Quality Coordinator

JOB SUMMARYThe Quality Coordinator facilitates and monitors quality improvement through data collection, analysis, actions and resolutions throughout the facility as well as assesses, develops, implements, and evaluates the internal and external education offerings of Morrison Community Hospital according to evidence based practices and in compliance with regulatory guidelines.

This position is highly confidential and will require a high level of understanding of organizational priorities, structures, goals, and will require access to sensitive operational data and information systems.

This position is responsible for designing and carrying out designated projects including the customer service initiative; facilitating implementation of process changes; and communicating results and findings throughout the organization as appropriate.

The Quality Coordinator works under the general supervision of the Chief Nursing Officer and closely with the Nursing Staff, Administration, Providers, patients, front line staff and others as appropriate.

¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬ESSENTIAL FUNCTIONS 1.

Responsible for the Quality Improvement initiatives at Morrison Community Hospital (MCH) as evidenced by; a.

Assist the medical staff department and committees in the development, and implementation of quality control and improvement activities.b.

Establish mechanisms for data collection, summarization of findings, and preparation of summary reports of quality control/improvement activities to the medical staff departments and committees.c.

Monitor findings from high risk case reviews as performed by the medical staff departments and committees and integrate findings into the credentialing process.d.

Attend medical staff department and committee meetings, acting as staff resource person for these meetings.e.

Chair of the Quality Improvement Committee, meeting on a monthly basis.f.

Monitor all quality activities reported by each medical staff department and each MCH division/department for trending analysis and problem identification, corrective actions implemented and problem resolution.g.

Assist, and participate in, the survey review process, as it relates to the evaluation of hospital and medical staff quality activities.h.

Provide Quality Improvement/Process Excellence training to employees on a regular basis.

i.

Develop and revise policies for quality improvement, infection control, employee health, case and risk management.

j.

Identifies opportunities to coordinate data collection and reporting with the complimentary activities of risk management, incident reporting, infection control, customer safety, medical staff credentialing and peer review.

2.

Responsible for the monitoring and compliance at Morrison Community Hospital (MCH):a.

Patient incident reports for potential compensatory incidents.b.

Oversee trending of all incidents for unusual or recurring events which need process review/improvement.

3.

Responsible for Morrison Co...