Northern Light Mercy Hospital

Department: Cancer Care

Position is located: Mercy Medical Office Building

Work Type: Full Time

FTE: 40 Hours per week

Work Schedule: No Hours Assigned

Summary:

The Quality & Patient Safety Clinical Coordinator position is responsible for establishing, coordinating, and participating in the development of Performance Improvement (PI) Plans to ensure the highest level of quality, safety, and patient experience within the practice. The Coordinator will work at the direction of the Practice Manager and Lead Provider and in partnership with the Hospital Quality Department. In addition, s/he will require close collaboration with staff within the clinical departments, data analytics, financial and business planning groups throughout the Member Organization. S/he will analyze, develop, and implement workflows to achieve best practice to maintain compliance against standardized benchmarks and definitions under the Joint Commissions, Quality Oncology Practice Initiative (QOPI), American College of Surgeons Commission on Cancer Accreditation, Dana Farber Cancer Care Collaborative and the Institute for Safe Medication Practices (ISMP). Responsible for working in partnership with the interdisciplinary team to analyze patient experience outcomes and incorporate evidence-based research into clinical practice to improve patient experience. Stays abreast of pertinent regulatory and compliance issues and ensures adherence with all federal and state related laws and regulations. Protects all patient information and institution assets and complies with privacy and acceptable use policies.

Responsibilities:

• Collaborates with the interdisciplinary team, Quality Committee, and nursing leaders to define key strategic priorities in the areas of patient safety and quality improvement.
• Leads and supports patient safety and quality improvement initiatives within the Practice to ensure the safe, compliant, effective, and patient-centered quality of care.
• Directs complex initiatives and responds quickly to changing issues and priorities involving multiple departments and stakeholders.
• Reviews, refines, and collaborates to establish and maintain clinical standards based on National Patient Safety guidelines and standards of excellence in alignment with Northern Light Health quality, safety, and compliance initiatives.
• Conducts data analysis to identify trends and patterns related to care outcomes.
• Develops actions plans to address negative findings and provides dashboard to Practice Manager and Clinical Lead and Quality Committee outlining findings against National Standards and organization KPI’s.
• Collaborates with leadership, IT and others to identify and implement key process changes required for efficient practice operations and adherence to best practice standards.
• Works with clinical staff to implement streamlined and efficient workflow changes. • Attend Quality Committee, Medication Safety Committee, Staff, and Hospital Quality Committee meetings, and monthly Provider Meetings.
• Responsible for facilitating any QOPI, or Dana Farber on-site visits.
• Coordinates, integrates, and completes compliance reviews of new clinical policies and standard operating procedures.
• Maintains open and effective communication with all providers, employees and vendors.
• Partners with outside healthcare partners (Other Northern Light Health Member Organizations, NECS, Dana Farber, etc.) as needed to support practice initiatives and strategic objectives.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, personal networking and participation in professional societies.
• Meets with Leadership on a regular basis to keep them informed of performance against quality and patient safety performance metrics.
• Collaborate with members of the multidisciplinary healthcare team to identify areas for improvement.
• Provide training to teams to reduce quality problems and increase understanding of quality goals.
• Monitor corrective actions to ensure results are capturing intent and maintaining sustainability.
• Obtain and analyze reports from the electronic health record and quality data software.
• Organizes, compiles, and reports QI data to identify trends, establish priorities, and recommend improvement activities.
• Performs comprehensive, concurrent, and retrospective reviews of data in a timely manner.
• Assists with staff education and training on quality improvement and risk management projects and tools.
• Maintains accountability for ongoing self-development activities, especially related to, regulatory standards, presentation facilitation, change management and the application of quality improvement activities.
• Other Duties

Other Information :

Competencies and Skills

• Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.
• Acts Strategically: Creates effective plans that anticipate future consequences and opportunities and is able to connect the day to day operations to longer-term objectives, shifts in the industry, and system goals.
• Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
• Electronic medical record software.
• Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
• Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
• Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.
• Develops Self and Others:Takes responsibility for engaging in professional self-development activities and programs. Strives to gain insight into their own values, strengths and weaknesses, interests and ambitions and takes action in order to enhance competencies and skills when possible. As a leader, encourages and guides employees towards growth opportunities to enhance performance and help them reach goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are enhanced appropriately.
• Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
• Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
• Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
• Fosters Innovation: Employs and encourages the use of meaningful creativity in solving challenges. Proactively identifies opportunities and uses new approaches to enhance processes, systems and services. When appropriate, suggests or initiates new strategies, products, services, and markets.
• Influences and Inspires: Builds enthusiasm and commitment among others to move in a desired direction and models it personally. Creates a compelling vision of success that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to attain an objective. Has the ability to appropriately influence others' actions and decisions with and without express authority.
• Spreadsheet application with the ability to use calculations, formulas, graphing tools, pivot tables, and a macro programming.
• Word processing, spreadsheets, data entry, database experience and other computer related skills.
• Email application with the ability to manage email as well as calendars, managing tasks and contacts, note taking, journaling, and web browsing.
• Presentation software with the ability to create presentations with the ability to incorporate animation, audio, video, time delays, as well as designing themes and variants with animations and effects.
• Word process application with the ability to create and edit documents, format, use tables, apply footnoting, create table of contents and mail merge techniques.
• OneNote
• Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.
• Promotes Health and Safety: Promotes a healthy and safe environment for patients, employees and visitors. Advocates and models healthy physical and mental health behaviors even in challenging circumstances. Sets high quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others to report near misses and safety issues.
• Public Speaking
• Resolves Conflict: Promptly acts to find alternatives/solutions when team members disagree. Addresses issues in a direct, honest, and appropriate manner. Handles conflicting interests diplomatically and helps to solve them. Transforms difficult situations into teachable moments using respect and accountability .
• Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.
• Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration.
• Utilizes Resources Effectively: Understands how to get the most out of available resources and uses cost-benefit thinking in decision-making and in setting priorities. Monitors and analyzes resource usage to identify and eliminate areas of waste and maximize resources. As a leader, defines targets and provides appropriate means; oversees progress and makes adjustments when necessary. Appropriately delegates work, sets clear direction and manages workflow and time.

Credentials

• Required Licensed Practical Nurse

Education

• Required Associate's Degree

Required Experience

• 3 year/years of Clinical Experience
• 3 year/years of Relevant Work Experience

Working Conditions

• Work with computers, typing, reading or writing.
• Prolonged periods of sitting.
• Lifting, moving and loading less than 20 pounds.