Assists the Director in maintaining & revising the Medical Center Quality Improvement program. Coordinates the activities of departments, committees, & medical staff to develop & document ongoing evaluation activities; perform studies & problem focused reviews; interpret data & promote the Medical Center Quality Improvement Program to medical, nursing, & support services. Assumes role of Director when necessary.
Essential Functions:
- Consults w/ Service Line Leaders, Chiefs of Service, Medical Staff Committee Chairpersons, Physicians, & Department Administrators in charge of special care areas to assist them in developing ongoing evaluation programs to identify, resolve, & report opportunities to improve patient care
- May represent the department on Medical Staff committees
- Designs, conducts, & evaluates studies & problem focused reviews requested by the Medical Center Administration, medical staff, or department administrators which frequently involve sensitive, confidential, or medical legal issues
- Performs & oversees ongoing Quality Improvement activities across the medical center to assure timeliness, accuracy, & compliance w/ licensing & regulation requirements
- Use & educate end users on data display tools, including statistical process control methods
- Participate in risk management by investigating problems encountered by patients, identifying patterns, & trends in patient care problems, & developing policies & procedures to reduce risks
- Monitors compliance w/ quality improvement requirements
- Assist in the supervision & direction of the activities performed by the Quality Improvement Analysts & support staff
- Assist in the preparation of the Quality of Care reports that are sent to the Region offices & the Board of Directors
- Develop & conduct presentations on the quality improvement standards & the Medical Center Quality Improvement Plan to insure compliance w/ JCAHO, NCQA & other regulatory agency standards
- Conducts special clinical studies related to patient care management
- Participate in the annual development of the Medical Center goals for Quality Improvement
Qualifications:
Basic Qualifications:
- Current California RN license required.
- Current Certified Professional of Healthcare Quality (CPHQ) preferred.
- Bachelor's Degree in Nursing or Health Care preferred.
-Minimum of two (2)years of experience as a hospital nurse required.
- Minimum of two (2) years previous experiencein a quality improvement role.
- Experience in a patient advocate role to insure a patient centered focus.
- Familiarity with medical procedures and terminology.
- Strong planning, organizing, interpersonal and conflict resolution skills.
- Detailed knowledge of Title 22, TJC, and NCQA requirements for licensure and accreditation.
- Proficient with PC applications including database, spreadsheet, and word processing.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.