ThedaCare
Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness - Lifestyle Engagement
e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
Access & Affordability
e.g. minimal or zero copays, team member cost sharing premiums, daycare
About ThedaCare!
Summary : The Medical Staff RN Quality Coordinator plans, prioritzes, implements, and coordinates projects related to provider quality, compliance and regulatory requirements. Facilitates the coordination of provider data analysis and improvement activities including Ongoing Professional Practice Evaluation (OPPE), Focused Professinal Practice Evalation (FPPE), and Peer Review cases. Interprets, evaluates, and reports data to improve quality and patient care outcomes using problem solving tooks to identify potential areas of improvement. Monitors all aspects of the process to ensure compliance with regulatory and Joint Commission standards and Medical Staff Bylaws.
Job Description:
Key Accountabilities
Collaborates with the Medical Staff department to develop and distribute quality data for the Focused Professional Practice Evaluation (FPPE) process and the Ongoing Professional Practice Evaluation (OPPE) according to regulatory requirements, accreditation standards, state and federal laws, and Medical Staff bylaws. Researches and recommends FPPE criteria and ensures that all new applicants undergo FPPE within established timeframes, following up with proctors and/or reviewers as necessary. Coordinates the provider's Ongoing Professional Practice Evaluation (OPPE) process including performing and preparing reports on initial clinical assessments for medical staff leaders. Collaborates with medical staff leaders in reviewing OPPE and identifying provider performance events within their departments and facilitating next steps to evaluate and drive improvement in individual provider performance. Analyzes, monitors, and reports on compliance and outcomes of provider quality indicators Assists with preparation of quarterly peer review reports that are reported up to appropriate System committees. Coordinates focus studies and researches medical literature when necessary to evaluate quality of care. Coordinates and attends Medical Staff Peer Review meetings and serves as a liaison between various committees to facilitate communication and referral of cases for further physician review. Oversees physician peer review data is entered in the appropriate database in a timely and accurate manner. Completes case reviews and analyses for contributing factors to the variance in care and/or complications including all Serious Safety Events, deaths and complications Assists with the development and coordination of projects that will enhance the Performance Improvement, Peer Review, and Patient Safety Program. Maintain continuous knowledge of Joint Commission and other regulatory standards/regulations, Medical Staff Bylaws and organizational policies and procedures pertaining to provider performance and peer review process Participate in Joint Commission survey activities as a PI and Peer Review expert to support ongoing Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Qualifications
Bachelor of Science Degree in Nursing required, Master of Science in Nursing or other healthcare related master's degree preferred. Licensed RN in WI or ability to become licensed in WI Minimum five (5) years of acute care, hospital-based clinical experience in area of intended practice Certified Professional Medical Services Management (CPMSM) certification by the National Association of Medical Staff Services (NAMSS) is strongly preferred Excellent organizational, verbal and written communication skills required. Excellent interpersonal, customer service, and communication skills (oral and written). Must be proficient in MS Office Suite (Word, Excel, Access, Outlook) and Internet/Web. Physical Demands
Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance Category 2: Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties Work Environment
Normally works in climate controlled office environment Frequent sitting with movement throughout office space Use of computers throughout the work day Frequent use of keyboard with repetitive motion of hands, wrists, and fingers
Scheduled Weekly Hours: 40
Scheduled FTE: 1
Location: CIN 3 Neenah Center - Appleton,Wisconsin Overtime Exempt: Yes
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness - Lifestyle Engagement
e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
Access & Affordability
e.g. minimal or zero copays, team member cost sharing premiums, daycare
About ThedaCare!
Summary : The Medical Staff RN Quality Coordinator plans, prioritzes, implements, and coordinates projects related to provider quality, compliance and regulatory requirements. Facilitates the coordination of provider data analysis and improvement activities including Ongoing Professional Practice Evaluation (OPPE), Focused Professinal Practice Evalation (FPPE), and Peer Review cases. Interprets, evaluates, and reports data to improve quality and patient care outcomes using problem solving tooks to identify potential areas of improvement. Monitors all aspects of the process to ensure compliance with regulatory and Joint Commission standards and Medical Staff Bylaws.
Job Description:
Key Accountabilities
Collaborates with the Medical Staff department to develop and distribute quality data for the Focused Professional Practice Evaluation (FPPE) process and the Ongoing Professional Practice Evaluation (OPPE) according to regulatory requirements, accreditation standards, state and federal laws, and Medical Staff bylaws. Researches and recommends FPPE criteria and ensures that all new applicants undergo FPPE within established timeframes, following up with proctors and/or reviewers as necessary. Coordinates the provider's Ongoing Professional Practice Evaluation (OPPE) process including performing and preparing reports on initial clinical assessments for medical staff leaders. Collaborates with medical staff leaders in reviewing OPPE and identifying provider performance events within their departments and facilitating next steps to evaluate and drive improvement in individual provider performance. Analyzes, monitors, and reports on compliance and outcomes of provider quality indicators Assists with preparation of quarterly peer review reports that are reported up to appropriate System committees. Coordinates focus studies and researches medical literature when necessary to evaluate quality of care. Coordinates and attends Medical Staff Peer Review meetings and serves as a liaison between various committees to facilitate communication and referral of cases for further physician review. Oversees physician peer review data is entered in the appropriate database in a timely and accurate manner. Completes case reviews and analyses for contributing factors to the variance in care and/or complications including all Serious Safety Events, deaths and complications Assists with the development and coordination of projects that will enhance the Performance Improvement, Peer Review, and Patient Safety Program. Maintain continuous knowledge of Joint Commission and other regulatory standards/regulations, Medical Staff Bylaws and organizational policies and procedures pertaining to provider performance and peer review process Participate in Joint Commission survey activities as a PI and Peer Review expert to support ongoing Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Qualifications
Bachelor of Science Degree in Nursing required, Master of Science in Nursing or other healthcare related master's degree preferred. Licensed RN in WI or ability to become licensed in WI Minimum five (5) years of acute care, hospital-based clinical experience in area of intended practice Certified Professional Medical Services Management (CPMSM) certification by the National Association of Medical Staff Services (NAMSS) is strongly preferred Excellent organizational, verbal and written communication skills required. Excellent interpersonal, customer service, and communication skills (oral and written). Must be proficient in MS Office Suite (Word, Excel, Access, Outlook) and Internet/Web. Physical Demands
Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance Category 2: Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties Work Environment
Normally works in climate controlled office environment Frequent sitting with movement throughout office space Use of computers throughout the work day Frequent use of keyboard with repetitive motion of hands, wrists, and fingers
Scheduled Weekly Hours: 40
Scheduled FTE: 1
Location: CIN 3 Neenah Center - Appleton,Wisconsin Overtime Exempt: Yes