Assists in coordinating the development, implementation, and evaluation of the hospital’s overall performance improvement program; generates and interprets reports for PI initiatives and clinical programs; identifies performance trends; prioritizes and recommends improvements; monitors action plans in progress; provides ad hoc reports that focus on patient outcomes and hospital processes of care; works with the VPMA and Quality Director to implement the medical staff’s Professional Practice Evaluation Policy; maintains physician Quality files; administers links to national databases such as the CMS QualityNet and ensures transfer of information from the hospital’s third-party vendor to CMS and TJC; supports TJC readiness and other QM activities as assigned. Reports to the Director of Quality Management.
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Job Type
Part-time