Livingston HealthCare
Provides quality, statistical, and analytical data analysis that support coordination of care improvement processes, performance improvement, and patient safety work groups with the hospital and it’s entities. Collaborates with physicians and interdisciplinary team members to improve clinical services to meet individual patient/family and care provider needs. Focuses on the facilitation of clinical and system problem identification, data collection, analysis, reporting, and directing improvements. Promotes cost effective care with quality outcomes on patient safety. Analyzes benchmark data and prepares presentations and creates quality reports for the performance improvement program, Medical Staff, Administrative Council, and Board of Directors.
ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:
Maintains accurate records of all activities. Assists in the establishment and maintenance of tracking systems and makes data collection, tracking and reporting recommendations for groups involved in performance improvement. Focuses on the facilitation of clinical and system problem identification, data collection, analysis, reporting, and directing improvements. Promotes cost effective care and quality outcomes. Assists staff as needed in developing monitoring tools and tracking spreadsheets. Assists in abstracting medical records and data analysis within the performance improvement program and preparation of resulting reports. Assists in the development and maintenance of quality operating budget and operates within allocated resources. Serves as a member of the Board Quality’s subcommittee. Serves as a clinical consultant to the medical center and its medical staff. Combines knowledge and skills in systematic manner to facilitate problem solving and decision making regarding patient care delivery. Maintains a number of rotating and permanent committee memberships, participates in QI/PI teams and activities as appropriate and actively participates in the development of a wide variety of policies and procedures, as requested. Identifies and works to resolve problems related to provider competence, system issues, equipment and facilities. Aligns the organization with national quality and patient safety initiatives such as Institute for Healthcare Improvement (IHI), 100k Lives Campaign, CMS Core Measures, PIN and others identified. Identifies and resolves issues to ensure cost effective and optimal clinical outcomes. Provides education on performance improvement philosophy, policies and procedures for medical center personnel, administration, medical staff, and Board of Directors. Assists with orientation and education programs for clinical departments. Analyzes benchmark data and prepares presentations and creates quality reports for the performance improvement program. Compiles performance reports for the Board of Directors, medical staff, and department managers at a minimum of four times per year. Provides input and analysis assistance for hospital-wide performance improvement policies, projects, surveys, audits, and programs as requested. Stays current in literature and regulatory agency requirements related to performance improvement, quality of care, and patient safety. Works closely with the Safety Committee and Infection Preventionist on performance improvement, quality outcomes, and patient safety initiatives. Maintains current understanding and knowledge of management and leadership techniques and skills. Attends meetings, presentations, conferences, and reads related literature necessary to fulfill these responsibilities. Develops and maintains appropriate contacts with various professional organizations, individuals, peers, etc. to share information and best practices and represents medical center at meetings of the same. Performs other duties as required. OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES:
Supports and models individual behavior consistent with the Standards of Excellence and the mission, vision and values of Livingston Healthcare. Demonstrates commitment to customer service by:
Building effective working relationships and treating others with respect. Interacting with customers (patients, co-workers and visitors) in a warm and friendly way. Taking immediate action to meet customers’ needs or request. Attentive to each customer concern.
Demonstrates and encourages an ethic of open and effective communication and teamwork throughout the organization. Adheres to Livingston HealthCare’s Code of Conduct and Livingston HealthCare and departmental compliance policies. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position. QUALIFICATIONS (Required):
Certified Professional in Healthcare Quality (CPHQ) Associates or Bachelors Degree in nursing or related healthcare degree. 3-5 years’ experience in a similar role or responsibilities; working with performance/quality improvement and evidence-based healthcare initiatives. Experience working closely with physicians and interdisciplinary team members to improve quality of care, clinical outcomes, and patient safety. Must possess excellent communication, leadership, computer, and analytical skills to drive the performance improvement process. Visual, hearing and speech acuity necessary for communication with patient, family, caregivers, and outside resources.
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Maintains accurate records of all activities. Assists in the establishment and maintenance of tracking systems and makes data collection, tracking and reporting recommendations for groups involved in performance improvement. Focuses on the facilitation of clinical and system problem identification, data collection, analysis, reporting, and directing improvements. Promotes cost effective care and quality outcomes. Assists staff as needed in developing monitoring tools and tracking spreadsheets. Assists in abstracting medical records and data analysis within the performance improvement program and preparation of resulting reports. Assists in the development and maintenance of quality operating budget and operates within allocated resources. Serves as a member of the Board Quality’s subcommittee. Serves as a clinical consultant to the medical center and its medical staff. Combines knowledge and skills in systematic manner to facilitate problem solving and decision making regarding patient care delivery. Maintains a number of rotating and permanent committee memberships, participates in QI/PI teams and activities as appropriate and actively participates in the development of a wide variety of policies and procedures, as requested. Identifies and works to resolve problems related to provider competence, system issues, equipment and facilities. Aligns the organization with national quality and patient safety initiatives such as Institute for Healthcare Improvement (IHI), 100k Lives Campaign, CMS Core Measures, PIN and others identified. Identifies and resolves issues to ensure cost effective and optimal clinical outcomes. Provides education on performance improvement philosophy, policies and procedures for medical center personnel, administration, medical staff, and Board of Directors. Assists with orientation and education programs for clinical departments. Analyzes benchmark data and prepares presentations and creates quality reports for the performance improvement program. Compiles performance reports for the Board of Directors, medical staff, and department managers at a minimum of four times per year. Provides input and analysis assistance for hospital-wide performance improvement policies, projects, surveys, audits, and programs as requested. Stays current in literature and regulatory agency requirements related to performance improvement, quality of care, and patient safety. Works closely with the Safety Committee and Infection Preventionist on performance improvement, quality outcomes, and patient safety initiatives. Maintains current understanding and knowledge of management and leadership techniques and skills. Attends meetings, presentations, conferences, and reads related literature necessary to fulfill these responsibilities. Develops and maintains appropriate contacts with various professional organizations, individuals, peers, etc. to share information and best practices and represents medical center at meetings of the same. Performs other duties as required. OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES:
Supports and models individual behavior consistent with the Standards of Excellence and the mission, vision and values of Livingston Healthcare. Demonstrates commitment to customer service by:
Building effective working relationships and treating others with respect. Interacting with customers (patients, co-workers and visitors) in a warm and friendly way. Taking immediate action to meet customers’ needs or request. Attentive to each customer concern.
Demonstrates and encourages an ethic of open and effective communication and teamwork throughout the organization. Adheres to Livingston HealthCare’s Code of Conduct and Livingston HealthCare and departmental compliance policies. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position. QUALIFICATIONS (Required):
Certified Professional in Healthcare Quality (CPHQ) Associates or Bachelors Degree in nursing or related healthcare degree. 3-5 years’ experience in a similar role or responsibilities; working with performance/quality improvement and evidence-based healthcare initiatives. Experience working closely with physicians and interdisciplinary team members to improve quality of care, clinical outcomes, and patient safety. Must possess excellent communication, leadership, computer, and analytical skills to drive the performance improvement process. Visual, hearing and speech acuity necessary for communication with patient, family, caregivers, and outside resources.
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