The Quality Improvement Coordinator will assess, analyze, and recommend quality and clinical performance improvement processes to assure that the highest standards of quality care can be achieved. Will provide clinical expertise to assist with case-finding, identification of opportunities, and performance improvement activities. This position will also measure performance and see opportunities to enhance performance in value-based systems of care. As healthcare evolves with new models of service delivery, quality improvement activities will aim to ensure that care is both patient-centered and focused on maintaining the health of our entire patient population in an efficient and effective way. This position serves as a key participant in the successful management of value-based contracts, focusing on both individual patients and population trends.
Primary Duties & Responsibilities:
Identify and prioritize clinical cases in terms of follow up/escalation of services and/or care.
Perform daily chart abstraction and present patient cases to a multi-disciplinary team with possible care suggestions if applicable and follow through with implementation.
Engage with care managers, social workers, physicians, external vendors and other stakeholders to ensure continuity of care and follow-through on plan of care.
Draft correspondence to patients or external vendors on behalf of the care management team or individual physicians.
Aggregate and clinically analyze quality and value metric data in support of Medical Directors/Chairs of the specific departments as requested.
Perform in-depth analysis of individual cases as well as trend analysis across the entire population of patients as requested.
Create clinical quality and value dashboards and action reports in support of performance improvement activities.
Develop slide decks and other communication tools and make periodic presentations to share trend information with key stakeholders as requested.
Lead and facilitate daily, weekly and ad hoc meetings discussing patient care.
Participate in Performance Improvement activities to improve care delivery, clinical outcomes, and clinical efficiency.
Support HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value program as requested.
Assist in preparing for and responding to accreditation and regulatory agencies or surveys.
Performs other duties as assigned.
Qualifications
Education:
Bachelor's Degree in Nursing required. Master's Degree in Nursing preferred.
License & Certifications:
Valid California RN license required.
Experience:
Two (2) years of prior clinical experience in an acute or ambulatory health care setting required. Two (2) years of experience in support of quality improvement, process improvement or total quality measurement preferred
About Us
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
About the Team
With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai???s medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.
Req ID : 4613 Working Title : RN Quality Improvement Coordinator - Quality Management Department : MNS Quality Mgmt Business Entity : Cedars-Sinai Medical Center Job Category : Compliance / Quality Job Specialty : Qual Measurement & Reporting Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $46.42 - $74.27
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Important Information for CPHQ Recertification
The recertification process has been streamlined. Unlike previous years, you don’t need to list out your CE activities at the time of completing your application. Instead, you will be asked to attest to having met the requirements, further aligning with the honor-based system of recertification. In the event that your application is randomly selected for audit, you may be required to list your CE activities and submit supporting documentation.
While you may participate in NAHQ learning opportunities (Learning Labs, JHQ articles, etc.), you can only claim CE credit once for each activity. Therefore, if you’ve previously earned CE from a NAHQ learning opportunity, you can’t claim it again, nor will you see the repeat CE appear in your “My Learning� tab. This includes activities used in previous recertification cycles.
Remember, if you’re recertifying during the grace period (1/1/24-1/31/24), you already had to earn your CE hours by Dec 31, 2023.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ’s twice-validated healthcare quality competency framework.
We are excited to announce the release of the book “UNSTOPPABLE: Inspiring Stories of Perseverance, Triumph and Joy from Trailblazing Women in Healthcare“.
Be inspired by nine leading healthcare trailblazers, including our own CEO Stephanie Mercado, who empower us all with their vision and passions.
You’ll notice we’ve simplified the application process to recertify. You will not have to list your CE activities at the time of applying*. Simply attest that you met the requirements to complete the application.
*In the event of an audit, CPHQs may need to list activities and upload documentation in their NAHQ account.
Quality Education Resources
Join this informative session, “Quality Education Resources� Thursday, June 22 from 11-11:30 a.m. CT. You will learn about the range of NAHQ quality education resources available to you and hear directly from universities about the benefits they realized from implementing NAHQ’s content within their courses.
Maintain a Pulse on the Latest Quality & Safety Benchmarking Data
Learn more about NAHQ’s enhanced Quality and Safety Benchmarking Program, which provides timely insights to help U.S. hospitals and health systems create data-driven business cases for their quality and safety resourcing.
Understand the Variability Among Your Quality Team Through Workforce Accelerator
Join us Tuesday, May 2, at 11 a.m. CT, to learn more about the different options available to engage with NAHQ’s enterprise-wide solution, Workforce Accelerator®. Options range in size and scope and are designed to meet the various budgetary and timing needs of health systems as they embark on their quality journeys. Register today!
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
The National Association for Healthcare Quality® (NAHQ) has conducted groundbreaking research on the advancement of the quality and safety agenda and has published the results in a new workforce report. NAHQ’s Healthcare Quality and Safety Report answers the question: “Is today’s healthcare workforce doing the work that will advance critical priorities of quality, safety, equity, value, and system sustainability?� The answer is no.
Updated Maintenance Dates: Sunday, February 5, 2023
Maintenance is planned for Sunday, February 5, from 11 p.m.-4 p.m. CT. During this time, you will not have access to the “My Learning” section of your NAHQ account. We apologize for any inconvenience this may cause and thank you for your patience.
NAHQ’s Organizational Membership Subscription will serve as a one-stop shop for healthcare quality and safety training and education. Attend the February 2, at 11 a.m. CT, info session to further understand the new offering that will continue NAHQ’s focus of “Quality in Action.�
NAHQ has published an updated version of the CPHQ exam content outline.
The new exam content will take effect on March 15, 2023. Candidates planning to take the exam before March 15, 2023, can access the current CPHQ exam content outline and related resources on our website.
Missed NAHQ Next? Don’t worry, you can purchase NAHQ Next on-demand and receive access to all content for 60 days from purchase. Benefit from actionable content that addresses issues head-on and features “how-tos” and results. Buy now and have the opportunity to receive 40+ CEs.
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
Member Briefing Workshop and Healthcare Quality Week Webinar
October 7, at 12 p.m. CT
NAHQ will host an exclusive member briefing workshop where NAHQ CEO Stephanie Mercado and NAHQ President-Elect Nidia Williams will review the workforce report in-depth and prepare you to discuss it with your team and leadership during Healthcare Quality Week.
October 17, at 12 p.m. CT
To kick off Healthcare Quality Week, (HQW) NAHQ will host a complimentary webinar with NAHQ leaders to discuss the report, its impact and how you can leverage the report to your advantage.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ's twice-validated healthcare quality competency framework.