The Clinical Quality Improvement Specialist is a position within the
Quality Department and the Quality, Patient Safety, Patient Experience,
Infection Prevention and Control Division of Billings Clinic. The Clinical
Quality Improvement Specialist serves as a subject matter expert regarding
clinical quality measures and outcomes of care. The subject matters include
clinical quality surveillance and compliance, hospital-acquired conditions,
patient safety indicators, and surgical improvement indicators. The Clinical
Quality Improvement Specialist provides consultative services focused on
providing the highest quality and safest care to patients while decreasing risk
to the organization. The scope of work includes acute care hospitals,
ambulatory clinics, branch clinic locations, outpatient surgery centers, and
fully owned and affiliated regional facilities.
Essential Job Functions
• The position reports to the Director of the Quality Department and assumes responsibility for one or more of the following functions:
Clinical quality measures
Hospital-acquired conditions
Patient safety indicators
Mortality reviews
Surgical improvement programs
Quality improvement projects.
• Serves as a subject matter expert and source of clinical expertise in the measurement of outcomes of care.
• Assists the Quality Director in the development of organization-wide quality policies.
• Participates in both short and long-term planning for the department.
• Maintains competency in all organizational, departmental, outside agency, and employee safety standards relevant to job performance.
• Supports clinical quality improvement initiatives using medical record review, surveillance, data analysis, process improvement principles, and high-reliability organizing to enhance patient care and services.
• Builds and maintains effective relationships with key departments and stakeholders, such as Infection Prevention, Nursing, Risk Management, and executive leadership, to improve outcomes of care.
• Analyzes and applies regulations, standards, and guidelines from professional organizations and governmental agencies to ensure compliance and improve clinical practices.
• Educates and assists clinical and administrative staff in identifying opportunities for improvement and facilitating cross-functional team development when necessary.
• Prepares and presents routine and custom reports on clinical quality data to departments, oversight committees, operational leaders, and executive management.
• Identifies needs and sets goals for own growth and development in collaboration with the Coordinator and Director of the Quality Department; meets all mandatory organizational and departmental requirements.
• Supports and models behaviors consistent with Billings Clinic’s
mission, vision, values, code of business conduct and service
expectations. Meets all mandatory organizational and departmental
requirements. Maintains competency in all organizational, departmental
and outside agency standards as it relates to the environment, employee,
patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the
needs of the department/organization.
