Facilitates and leads the monitoring, evaluation and improvement of the quality of patient care and patient safety throughout the Cottage Health System for assigned patient populations and improvement initiatives. Responsibilities This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation. Facilitates leadership sponsored performance improvement teams.a) Facilitates project teams by demonstrating and coaching application of appropriate process improvement (PI) methods and tools.b) Guides the development and management of the improvement action plans ensuring that project teams achieve established targets.c) Prepares reports of all activities, goal achievement and barriers for leadership.d) Conducts post-project follow-up evaluations to assess performance gaps and recommends appropriate actions and accountabilities. (40%) Supports regulatory, accreditation and certification programs to include, but not limited to, on site survey support, action plan development and implementation, and audits of performance metrics. (20%) Researches and develops indicators, analyzes and interprets data and creates meaningful reports to support overall quality monitoring, OPPE and specific improvement initiatives. (15%) Researches evidence-based best practices, leads development and on-going maintenance of ordersets, protocols and educational materials. Keeps current on emerging best practices for patient care and safety. (10%) Provides education, training and mentoring of managers, facing leaders and individuals in quality improvement methodology and OPPE. Stays current in new methodologies, regulatory requirements and national trends. (5%) Actively pursues professional development. Seeks to continuously expand knowledge of improvement methodologies and leadership systems by participating in workshops, conferences or educational events. (5%) Audits medical records using sound nursing judgement and ensuring accurate and timely data submission to meet quality standards and harvest dates. Provides feedback to nursing, ancillary staff and physicians on deviations from standards of care. (5%) Qualifications All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
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Job Type
Full-time
Career Level
Mid Level