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JOB DESCRIPTION: 8 hours per week
Coordinates the processes involved in coordinating quality improvement and safety programs for Amberwell. Ensures all surveillance and reporting duties for quality improvement are completed within regulatory guidelines. This includes data collection analysis and reporting with intervention development aimed at improving quality of care for patients. Audits patient charts and implements surveillance activities to ensure all quality and regulatory standards are being met. Analyzes data collected and makes recommendations for process improvements. Assists in the development and implementation of new policies and procedures designed to enhance quality care. Prepares reports and completes dashboards. Coordinates QAPI meetings and minutes. Works as a member of an interdisciplinary team to drive quality improvement initiatives. Ensures all medical standard operating procedures are compliant with state and federal regulations. Works with interdisciplinary team to ensure all accreditation standards are met. Other duties as assigned to support the organization.
This position may require travel between facilities as needed and covering Quality Improvement Coordinator at other facilities if needed.
Duties may include but are not limited to:
ESSENTIAL DUTIES AND RESPONSIBILITIES (Section A):
Quality Improvement
Assist the Director with policy procedure and annual Hospital Quality Assurance Plan development and review.
Responsible for coordinating/preparing leading and keeping the minutes at the monthly Quality and Safety (QAPI) Committee meetings.
Assist departments with Quality Improvement Projects and Quality documentation including department rounds and survey prep.
Responsible for collecting analyzing and reporting for quality measures to appropriate internal and external departments and agencies.
Provide education to department leadership on QAPI responsibilities documentation requirements and expectations.
Works within interdisciplinary leadership team to ensure appropriate data is reported trends are identified and quality improvement projects are appropriate.
Keeps department and executive leadership informed of any changes in reporting requirements
Provides reports to department leadership executive leadership Medical Staff and Board of Directors as needed and appropriate.
Develops tools and/or dashboards share quality data and metrics.
Provides input to establish metrics and benchmarks for the organization.
ABOUT AMBERWELL HEALTH:
Amberwell Health is a healthcare system dedicated to improving the health and wellness of the communities we serve providing compassionate healthcare with clinical excellence. Amberwell locations include several complete care facilities that provide a full spectrum of patient care services including inpatient surgical orthopedic maternal health at home emergency care services. In addition Amberwell clinic locations offer primary care and specialty care services. Amberwell Health supports service lines and locations across the system with a range of support services including radiology laboratory cardiopulmonary rehabilitation therapy occupational health infusion nutrition pharmacy administrative services and many other specialty services.
AMBERWELL CULTURE:
Amazing Amberwell employees are at the heart of a workplace focused on competencies with our cultural values. Excellence in healthcare is expected and our patients deserve nothing less. Our culture competencies range from warm greetings in the hall to providing patients with wow experiences in each department. At Amberwell we go beyond excellence to provide the unexpected.
At Amberwell you will find a professional environment that values consistency collaboration and patient-first decision making. Servant leadership is both modeled and mentored with a focus on regular appreciation. Amberwell employees enjoy many appreciation events and activities to help them know just how important they are to our organization our patients and our communities.
To learn more about Amberwell Health our affiliated organizations and available career opportunities visit .
JOB QUALIFICATIONS:
Required Experience:
IC
Part-Time