What are the responsibilities and job description for the Quality Specialist - RN - Quality Management position at DCH Health System?
The Quality Specialist RN performs a variety of functions under the Quality Department Scopes of Work which include but are not limited to
- Performance Improvement Collection, analysis, data reporting and facilitation of performance improvement methodologies for assigned projects
- Regulatory Compliance Resource to hospital and medical staff departments to assure compliance with regulatory standards
- OPPE/Peer Review Collection of metrics, profile creation and report generation of ongoing provider performance
- Clinical Safety/Patient Experience Case review and data analytics for Clinical Safety and Patient Experience projects
- Serves as PI resource to assigned PI Teams and facilitates use of performance improvement methods to improve quality metrics.
- Conducts concurrent and retrospective case reviews as assigned.
- Ability to define problems, collect data, establish facts and draw valid conclusions
- Provides both formal and informal training relating to performance improvement and regulatory compliance.
- Conducts assigned screening and measurement activities including data collection and analyses. .
- Generates reports and communicates results and activities to administration, medical staff and other internal and external parties to support organizational improvement initiatives.
- Oversees the design, implementation and reporting related to assigned performance improvement projects.
- Participates in collection, analysis and data reporting related to ongoing compliance efforts.
- Works with medical staff and other multidisciplinary departments collaboratively through abstraction, review and analyses of peer review.
- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook
- Must adhere to the DCH Mission, Vision, and Values including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
- Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
- Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
- Registered Nurse with current licensure for the state of Alabama
- Minimum of three years’ experience in an acute care facility.
- Clinical background that would facilitate assessment of patient care data for coordination of quality projects.
- Ability to work independently, and manage multiple projects, with strong prioritizing skills
- Familiarity with Joint Commission and CMS standards and terminology
- Basic knowledge of computers and office productivity software.
- Basic knowledge of data analysis.
- Ability to communicate effectively.
- Must be able to read, write legibly, speak and comprehend English.
- Able to maintain confidentiality
- Daily contact with others
- Able to work independently
- Regular work with work groups or teams
- Requires accuracy and attention to detail
- Physical presence onsite is essential
- Regular Schedule
- Light work Exerting up to 20 pounds of force occasionally and/or a negligible amount of force constantly
- Average motor coordination
- Manual and finger dexterity important.
- Sitting involved in most job functions
- Hearing and vision must be normal or corrected to within normal range
- Able to perform the duties with or without reasonable accommodation
- May require wearing personal protective equipment
- Works primarily indoors