Quality Safety Analyst
Quality Safety Analyst
Posted on :
09-04-2025
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1 Vacancy
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Job Description
Overview
The Department of Anesthesia Critical Care and Pain Medicine (DACCPM) at MGH is seeking a responsible and wellqualified applicant for the position of Quality & Safety Analyst to join the Quality & Safety Team. This is a high performance team with a legacy of excellence and the candidate is expected to have a similar history of outstanding performance.
The Quality & Safety (Q&S) Analyst will report to the Administrative Manager for Quality & Safety and work with physician and administrative members of the Quality & Safety Team on Quality Assurance (QA) Quality Improvement (QI) and patient safety regulatory requirements. This includes analyzing clinical data to determine the quality and efficacy of our practice reporting this data out to department clinicians senior leadership and hospital leadership participating in process improvement and pay for performance initiatives to achieve practice changes and identifying new clinical performance metrics.
The ideal candidate must have strong data management and analysis skills the ability to work collaboratively with diverse hospital and department groups exceptional interpersonal communication project organization time management and skills. Proficiency in Microsoft Word Excel PowerPoint Access how to run basic SQL stored procedures and the ability to learn new IT programs quickly is required.
I. Quality & Safety Team
Attend weekly team meetings with the Administrative Manager and other Q&S team members
Attend and sometimes lead regular meetings with department physician leaders in quality and safety
Participate in departmental quality and safety committees
Attend and sometimes lead task forces formed by volunteer physicians nurses allied health professionals and administrators to address high priority quality and safety initiatives
II. Quality Improvement
A. Data Analysis
Retrieve data via queries from department and hospital databases
Process data and prepare graphs and tables on key clinician performance and patient outcome metrics
Analyze data to determine strengths and opportunities in patient care
Present analysis to Quality & Safety Team and key department stakeholders and committees
Use data analysis to develop strategies for improvements to clinical practice
Use data and communication skills to drive clinician buyin and/or education on modifications to patient care and provider work flows
Serve as a member of the 20 Quality & Safety Improvement Committee and attend 2hour monthly meetings
B. Process Improvement Efforts
The Quality and Safety Analyst will be expected to lead under the guidance and mentorship of the Administrative Manager for Quality and Safety process improvement initiatives. This includes but is not limited to:
o Serving as a member of the 20 Quality & Safety Improvement Committee and attend monthly meetings
o Participating in Quality Improvement Process Improvement initiatives prioritized and sponsored by the Quality and Safety Improvement Committee
o Completing all prework and preparatory work for the meetings
o Evaluating department feedback and quality assurance reporting trends to determine opportunities for practices improvement
o Prioritizing opportunities for improvement according to department resources department mission hospital mission and external environmental pressures
o Assembling and leading task forces to address issues and develop improvement strategies
o Implementing solutions measuring progress and continuously making enhancements to overall strategy in order to reach improvement goals
C. Change Management
Develops strategies based on data analysis to make improvements in departmental practices
Educate clinical staff on new procedures and practices through data presentation preparing tutorials providing background information on various initiatives and using multiple communication channels to articulate our patient care goals
Evaluate progress of Quality Improvement efforts and identify areas to target for continued improvement
III. Data IT and Programming Management
Bridge gap between technical and clinical teams to develop needed IT changes to support enhanced patient care
Design and implement data collection and reporting processes through the creation of Access Databases to streamline data collection and generate automated reports for all areas of the department
Work with programming teams to perform data extracts from hospital systems
Ensure accuracy of data in reports and integrity of data that comes from databases
IV. Reporting
A. Massachusetts General Physicians Organization Quality Improvement Program
Help determine new pay for performance metrics every six months
Develop process for measuring baseline performance and continued improvement over designated measurement period
Develop strategies to ensure the department reaches set targets for selected metrics
Implement and engage department clinician in strategic designs
Submit final data to MGPO for remuneration of performance incentive payment
B. Ongoing Professional Practice Reports for The Joint Commission
Assist manager and physician leaders with metric definition and selection
Coordinate data collection and reports
Distribute the quarterly Joint Commission reports and provide staff with monthly access to data through interim reports for feedback on performance
Confirm all practicing physicians are in good standing regard the Joint Commission Requirements by reviewing all results and identifying physicians needing a focused evaluation
Respond to and manage all clinician feedback regarding individual reports
A. Project Management
Ability to independently manage projects and data
Discretion and judgment to effectively prioritize work
Ability to meet deadlines while independently managing multiple concurrent tasks
Expected to proactively follow through on assigned tasks and provide periodic updates
Ability to independently troubleshoot problems and act to address critical issues in a timely and appropriate manner
B. Analytical Skills
Strong analytical skills to collect process and analyze data
Problem solving skills
Proficiency with Microsoft Word Excel PowerPoint Outlook and Access
Ability to design and manage special projects as required
C. Professionalism
Ability to exercise the highest degree of professionalism even in high intensity clinical settings
The candidate will be expected to dress professionally be punctual and be prepared to work with a positive attitude and a thoughtful and pleasant demeanor
Ability to maintain strict confidentiality
Use of tactful diplomacy in the handling of sensitive patient and provider issues
Ability to work effectively and courteously with physician and nonphysician personnel
Strong customer service orientation
D. Teamwork
Ability to work collaboratively with all members of Q&S Team and project teams
Ability to work effectively peertopeer and manage up
Strong team player
E. Organization Skills
Exceptional organizational skills and keen attention to detail
Ability to design maintain and coordinate flawless electronic filing systems
Ability to keep track of many concurrent openended items and ensure they are completed in a timely manner with no loose ends
F. Communication Skills
Immaculate use of English grammar for high profile written and verbal communications
Excellent telephone email and inperson communication etiquette
G. Professional Growth
The ideal candidate will be interested in advancing as an administrator in the healthcare field
The scope and responsibilities of the position may evolve in conjunction with the ongoing development of the Q&S program. The candidate must be able to adapt and grow along with the needs of the position. This will include taking classes and/or attending training sessions to enhance skills and knowledge relevant to the position
H. Other
Bachelors Degree required
Experience working with and analyzing data required
Hospital experience required
Experience in process improvement preferred
Interest in Quality and Safety
Required Experience:
IC
Employment Type
Full-Time
Key Skills
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