Job Summary

Provides support for quality improvement initiatives utilizing clinical knowledge and expertise. Translates data from various registries and collaboratives into meaningful information for quality improvement initiatives relating to patient outcomes. Partners with leadership and clinical subject matter experts to identify, analyze, monitor, and improve key performance indicators.

Job Specific Duties

• Works with leadership in the identification/development of PI plans through monitoring of quality data, national collaborative reports, and other processes of quality validation. 
• Works with leaders on defining appropriate process and patient outcome benchmarks, data capture processes, and dashboards. 
• Coordinates and collaborates with stakeholders, multidisciplinary teams, and internal and external customers to create collaborative work relationships that drive performance and quality outcomes in a timely and effective manner. 
• Ensures quality and patient safety standards are incorporated into current processes and development of new system processes. 
• Works closely with key stakeholders to ensure they receive & review department quality measures/reports for process improvement opportunities. 
• Establishes a Quality Meeting that incorporates data analysis from multiple sources to drive department quality improvement initiatives related to patient outcomes. 
• Create reports, graphs, and visual representations from several organizational databases to provide information to stakeholders in a significant way.  
• Supports department in creating standard approach for quality issues.
• Serves as primary contact for quality-related data and reports.  
• Conducts clinical reviews using sources ranging from medical records, incident reports, best practice guidelines & interviews to monitor quality performance & improvement efforts. 
• Communicates with a variety of clinical disciplines and physician advisors to clarify criteria and summaries.  
• Responsible for identifying potential quality and safety issues pertaining to patient care and leading clinical quality improvement projects that are supported by evidence based best practice. 

Knowledge, Skills, and Abilities

• Master’s degree highly preferred.
• Strong clinical background with the ability to understand medical terminology, diagnosis, and treatment plans pertaining to patient care.
• Certification or training in quality preferred.
• Ability to establish and maintain a positive working relationship and rapport with medical staff, department heads, staff, and colleagues.
• Ability to prioritize work independently and evaluate workload in order to meet deadlines.
• Able to collaborate amongst interdisciplinary team members to drive quantifiable quality measures and process improvement projects.
• Ability to communicate in a positive, clear, and concise manner to members of all levels of the organization.
• Ability to interpret, adapt, and react calmly under stressful conditions.
• Utilizes technical skills to create reports, graphs, and visual representations from several organizational databases.
• Demonstrated expertise in internal and collaborative quality score carding and benchmarking.
• Demonstrated expertise in promoting patient safety in a complex environment.
• Able to maintain confidentiality of sensitive information.
• Computer literacy in Microsoft Office Suite to include Word, Outlook, Excel, SharePoint, and PowerPoint. Access and Visio preferred.