluates corrective actions plans based on past surveys and internal audits activities.
• Develops strategies for improvement that include consideration for leading practice research, best practices and standard of care, and shares implementation results across the organization.
• Utilizes facilitation skills, data analysis and statistical process control to effect improvement in quality and clinical outcome.
• Consults with and trains staff to implement monitoring and measurement tools, and data analysis techniques.
• Provides education and training on performance improvement and patient safety.
• Demonstrates knowledge of the principles of growth and development and possesses that ability to respond to age specific issues and data reflective of the patient's status.
• Knowledge of and supports population specific databases to drive improvement in outcomes. (i.e., VON, Peds. NSQIP, etc.,).
• Supports other projects and initiatives as assigned.

Education, Training, and Experience:

• Bachelor's degree in Nursing or healthcare related field required; Master's degree strongly preferred.
• RN or other, Clinical licensure preferred
• Four (4) to Six (6) years' experience in healthcare or directly related field and two (2) to four (4) years' leadership experience preferred.
• Intermediate to advanced computer skills with demonstration of skill and competence in use of all Microsoft Office applications preferred.
• Previous experience or knowledge of improvement science.
• Certification in Healthcare Quality, Patient Safety or related Accreditation entity recommended.

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