Disease Specific Coordinator, Full-Time Days

Cape Fear Valley Health

About The Position

The Disease Specific Coordinator serves as an expert resource to advance Quality and Patient Safety (PS) and supports quality and performance improvement for the organization and its Medical Staff. The role participates in and coordinates the acquisition, aggregation, and analysis of relevant data and uses it to improve clinical and work processes. The coordinator helps maintain ongoing preparedness for Joint Commission, CMS, and other regulatory inspections; develops, manages, and coordinates quality, evidence-based patient care; and provides education and leadership on patient floors to improve quality metrics in disease-specific areas.

Requirements

Bachelor of Science in Nursing.
Current licensure in North Carolina as a Registered Nurse or licensure in a Compact state.
Two years of experience working with Quality/Patient Safety and Regulatory, Quality Process, and/or Data Analysis.
Proficiency in reading, writing, and speaking English.
Knowledge of PI methodologies, Joint Commission and CMS standards, and patient safety issues.
Knowledge of quality planning, cost of quality, and the importance of documentation.
Knowledge of basic statistics, distributions, probability, and measurement scales.
Skills with the audit process, including audit types and audit roles and responsibilities.
Skills in working with teams, including team-building techniques and understanding team roles and responsibilities.
Ability to collect, aggregate, and review data.
Ability to move throughout the Health System; visual acuity to review data and reports and observe process flows; audiological acuity to monitor group discussions and interactions; verbal ability to effectively express ideas and views to staff; and ability to lift 35 pounds.
No anticipated occupational exposures to bloodborne pathogens or body fluids.

Nice To Haves

Nurse Practitioner (NP).
Experience with regression and correlation, hypothesis testing, and design of experiments (DOE).

Responsibilities

Educate patient-floor staff to help drive quality of care and CMS/Leapfrog metrics.
Provide ongoing education to Team Leaders, Facilitators, and Members on processes, data analysis, and tools.
Support monthly reports to the Quality Council/Patient Safety Team, Medical Executive Committee, and Board of Trustees on performance improvement, patient safety, and regulatory matters.
Coordinate hospital-wide PI/PS/regulatory meetings as assigned.
Identify and mitigate patient safety risks and coach staff, leaders, and physicians in safe practices.
Use project management tools as needed to interpret data.
Apply lean tools and processes to reduce waste in cost, inventory, labor, and distance.
Coordinate Root Cause Analyses and Failure Mode and Effect Analyses as assigned.
Demonstrate knowledge of current Joint Commission and CMS standards.
Assist with the tri-annual Joint Commission survey and CMS and DHSR surveys.
Stay current with CMS and other regulatory standards related to Core Measures.
Assist multidisciplinary teams in developing, implementing, and monitoring systems for transitions of care from acute inpatient care through outpatient follow-up.
Participate in and support the Joint Commission DSC process and performance-measure compliance.
Evaluate interdisciplinary care processes to ensure consistency in standards of care and practice.
Perform other duties as assigned.