Job Summary

Facilitate the Quality Improvement process within the Service Group Quality Improvement Committee (QIC). Assist each QIC in presenting research and statistics, variances in protocols or practice in order to define standards of practice, and the development of specific protocols and indicators. Support the Service Group and medical staff clinical quality improvement efforts by providing expertise in the design and direction of studies related to quality of care, assessment and improvement, risk management and resource utilization in collaboration with committee chairs, clinical department chiefs, and facility department heads.

Responsibilities

• Oversee Quality Improvement (QI) activities from design, implementation, and data analysis to display, reporting, and meeting preparation, maintaining close communication with physicians and appropriate management. • Collaborate with management and staff to ensure consistent application of quality process across the continuum. • Provide leadership and support to QICs to facilitate continuous clinical quality improvement theory and practice. • Assist in the development and implementation of valid research tools and survey methodology. Assist QIC staff and management with planning data collection and retrieval to facilitate efficient and collection of meaningful and valid data as indicated. • Participate in preparing summaries and reports to QIC, Administration and other committees as identified. Assist in writing study results, findings, conclusions and related manuscripts. Edit data utilizing appropriate software packages. Recognize deficiencies in statistical data and take steps to validate and correct. Develop statistical analytical standards for data output to ensure high degree of accuracy. • Seek reliable sources and maintain currency and availability of information related to healthcare statistics, comparative databases, specialty medical organization standards and guidelines for benchmarking. • Participate in annual evaluation of the effectiveness of clinical quality, resource utilization and risk management programs by maintaining and providing overview and summary documents and year to year comparisons of studies undertaken and results. • Attend Quality Improvement Committees, Collaborative Practice Committees and various meetings as assigned to present statistical feedback of data, defining trends and actions for improvement. • Responsible to manage the quality incident process and coordinate development of the quality improvement plan for areas of responsibility. Work with Corporate and Clinical Directors to implement communication and education strategies • Provide staff support for Quality Improvement Committees. • Maintain department, institution, and licensure (if applicable) required education. Document appropriately. • Demonstrate positive customer service and co-worker relations. • Participate in the continuous quality improvement activities of the department and institution. • Perform work in cost effective manner. • Perform related duties as assigned.

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

Education 

• Master's Degree (Required) Experience: 7 years total experience with 5 years of broad base clinical nursing and 2 years of utilization, quality, or case management experience Substitution: May substitute Bachelor's degree and 3 additional years of experience in specialized areas for the Master's degree

Credentials 

• Registered Nurse (Required)

Work Schedule: Days

Status:  Full Time Regular

Location: Memorial-MSOB

Location of Job: US:WV:Charleston

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