Clinical Quality Consultant

TriHealth•Cincinnati, OH

24d

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 that improve patient outcomes and care delivery. The role collects and analyzes clinical data, identifies and evaluates patient care issues, and leads or supports quality improvement projects across areas including the NICU, Labor & Delivery, AOC, and MBU. It facilitates peer review of clinical performance through QA 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 improvement initiatives, presents findings and updates at staff meetings, and supports root cause analyses, apparent cause analyses, and other patient safety activities. The position organizes and staffs assigned clinical quality meetings and supports quality assurance and improvement policies and procedures to help ensure compliance with The Joint Commission and other accrediting and regulatory bodies. It facilitates quality structures and strategies, including process improvement, data analysis, and report preparation. The role works with Medical Staff on physician peer review, including FPPE and OPPE, screens cases for possible peer review, analyzes quality outcomes, prepares reports, and contributes to Specialty Quality Committees and patient-care improvement projects. The role works collaboratively with healthcare providers and ancillary services, communicates and responds to requests in a timely manner, and serves as a source of expertise. It adapts established methodologies to a changing business environment and collaborates professionally with staff and agencies. TriHealth team members are expected to demonstrate the organization’s SERVE standards and ALWAYS behaviors: Serve, Excel, Respect, Value, and Engage.

Requirements

Bachelor’s degree in Nursing, Health Administration, or another related field (required).
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 (required).
3–4 years of nursing experience in quality improvement and medical peer review in a healthcare setting (required).
Knowledge in 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 implementation of quality assurance and improvement policies and procedures.
Support compliance with requirements of The Joint Commission, other accrediting agencies, 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 and incorporate needed workflow changes and communication processes.
Collaborate with Medical Staff to conduct physician peer reviews, including FPPE and OPPE reviews, in accordance with TriHealth and Joint Commission guidelines.
Identify trends and notify Chairs for follow-up and direction; summarize and assess FPPE findings and initiate appropriate corrective action.
Review and evaluate patient medical records using quality measures, criteria, and hospital-approved 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 quality outcome data and report trends by practitioner, service line, or procedure.
Serve as staff or a participating member of Specialty Quality Committees, including planning agendas, organizing meetings, coordinating follow-up, and helping develop methods, tools, or processes for quality projects.
Collaborate with healthcare providers and ancillary services to measure and analyze patient-care services.
Communicate and respond to requests in a timely manner to support problem identification and resolution.
Serve as a source of knowledge for the area of expertise and collaborate professionally with staff and agencies.
Support quality improvement initiatives in areas including NICU, Labor & Delivery, AOC, and MBU, and partner with CCHMC and OB physician teams.
Present quality improvement findings and updates at staff meetings and support root cause analyses, apparent cause analyses, and other patient safety activities.