Clinical Quality Consultant

TriHealth•Cincinnati, OH

About The Position

The Clinical Quality Consultant collaborates with Medical Staff Department and Section Chairs, Service Line System Chiefs, physician and practitioner teams, and Nursing leadership to develop and support quality improvement initiatives aimed at improving patient outcomes and care delivery. The role collects and analyzes clinical data, identifies and evaluates patient care issues, and leads or supports improvement projects across areas including the NICU, Labor & Delivery, AOC, and MBU. It facilitates peer review of clinical performance through quality assurance committees and supports Professional Practice Evaluation activities to meet Joint Commission accreditation requirements. The position also partners with CCHMC and OB physician teams on quality initiatives, presents findings and updates at staff meetings, and supports root cause analyses, apparent cause analyses, and other patient safety activities. The role organizes and staffs assigned clinical quality meetings; supports quality assurance and improvement policies and regulatory compliance; facilitates quality structures and strategies, including process improvement, data analysis, and reporting; and collaborates with Medical Staff on physician peer review, including FPPE and OPPE. It prepares quality narratives and statistical reports, participates in specialty quality committees, and works with healthcare providers and ancillary services to measure and analyze patient care. The position has 3–9 indirect report FTEs. TriHealth offers medical, dental, and vision coverage, retirement contributions, paid time off, tuition assistance, and wellness resources.

Requirements

Bachelor's degree in Nursing, Health Administration, or another related field.
3–4 years of clinical nursing experience in a specialty area relevant to the assignment, or other extensive clinical, medical/surgical, or critical care experience.
3–4 years of nursing experience in quality improvement and medical peer review in a healthcare setting.
Registered Nurse.
Knowledge of the relevant specialty area.
Knowledge of quality assessment and quality improvement techniques, including medical chart review.
Excellent communication and customer service skills.
Experience in data analysis and statistical reporting.
Proficiency with data systems and applications such as Excel, Word, and PowerPoint, and effective report development.

Responsibilities

Organize and staff assigned clinical quality meetings and assist with implementing quality assurance and improvement policies and procedures to support compliance with The Joint Commission and other accrediting and regulatory bodies.
Facilitate organization-wide quality structures and strategies, including process improvement, development, data analysis, and report preparation using relevant clinical and quality databases.
Disseminate legal guidance and directives for system-wide alignment of peer review activities, update workflow designs as needed, and communicate and implement processes throughout local departments and sections, including QA Committees.
Collaborate with Medical Staff to conduct physician peer reviews, including FPPE and OPPE, in accordance with TriHealth and Joint Commission guidelines.
Identify trends and notify Chairs for follow-up and direction; summarize and analyze FPPE findings and initiate appropriate corrective action.
Review and evaluate patient medical records using quality measures, criteria, and approved hospital tools; screen cases using clinical expertise and recommend referral for organized physician peer review, with appropriate follow-through.
Prepare and present clear, objective quality narrative and statistical reports for Medical and Administrative Staff; analyze and validate outcome data and report trends by practitioner, service line, or procedure.
Participate in specialty quality committees, including planning agendas, organizing meetings, coordinating follow-up, and helping develop methods, tools, and processes for quality projects and programs.
Collaborate with healthcare providers and ancillary services to measure and analyze patient care services, respond to requests, support problem identification and resolution, and communicate professionally with staff and agencies.
Support quality improvement projects and patient safety activities, including root cause analyses and apparent cause analyses.
Present quality improvement findings and updates at staff meetings and partner with CCHMC and OB physician teams on improvement initiatives.