Quality Improvement Coordinator II

Westwood Administration - East

Position Summary / Career Interest:

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 accreditation's 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, PowerPoint Ability to work under pressure and meet inflexible deadlines while maintaining composure Excellent communication, writing, organizational, time-management, and presentation skills Ability to effectively interact with multidisciplinary teams, including physicians, administrative staff, clinical personnel, peers, and patients Demonstrate persistence in solving problems Travel between UKHS sites/locations

Preferred Education and Experience

• Master's 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 SQL Experience with electronic health records (i.e., Epic)

Preferred Licensure and Certification

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

Time Type:

Full time

Job Requisition ID:

R-56028

Important information for you to know as you apply:

• 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 [email protected].

• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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