What are the responsibilities and job description for the Quality Improvement Specialist position at CAMERON HEALTH?
Cameron Health is an independent, not-for-profit facility that proudly serves Angola and Steuben County. We have been a cornerstone of this community and the surrounding area in northeast Indiana dating back to 1926. Over the years, we have helped generation after generation of area residents enjoy better health and live comfortably. Today, Cameron Hospital has grown into something more than a simple community hospital. Filled with advanced equipment and skilled specialists, Cameron is a modern, high-tech facility that provides advanced diagnostics, a variety of specialties and cutting-edge treatment options that are combined with highly personalized and compassionate care.
DEPARTMENT: Quality and Risk Management
JOB TITLE: Quality Improvement Specialist
SHIFT: 80 Hours Bi-Weekly, Day Shift
BENEFTS: This is a full time, benefit eligible position.
Summary/Objective
Responsible for the planning, development, implementation and evaluation of an on-going hospital-wide Performance Improvement/Quality program including departmental level performance/quality improvement.
Essential Functions
- Supports organizational implementation of the CMCH Strategic Plan for Quality and Performance Improvement.
- Assists department managers in the development and implementation of department level programs, including department level dashboards.
- Assists department managers in aligning quality monitors with national quality and patient safety initiatives, evidence-based practices, and CMCH strategic goals.
- Assists department directors and managers in improvement activities utilizing the PDCA cycle, Lean, and Six Sigma methodologies where appropriate.
- Provides support for data abstraction on publicly reported indicators and monitors validation reports for data accuracy.
- Participated in conducting concurrent and retrospective reviews to provide information regarding patient care activities and outcomes that may be used to assess and improve services provided.
- Supports the medical staff peer review process under the direction of the Director of Medical Staff Services
- Analyzes quality data for trends and identifies opportunities for improvement and facilitates activities to address those opportunities
- Obtains and provides information from current literature, benchmarks, practice patterns and other sources as indicated to support performance improvement efforts
- Maintains current knowledge concerning trends, developments, regulations in specialty and incorporates same, as appropriate, to enhance program development and educational opportunities.
- Prepares reports and presentations for Quality and Medical Staff committees
- Regular review of websites and publications for changes in standards and requirements, with communication to relevant hospital personnel
- Supports public reporting and survey completion activities
- Serves as a resource for interpretation of standards in relation to hospital policies and procedures related to Quality Improvement, Accreditation, Risk Management and Patient Safety
- Works in collaboration with members of Leadership to develop and enhance policies related to Accreditation, Risk Management and Patient Safety
- Collaborates with leadership to provide strategies, tools, and initiatives to achieve compliance with regulatory standards and best practices.
- Promotes understanding of performance improvement by providing in services, educational opportunities, and consultation for performance improvement efforts
Licenses/Certifications
- Appropriate clinical licensing in degree related field
- Certified Professional in Healthcare Quality (CPHQ) required within 2 years of hire