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Description Chart review and data abstraction in support of quality measurement, analysis, and improvement across Emory Healthcare. Job responsibilities require detailed/expert knowledge of regulatory requirements/standards which may include core measures, accreditation, registries and other quality metrics. The Quality Management Specialist supports interventions through interdepartmental collaboration and planning, multi-disciplinary communication and implementation/analysis of new care delivery processes impacting quality metrics. Serve as a resource for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirements Assist in achieving goals of high quality, cost effective patient care and services, while demonstrating compliance with Joint Commission, CMS and other regulatory agencies. Collaborate with Leadership on recommendations for sustainable processes and system improvements to maintain quality metrics and/or accreditation related objectives. Participate in collaborative efforts with the Director by providing complete, accurate and timely feedback on status of compliance and collaboration for improvement of quality metrics and/or accreditation standards. Reports unusual or questionable situations to CQO/CMO and/or Leadership. Provide daily feedback to frontline caregivers to facilitate the completion of time. Facilitate compliance with quality metrics through collaborative planning, coordination, implementation, and evaluation of new care delivery processes, documentation processes and data. Assists the organization in maintaining preparedness for accreditation and licensure surveys. Works with manager to formulate plan for professional development. Attends educational in-services as appropriate. Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments. Identify specific patient populations requiring Core Measure and registry documentation (ex. HF/AMI/Pneumonia/SCIP, NSQIP, STS, and ACC) utilizing electronic processes and when indicated, concurrent chart reviews. Perform daily chart review and documentation of core measures, registry and selected quality indicators. Responds to requests to data aggregation and analysis. Serve as a resource to IS for integration of electronic processes impacting quality metrics/data. Participates in patient safety activities as assigned.SPECIFIC COMPETENCIES:
Health Data Analytics: Apply procedures for the governance of data assets (understanding data abstraction specifications). Acquire data from source systems Patient Safety. Identify and report patient safety risks and events Quality Review & Accountability.Execute measure requirements, set and meet internal deadlines
MINIMUM QUALIFICATIONS:
Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.
ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
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