Clinical Quality Improvement Specialist

Trinity Health•Melrose Park, IL

About The Position

The Clinical Quality Improvement Specialist leads site- and region-wide clinical performance improvement and patient safety projects that meet national standards and have publicly reported outcomes. The role supports Loyola University Medical Center, Gottlieb Memorial Hospital, and MacNeal Hospital, applying project management skills, quality and safety improvement methods, evidence-based practice, and data analysis to achieve positive outcomes. The specialist coordinates strategies, education, and monitoring to promote a culture of quality and patient safety. The position manages quality and patient safety improvement projects, supports standardization of care through clinical protocols and order sets, and works with leaders and teams to plan and deliver measurable improvements. It also develops and analyzes measures, monitors progress, identifies risks, and communicates project outcomes and recommendations internally and externally.

Requirements

  • Master's degree in nursing or an allied health profession.
  • At least 2 years of quality experience, preferably in a hospital setting.
  • Experience working with externally reported data, such as CMS Star Rating, U.S. News & World Report, and Leapfrog.
  • Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse.
  • Required computer skills: Microsoft Office and chart review with an EMR.

Nice To Haves

  • Certified Professional in Healthcare Quality (CPHQ) or equivalent preferred.
  • Preferred computer skills: Visio, Epic, and Tableau.

Responsibilities

  • Plan, coordinate, facilitate, implement, monitor, and evaluate clinical quality and patient safety improvement initiatives using project management techniques to meet organizational goals.
  • Develop strategies to apply current evidence and best practices to standardize care through clinical protocols and order sets.
  • Collaborate with leaders to develop project charters, aim statements, timelines, and plans that drive team performance.
  • Meet project timelines and achieve measurable results; independently facilitate meetings and projects.
  • Use literature, best practices, and benchmarking data to identify process improvements.
  • Plan, coordinate, and deliver education on project management, quality improvement, and patient safety to teams and individuals.
  • Establish key metrics and measurement processes with clinical leaders, and analyze data to monitor progress toward project goals.
  • Communicate outcomes selected for measurement or improvement; coordinate data aggregation and trending, analyze trends, and recommend future interventions.
  • Partner with quality analytics to formulate and build measures.
  • Conduct Failure Mode Effects Analysis (FMEA) to identify and mitigate potential risk points.
  • Develop process maps for process improvement.
  • Identify mechanisms to communicate progress on clinical quality and patient safety initiatives.
  • Communicate results and recommendations verbally, through PowerPoint presentations, and in writing to internal and external audiences.
  • Promote the clinical quality and patient safety agenda with a positive attitude.
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