Clinical Quality Reviewer (Abstractor), Enterprise Quality and Patient Safety

Memorial Hermann Health System

About The Position

The Clinical Quality Reviewer collects and submits reliable data to designated registries and databases. The role ensures appropriate data collection, abstraction, analysis, and reporting of measures, and communicates changes in definitions, methodology, and mandatory requirements. The reviewer supports quality and patient safety improvement efforts through data abstraction and entry into the appropriate systems. The position works with hospital Quality Patient Safety and Infection Control teams, identifies performance improvement opportunities from data trends, and communicates clinical process gaps to providers and stakeholders. It also supports education on core measures methodology and algorithms, maintains data-analysis skills, and promotes safe, compassionate, personalized, and efficient experiences for patients and colleagues.

Requirements

Bachelor of Science in Nursing is highly preferred, or a combination of four years of training and experience.
Current State of Texas RN license to practice professional nursing; non-RN practitioners must hold an LVN/LPN, nurse practitioner, RHIA, or RHIT credential.
Three years of clinical experience to ensure a knowledge base sufficient to support clinical performance improvement initiatives.
Ability to locate information in various sources and gather data in a complex hospital system environment.
Clinical knowledge of assigned clinical conditions and physiological systems to assess the impact of indicators on outcomes and identify potential gaps in clinical care processes.
Ability to interact professionally and courteously with healthcare team members and administrative staff, and to build relationships and gain alignment for clinical support from superiors and peers.
Demonstrated proficiency in computer operation and Microsoft Office products, including Word, Excel, and PowerPoint.

Nice To Haves

Clinical chart review and abstraction experience.
Understanding of quality improvement, performance improvement, or patient safety.

Responsibilities

Collect and submit data systematically to indicated registries and databases.
Identify performance improvement opportunities through reliable data trending, including recognizing and analyzing undesirable patterns or trends.
Work with hospital Quality Patient Safety and Infection Control teams to implement and revise the Performance Improvement Plan for designated campuses as needed.
Participate in performance improvement activities.
Maintain the skills required to analyze data points that drive performance improvement.
Attend meetings as needed to support reliable collection of core measures data.
Demonstrate core measures methodology and the reliability of reviewer definitions through Inter-Rater Reliability (IRR) testing.
Use software applications for data collection and analysis.
Enter data accurately and on time, and meet caseload requirements.
Communicate promptly with clinical providers and stakeholders when gaps or fall-outs in clinical processes are identified.
Develop educational materials and deliver presentations on core measures methodology and algorithms for internal and external audiences.
Follow Memorial Hermann policies, procedures, and standards, including requirements related to time management, supply management, productivity, and accuracy.
Collaborate with others to achieve desired work results.
Help ensure safe care for patients, staff, and visitors, and comply with applicable policies, procedures, and service standards.
Support professional growth and development by meeting mandatory and continuing education and skills competency requirements.
Support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Create compassionate and personalized experiences and model Memorial Hermann’s service standards for patients and colleagues.
Perform other duties as assigned.