Senior Quality Improvement Specialist
Senior Quality Improvement Specialist
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1 Vacancy
Job Description
Responsible for planning coordinating monitoring and leading quality improvement initiatives within Perioperative and Procedural Services across both UMMC campuses including data analysis project management and team facilitation to enhance patient outcomes optimize financial performance and improve hospital rankings. Partner with leadership and interdisciplinary teams to drive high reliability patient safety and regulatory compliance while fostering a culture of continuous improvement. Ensure continuous implementation of UMMCs Quality Assurance/Performance Improvement program promote a Just Culture and integrate best practices to sustain improvements in perioperative quality and safety. Work is performed under limited supervision. Direct report to the Vice President Perioperative and Procedural Services.
Primary Responsibilities
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job responsibilities performed.
Develop and oversee the perioperative quality improvement program aligning efforts with hospitalwide initiatives regulatory requirements and annual operating plan goals.
Lead multidisciplinary teams across both campuses to execute quality improvement projects that enhance clinical outcomes efficiency and patient safety.
Collect review analyze and monitor performance data to identify trends impacting patient care and financial performance.
Collaborate with hospital and departmental leadership to prioritize quality improvement efforts ensuring sustainability through effective action plans.
Ensure ongoing compliance with quality and safety standards set by CMS Joint Commission and diseasespecific certifications.
Develop and implement strategies to reduce Potentially Preventable Complications (PPCs) Patient Safety Indicators (PSIs) surgical site infections and hospitalacquired pressure injuries (HAPIs).
JOB DESCRIPTION
Work with senior leadership clinical department heads and Lead Quality Physicians to establish and implement quality improvement priorities aligned with UMMCs strategic plan.
Facilitate root cause analyses PlanDoCheckAct (PDCA) cycles and other process improvement methodologies to drive sustainable changes.
Meet regularly with perioperative leadership and service line leads to review performance data identify quality gaps and develop targeted improvement strategies.
Provide education and justintime training on quality improvement methodologies high reliability principles and performance improvement tools.
Coach and mentor clinical leaders staff and physicians on quality and safety initiatives fostering a culture of accountability and excellence.
Actively participate in key hospitalwide quality committees collaboratives and strategic planning initiatives.
Support the development of posters presentations and publications highlighting UMMCs quality improvement efforts at internal and external conferences.
Lead initiatives to improve key quality metrics within Marylands payforperformance programs and the Vizient Q&A dashboard.
Monitor and ensure the accuracy of perioperative quality dashboards providing actionable insights for leadership and clinical teams.
Collaborate with Performance Innovation and other stakeholders to leverage data for continuous quality monitoring and improvement.
Identify trends and opportunities for improvement in patient safety efficiency and compliance with accreditation and licensing standards.
Support regulatory readiness efforts including preparation for Joint Commission CMS and state health department surveys.
Participate in hospitalwide tracers and provide realtime staff education on regulatory compliance and hospital policy requirements.
Perform other duties as assigned
Qualifications :
Masters degree in Nursing or related field or the equivalent combination of education training and experience.
Five years of progressively responsible professional experience in quality improvement patient safety or similar in a healthcare setting.
Proven track record of leading process improvement initiatives and implementing datadriven solutions in a healthcare environment.
Current licensure in Nursing or related field (e.g. physical therapy).
Education & Experience Preferred
Experience in an Academic Medical Center.
Experience in perioperative and procedural services.
Knowledge Skills & Abilities
Advanced knowledge of quality improvement methodologies data analysis and performance improvement strategies.
Working knowledge of applicable federal state and local laws rules and regulations (e.g. The Joint Commission etc..
Working knowledge of Department of Mental Health & Mental Hygiene for state licensure and medical conditions for participation
Strong leadership skills with a track record of driving organizational change and fostering a culture of safety.
Proficiency in regulatory compliance including Joint Commission CMS and state hospital licensing requirements.
Strong project management capabilities with the ability to oversee multiple initiatives and track performance against defined goals.
Proficiency in statistical analysis database management and dashboard reporting to support datadriven decisionmaking.
Ability to educate and train diverse stakeholders on quality improvement principles and best practices.
Advanced skill developing and maintaining collaborative working relationships with all levels of leadership physicians and frontline staff.
Advanced analytical critical thinking planning organizational and problemsolving skills.
Advanced skill presenting findings conclusions alternatives and information clearly and concisely at all levels within the organization.
Exhibit high selfmotivation and ability to work and plan independently as well as in a team environment.
Ability to analyze compare contrast and validate work with keen attention to detail.
Advanced skill in the use of Microsoft Office Suite (e.g. Excel Word PowerPoint).
Advanced verbal written and interpersonal communication skills.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation
- Pay Range: $
- Other Compensation (if applicable):
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
