Clinical Performance Improvement Specialist, RN

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Department:
Quality Management

Under the supervision of the Senior Administrative Director, Quality Management Department and /or Manager of the specific department, provides clinical, technical, and analytical support and evaluation of operational processes and statistical data necessary to support performance improvement processes.

Effectively facilitates interdepartmental and/or interdisciplinary performance improvement teams in order to support organization wide performance improvement activities.

1.

General


* Staff Resource/Educator


* Functions as a resource/educator for performance improvement processes and/or structured problem-solving approaches.


* Assists Department leaders with development of intra-, interdepartmental processes to improve the efficiency, effectiveness, and safety of patient care and departmental operations.


* Attends facility committees as assigned by the Department Manager.


* Manages time to ensure that workload for multiple projects is completed within the required time frame.


* Utilizes quality databases to collect and analyze data accurately.


* Demonstrates motivation and ambition on the job, adapts to and supports change, independently seeks unassigned work without impacting quality, is flexible, thinks along original lines, questions old methods and offers suggestions for improvement of procedures.

2.

Division of Quality Services


* Coordinates interdepartmental, interdisciplinary process/performance improvement initiatives.


* Effectively facilitates multiple performance improvement teams, including evaluating processes to improve efficiency and cost effectiveness.


* Designs and conducts special PI projects as required / requested.


* Assists organizational staff with development and implementation of process improvements.


* Assists leadership with creation / management of department or project specific data needs via software program reports to assist in defining dashboards / scorecards.


* Ensures improvement team targets are consistently met or exceeded within the required time frame.


* In collaboration with the Regulatory Division, participates in Comprehensive Analysis teams, Safety Alerts and manages follow up on Action Plans.


* Data Collection/Analysis


* Develops data collection forms/processes.

Collects and analyzes data to performance of processes and staff, and adherence to established policies/procedures.

Communicates provider specific data to the Department Director for recognition and/or follow-up as appropriate.


* Perform medical record review for data collection and submission.

Works with the interdisciplinary team, including physicians to facilitate improvement based on data analysis.


* Attends hospital departmental staff meetings to communicate results of...