Sr Quality Safety Specialist
Apply NowCompany: Piedmont Healthcare
Location: Atlanta, GA 30349
Description:
Description:
JOB PURPOSE:
Specializes in bringing change to the organization through surveillance and analysis of clinical and operational processes. Performs systematic review of complex processes related to Piedmonts Quality Management Program including multidisciplinary professional practice evaluation, root cause analysis, internal audit, policy management and infection prevention. Understands and interprets changes in regulation, value based purchasing programs, accreditation and publically reported data. Drives quality improvement through collection and timely dissemination of reliable information related to quality, safety and service.
KEY RESPONSIBILITIES:
1. Performs surveillance activities for quality, safety, accreditation and infections for PHC inpatient and outpatient services.
2. Supports Quality Management Programs including: Always Safe, RCA, PPE, error prevention, performance reliability and Piedmonts Safety Coach Program.
3. Performs quality and safety training for new and existing staff
4. Provides expert support in data analytics (e.g. statistical process control, regression analysis, correlational studies); report writing and development of stakeholder presentations.
5. Maintains knowledge of current and new reporting requirements for external organizations/programs (e.g. CMS, AHRQ, DNV, State, Leapfrog, VBP, CDC, quality registries, etc.)
6. Supports multiple hospitals in understanding regulatory, reporting and accreditation changes and their impact on hospital operations.
7. Maintains expert knowledge of existing and new quality measures, definitions, targets and benchmarks
8. Abstracts clinical data from the Medical Record for various Quality databases using pre-existing criteria.
9. Inputs data electronically for submission to Quality organizations and Core Measures within established timeframes.
10. Collaborates with IT experts and process engineers to translate regulatory requirements into system specifications
11. Maintains integrity and security of all information and data within the scope of the position with strict confidentiality.
12. Conducts clinical chart review for quality measures as assigned.
13. Provides staff and physician interventions as appropriate, incorporating process improvement tools.
14. Provides guidance for the implementation of Evidence Based Medicine in quality initiatives and/or throughout the pathway program.
15. Coordinates peer review process for medical staff, to include ongoing professional performance evaluations and reappointment profile data.
16. Directs entry of essential infection control data into various electronic medical records and data bases.
17. Participates in the Internal Audits conducted by the Surveillance and Analysis Team.
18. Assists with special projects.
KNOWLEDGE, SKILLS, ABILITIES
General knowledge of infections
Ability to work independently with minimal supervision, as well as, in a collaborative, team environment
Ability to handle multiple priorities and deadlines
Knowledge of principles of quality outcomes, statistical data analysis and performance improvement process.
Skill and ability in Microsoft Office applications
Advanced knowledge of spreadsheet and database software
Current knowledge of accreditation and other pertinent regulatory standards.
Training or background in computer, data management, and statistics
Disclaimer
The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelor's degree in nursing, statistics, business administration or other related field.
MINIMUM EXPERIENCE REQUIRED:
Five (5) years of work experience in healthcare, information management, or related field with at least three (3) years of specific experience in a process improvement and/or quality role.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None
ADDITIONAL QUALIFICATIONS:
Certification in Healthcare Quality (CPHQ) preferred
Current Georgia Nursing license or R.N. preferred
Master's Degree preferred
JOB PURPOSE:
Specializes in bringing change to the organization through surveillance and analysis of clinical and operational processes. Performs systematic review of complex processes related to Piedmonts Quality Management Program including multidisciplinary professional practice evaluation, root cause analysis, internal audit, policy management and infection prevention. Understands and interprets changes in regulation, value based purchasing programs, accreditation and publically reported data. Drives quality improvement through collection and timely dissemination of reliable information related to quality, safety and service.
KEY RESPONSIBILITIES:
1. Performs surveillance activities for quality, safety, accreditation and infections for PHC inpatient and outpatient services.
2. Supports Quality Management Programs including: Always Safe, RCA, PPE, error prevention, performance reliability and Piedmonts Safety Coach Program.
3. Performs quality and safety training for new and existing staff
4. Provides expert support in data analytics (e.g. statistical process control, regression analysis, correlational studies); report writing and development of stakeholder presentations.
5. Maintains knowledge of current and new reporting requirements for external organizations/programs (e.g. CMS, AHRQ, DNV, State, Leapfrog, VBP, CDC, quality registries, etc.)
6. Supports multiple hospitals in understanding regulatory, reporting and accreditation changes and their impact on hospital operations.
7. Maintains expert knowledge of existing and new quality measures, definitions, targets and benchmarks
8. Abstracts clinical data from the Medical Record for various Quality databases using pre-existing criteria.
9. Inputs data electronically for submission to Quality organizations and Core Measures within established timeframes.
10. Collaborates with IT experts and process engineers to translate regulatory requirements into system specifications
11. Maintains integrity and security of all information and data within the scope of the position with strict confidentiality.
12. Conducts clinical chart review for quality measures as assigned.
13. Provides staff and physician interventions as appropriate, incorporating process improvement tools.
14. Provides guidance for the implementation of Evidence Based Medicine in quality initiatives and/or throughout the pathway program.
15. Coordinates peer review process for medical staff, to include ongoing professional performance evaluations and reappointment profile data.
16. Directs entry of essential infection control data into various electronic medical records and data bases.
17. Participates in the Internal Audits conducted by the Surveillance and Analysis Team.
18. Assists with special projects.
KNOWLEDGE, SKILLS, ABILITIES
General knowledge of infections
Ability to work independently with minimal supervision, as well as, in a collaborative, team environment
Ability to handle multiple priorities and deadlines
Knowledge of principles of quality outcomes, statistical data analysis and performance improvement process.
Skill and ability in Microsoft Office applications
Advanced knowledge of spreadsheet and database software
Current knowledge of accreditation and other pertinent regulatory standards.
Training or background in computer, data management, and statistics
Disclaimer
The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelor's degree in nursing, statistics, business administration or other related field.
MINIMUM EXPERIENCE REQUIRED:
Five (5) years of work experience in healthcare, information management, or related field with at least three (3) years of specific experience in a process improvement and/or quality role.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None
ADDITIONAL QUALIFICATIONS:
Certification in Healthcare Quality (CPHQ) preferred
Current Georgia Nursing license or R.N. preferred
Master's Degree preferred