Clinical Quality Improvement Specialist

Clinical Quality Improvement Specialist
Indianapolis IN
2 Months

Description:

BS in Nursing (BSN) or other similar cert. combined with Hospital experience prefer Bachelors degree supplemented with 3-5 years of previous hospital and quality improvement job-related exp. Ideal candidate also has either CPHQ or Lean Six Sigma.

Job description

Clinical Quality Improvement Specialist

Job Summary This position serves in a dual role involvingdirect in person

coordination with hospital facilities to enhance bothNational

Healthcare Safety Network (NHSN) automated hospitalreporting

along with pediatric readiness capabilities withinhospital networks

and facilities located in Indiana. This position promotesbest practices

and quality improvement processes in both hospitalreporting

importance for the automation transition and pediatricpreparedness

programs/initiatives. The position serves in coordinatingthe

development of statewide guidelines aiding hospitalsinto an

automated platform for hospital reporting educationalmodules and

quality improvement resources/tools utilizing federal andnational

recommendations/guidance evidence-based guidelines andbest

practices specific to the delivery of hospital facilitykey elements

reporting along with pediatric emergency care. Theposition also

serves as a resource and technical advisor topre-hospital agencies

hospitals other healthcare practitioners as well asnon-health care

entities within our state to ensure hospital facilityneeds are

adequately addressed.

Education and/or Work Experience

Registered Nurse (RN) Bachelor of Science in Nursing(BSN) or other

similar certification combined with Hospital experiencepreferred

Bachelors degree supplemented with 3-5 years ofprevious hospital

and quality improvement job-related experience. Idealcandidate also

has either CPHQ or Lean Six Sigma

Duties and Responsibilities

Assist with development and launching of astate/jurisdiction

capacity system that includes near-time bed capacitycounts

for the states/jurisdictions acute care hospitalsincluding

critical access hospitals.

Must be able to manage user account and securityparameters

for access to the web-based dashboard to coordinatedaily

surge and crisis needs.

Help coordinate emergency department data organizedper

NHSN definitions to Hospital Capacity Data Store at leasttwice

per day on an ongoing basis. Data would include emergency

department (ED) census ED Admitted census (boarding) and

ED pressure indicator by count of all patients in the EDthat

have a physician assigned.

Create possible items listed below to support the

states/jurisdictions ongoing participation in the NHSN

Connectivity Initiative such as:

Develop communications and training materials for

onboarding identified stakeholders and hospital users.

Provide training and onboarding services toparticipating

hospitals and stakeholders.

Work with the states/jurisdictions hospitals tocollect

necessary information for dashboard development and

implementation.

Provide a common framework of data elements to includeon

the dashboard and in the data feed.

Facilitate the gathering and engagement of hospitalstechnical

staff to work on automated and secured data feeds per

specifications supported by the web-based application.

Assist the state/jurisdiction to advise on sharedgovernance

model(s) for discussions and decision-making to supportthis

work.

Testing and validation of data feeds; and draftprogress

milestone for inclusion in progress report/lessonslearned.

Manages the participation and permissionprocess/clearances

(to send data to NHSN) of participating hospitals. Also

provides permission to allow for use ofstates/jurisdictions

data in conjunction with other participating entities for

research and emergency planning by the state and federal

health partners.

Obtain signed commitment from acute care hospitals inthe

state/jurisdiction to participate in the project throughan

established participation agreement.

Provide ongoing instructions and serve as key resourceto

assist with the scaling of the CDC NHSN ConnectivityInitiative

to other states/jurisdictions; and help to ensure thatall terms

of the CDC funding agreement are met.

Facilitates efforts to improve clinical and serviceoutcomes

throughout the state as related to pediatric emergencycare

utilizing federal/national guidance (including but notlimited to

the American Academy of Pediatrics Assistant Secretaryfor

Preparedness & Response Centers for Disease Control

Emergency Medical Services for Children FederalEmergency

Management Agency Institute of Medicine JointCommission).

Works with Indiana Emergency Departments to assessareas of

need conduct gap analyses communicate pediatricstandards

and disseminate resources as appropriate.

Develops and facilitates bi-monthly State PediatricEmergency

Care Workgroup meetings and actively assumes project

leadership responsibilities through planningcoordination of

workgroup activities and development of toolseducational

modules and resources for workgroup review.

Participates as a team member on hospital site visitsconducted

throughout the state to assess compliance with pediatric

emergency care requirements and regulations using defined

checklists; provides verbal and written assessment ofhospital

strengths/weaknesses; outlines recommendations and other key subject matter expertise as appropriate; sharesapplicable resources and technical guidance with hospitals asneeded.

Develops documents annually to promote qualityimprovement practices as related to pediatric emergency caredocuments

and development of a quality improvement plan.

Engages in and demonstrates self-development inclinical and professional knowledge base in the areas of pediatric emergency management quality improvement processes communication and awareness of trends in the healthcare environment.

Utilizes data to identify trends draw appropriateconclusions and make recommendations; develops data reports for decisionmakers to support conclusions and recommendations; reports should communicate anylimitations of the analyses.

Facilitates efforts to improve clinical and serviceoutcomes throughout the state as related to pediatric emergencycare utilizing federal/national guidance (including but notlimited to the American Academy of Pediatrics Assistant Secretaryfor

Preparedness & Response Centers for Disease Control

Emergency Medical Services for Children FederalEmergency

Management Agency Institute of Medicine JointCommission).

Works with Indiana Emergency Departments to assessareas of need conduct gap analyses communicate pediatricstandardsand disseminate resources as appropriate.

Develops and facilitates bi-monthly State PediatricEmergency

Care Workgroup meetings and actively assumes project leadership responsibilities through planningcoordination of workgroup activities and development of toolseducational modules and resources for workgroup review.

Participates as a team member on hospital site visitsconductedthroughout the state to assess compliance with pediatricemergency care requirements and regulations using definedchecklists; provides verbal and written assessment ofhospital strengths/weaknesses; outlines recommendations and other

key subject matter expertise as appropriate; sharesapplicable resources and technical guidance with hospitals asneeded.

Develops documents annually to promote qualityimprovement practices as related to pediatric emergency caredocuments

and development of a quality improvement plan.

Engages in and demonstrates self-development inclinical and professional knowledge base in the areas of pediatric

emergency management quality improvement processes communication and awareness of trends in the healthcareenvironment.

Utilizes data to identify trends draw appropriateconclusionsand make recommendations; develops data reports fordecision-makers to support conclusions andrecommendations; reports should communicate any limitations of theanalyses.

Other duties as required.

Computer Skills

Microsoft Teams Power BI Microsoft Outlook MicrosoftWord

Microsoft PowerPoint Microsoft Excel Basic KeyboardingSkills Web1basedmeeting and learning management systems REDCap

Computation Ability

Ability to solvepractical problems and deal with a variety of concrete

variables in situations where only limitedstandardization exists. Ability

to interpret a variety of instructions furnished inwritten oral diagramor schedule form.

Qualifications

Ability to maintain accuracy and consistency

Ability to finish tasks in a timely manner

Ability to function independently manage own time/worktasks

Ability to maintain confidentiality

Ability to interact with internal and externalconstituents

Ability to work as an effective team member

Ability to organize workflow

Ability to plan coordinate and develop multipleprojects

Ability to analyze and interpret data

Ability to compile complex reports and developpresentations

Ability to compose letters and memorandums

Ability to negotiate persuade and establish direction

Skilled job requiring high level of adaptability andinterpersonal

skills

Must be able to work in a fast-paced dynamic environment andadapt to changing priorities

Travel

In-state travel will be required as needed and out ofstateovernight may be necessary.

Expect 85% of work week traveling around state ofIndiana