Quality Improvement Coordinator II

Quality Improvement Coordinator II

Westwood Administration - East

The Quality Improvement Coordinator II provides ongoing leadership support instruction and facilitation to meet and exceed quality and performance improvement as well as regulatory standards. The Quality Improvement Coordinator II supports continuous quality improvement efforts related to disease-specific certifications and other regulatory accreditations with guidance from leadership. This position is responsible for coordinating data collection management and reporting of operational and clinical data by utilizing appropriate statistical analytical and quality improvement methodologies to identify implement and maintain quality and performance improvement initiatives.

Responsibilities and Essential Job Functions

• Demonstrates the ability to lead quality improvement teams by transforming data into information obtaining consensus from stakeholders and facilitating implementation of action plans to meet identified areas of opportunity.
• Participates in clinical quality and operational meetings to discuss/communicate trends and data analysis to service line/department leadership. Develops collaborative relationships with service line/department physician and leadership team members to disseminate data across the service line.
• Assists with implementation of ongoing organizational needs assessment for quality regulatory compliance accreditation and certification activities to ensure that all service line/department sites are in compliance with required standards including but not limited to the development and implementation of TJC tracer teams to continuously evaluate standards compliance and works with departments to maintain continuous readiness. Makes appropriate recommendations based on assessment.
• Applies statistical and analytical methodologies such as bench marking descriptive statistics hypothesis testing control charts run charts Pareto charts to qualitative and quantitative data sets to facilitate quality and performance improvement within the service line/department as well as uses appropriate visualization techniques to present complex data.
• Demonstrates competence to select and utilize data analytic software and platform functions.
• Oversee data collection abstraction documentation and monitoring from clinical and administrative sources to facilitate the delivery of safe and high quality integrated health care within the service line/department. Interfaces as needed with patients and staff to procure data.
• Collaborates with Quality Improvement Coordinator I to facilitate accuracy timeliness reproducibility and confidentiality of data collection and reporting.
• Assists with development and monitoring of basic dashboards scorecards and routinely updates compliance reports that monitor quality patient safety regulatory preparedness outcomes including but not limited to blood culture contamination hand hygiene falls critical results monitoring billing/volume data patient satisfaction CMS quality programs Commission on Cancer TJC Quality Oncology Practice Initiative and Vizient performance metrics; and other service line/department as needed.
• Serves as a subject matter expert (SME)/resource for clinical quality and performance improvement indicators within service line/department and ensures that data are interpreted accurately according to best practice and standard work procedures.
• Participates in project development facilitation implementation and sustainability of LEAN activities.
• Works collaboratively with internal partners such as Risk Management Organizational Improvement Infection Control and Kaizen Promotion Office
• Maintains competency and enhances professional growth and development though continuing education conference attendance workshops and seminars.
• Must be able to perform the professional clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate
• Bachelors Degree in Health Administration Public Health Nursing Business IT or other related field
• Intermediate computer skills in Microsoft Word Excel PowerPointAbility to work under pressure and meet inflexible deadlines while maintaining composureExcellent communication writing organizational time-management and presentation skillsAbility to effectively interact with multidisciplinary teams including physicians administrative staff clinical personnel peers and patientsDemonstrate persistence in solving problemsTravel between UKHS sites/locations

Preferred Education and Experience

• Masters Degree MPH Health Adminstration MBA Nursing Informatics or other related field
• Experience with electronic health records (i.e. Epic)
• Familiarity with statistical programming languages (i.e. SAS SPSS R Stata) and SQLExperience with electronic health records (i.e. Epic)

Preferred Licensure and Certification

• Certified Professional in Healthcare Quality (CPHQ) - National Association of Healthcare Quality (NAHQ)

Full time

R-56028

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race color religion sex (including pregnancy gender identity and sexual orientation) national origin ancestry age disability veteran status genetic information or any other legally-protected status. See also Diversity Equity & Inclusion.

• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process please let our recruiters know by requesting an Accommodation Request form using this link .

• Employment with the health system is contingent upon among other things agreeing to the and signing the agreement to the DRP.

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