Clinical Quality Leader RN, Transplant Center

Northwestern Memorial Healthcare•Chicago, IL

8d•Onsite

About The Position

The Clinical Quality Leader RN, TC reflects the mission, vision, and values of Northwestern Memorial Hospital, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Clinical Quality Leader RN Leads interdisciplinary clinical groups to define measure and analyze quality, patient safety, and regulatory issues and practice concerns on behalf of quality committees. Defines, collects, analyzes and presents data cogently to identify trends. Masters relevant evidence, professional and regulatory literature in both transplantation and improvement science. Leads improvement activities utilizing DMAIC, Lean, and other performance improvement tools as appropriate. Applies knowledge of professional nursing standards, current research, best practices, regulatory standards, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. Participates in performance improvement initiatives, receives and monitors control plans and data trends under the purview of clinical interdisciplinary quality committees. Participates in developing policies, procedures and standards advancing clinical quality measurement and facilitates the review and revision of department policy, procedures, and protocols.

Requirements

Licensed Registered Nurse in the State of Illinois through IDFPR
Bachelor’s degree in Nursing (BSN)
At least 5 years recent clinical experience in the acute care setting
Master’s degree and/or other evidence of advanced commitment to profession.
Recent experience in quality / patient safety activities.
Working knowledge of performance improvement framework (i.e., DMAIC), quality and patient safety metrics and process improvement, and application of analytic tools.
Understanding of basic statistics, working knowledge of contemporary standards and data sets related to healthcare quality and patient safety initiatives
Computer skills (Excel, Word, PowerPoint).
Excellent leadership and communication (oral, written) skills.

Nice To Haves

Certified Professional in Healthcare Quality (CPHQ)
Master’s degree, or other evidence of advanced commitment to profession
Experience in health care leadership role
Experience in transplantation
DMAIC green belt prepared
Evidence of publishable work (research, quality reports, clinical summaries)

Responsibilities

Lead the vision, development, implementation and monitoring of a data-driven, evidence-based Quality Assurance, Process Improvement (QAPI) program in the Transplant Center.
Work cooperatively and collaboratively with physicians and staff at all levels to define and achieve common aims.
Model, teach and improve a culture of evidence based practice, safety, compliance and shared improvement in all venues.
Ensure the integration of the Transplant Center QAPI program with overall NMH Quality structure.
Coach and develop process improvement teams.
Act as change agent to systematically drive and implement change as prioritized by senior clinical leadership and quality / patient safety committees.
Bring leadership and communication skills to interdisciplinary quality/patient safety efforts.
Ensure the development, implementation, monitoring of both process and outcomes, and documentation of Corrective Action Plans developed in response to regulatory non-compliance or patient care incidents.
Identify, develop and implement key quality and patient safety metrics, indicators and benchmarks based on: 1) evidence basis in clinical literature, 2) the needs of the patient and NMH physician community; 3) Balancing effectiveness and efficiency, 4) national, state and local regulatory, accreditation requirements and 5) managed care agreements.
Master relevant evidence and literature in transplantation science and regulation as well as improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources.
Apply knowledge of professional nursing standards, best practices, regulatory standards, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign.
Perform or facilitate medical record reviews, audits, and other data collection activities that assist in identifying potential quality issues and opportunities for improvement in patient care and services.
Analyze quality and patient safety information to accurately and cogently reflect patterns and trends in the management of patient care and services.
Integrate and innovate tools to promote standardized evidence-based clinical practice as appropriate (i.e., standardized order sets, clinical protocols and procedures).
Facilitate the use of quality management principles and performance improvement tools within NMH.
Ensures the regular review and revision of Center-specific policies, protocols and procedures to ensure regulatory compliance as well as reflecting best practices.
Facilitate and implement communication of information to appropriate leadership and staff to improve the management of patient care and services.
Partner with operational and medical leadership to identify, develop and implement successful communication, education, and process solutions to engage staff and produce improved processes and outcomes.
Ensure the timely, efficient and accurate production and dissemination of committee meeting minutes, reports, dashboards, and related correspondence.
Ensure perpetual compliance of the program, including reporting requirements, to relevant regulatory standards such as OPTN, CMS, and Joint Commission
Partners with NUTORC in relevant transplant outcomes projects
Responsible for self-development and professional engagement, including knowledge of literature and attendance at professional meetings, preparation of manuscripts, posters and presentations, involvement with local and regional/national task forces as relevant/available.
Additional responsibilities as designated in support of organizational priorities.