About The Position

Coordinates QI activity and supports various functions within the Quality Improvement Program, working both independently and as a team member. The functions include but are not limited to education and improvement initiatives, committee support, regulatory and accreditation standard adherence, delegation oversight, performance monitoring and assessment, clinical practice guideline management, data collection, abstraction and analysis and the continual advancement of the quality improvement process.

Requirements

  • Bachelor's degree in Nursing, Business Administration or related field required at time of hire/transfer
  • Minimum 5 years of related experience with 3 years of hospital and/or healthcare experience required
  • Knowledge of information systems and process improvement techniques
  • Must be able to demonstrate skills to understand and interpret data
  • Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families
  • Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment
  • Exemplary critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care
  • Critical thinking skills necessary to exercise and to lead others
  • UPMC approved certification required
  • If the employee does not have a UPMC approved certification, a Master's degree may be substituted in lieu of certification
  • Act 34

Nice To Haves

  • Hospital experience is preferred
  • Master's degree in Business Administration preferred

Responsibilities

  • Collect and share data with key stakeholders. Involves chart review, reporting in EPIC and/or various data platforms
  • Support Med Staff Services physician performance evaluation work
  • Regulatory preparation
  • Attend meetings and support committees related to performance improvement and patient safety
  • Coordinate Physician Performance Evaluation Committee twice a month
  • Support various pay for performance programs such as HighMark
  • Review and follow-up on RiskMaster event reports and coordinate follow-up as necessary
  • Ensure that clinical design projects maintain patient care as the center of the work
  • Influence staff acceptance of recommended practice changes by articulating the contribution to clinical improvements established patient care goals
  • Seek out and integrates cost saving opportunities into clinical practice changes
  • Consult with essential stakeholders such as administrative and medical staff leaders, department heads and critical committees as appropriate to finalize and advance the project goals
  • Establish and maintain positive working relationships with staff, medical staff leaders and other support areas
  • Elicit input and advisement in areas where clinical design project work is occurring
  • Form a partnership with the director of the project area, facilitate work activities and negotiate additional support as needed
  • Assess developmental stage of work group and identifies strategies to meet achieve goals
  • Coach and advise team members collaboratively with their supervisor as needed to fulfill their role in a project team
  • Effectively communicate improvements that are made via verbal or written communication of clinical design activity to work teams, staff, managers and administrators throughout the organization and UPMC Health System
  • Ensure application of a tracking method to monitor progress towards goals and identifies the need for redesign of practice improvements targeted by the clinical design initiative
  • Collect and present accurate, timely data to display the results of process improvement efforts
  • When assigned, complete special projects and performs other related duties according to agreed upon goals and parameters
  • Utilize cost effective approaches when planning team activity
  • May have direct reports
  • Effectively coordinate the assessment of new clinical design projects for implementation at the facility or facilities as assigned
  • Conduct yearly assessment of operations/issues and utilizes data from other organizational assessments and surveys to contribute to and prioritize the establishment of quality, cost and service goals of the organization
  • Lead or co- facilitates teams created from the annual assessment and organizational goals
  • Assume a leadership role in the core clinical design team meetings and other key committees
  • Assume delegated leadership role/related duties as needed to support redesign efforts
  • Create a supportive environment in the department where redesign work is occurring that is sensitive to the issues and needs of that area
  • Role models appropriate and effective methods for data analysis, problem solving, communication negotiation and persuasion skills
  • Maintain accountability for ongoing self-development activities, especially related to presentation facilitation, change management and application of quality improvement activities
  • Provide mentorship for individuals at the department/unit/team level
  • Participate in professional organization activities to enhance personal growth and cultivate relationships in the field at a regional and national level
  • Communicate clinical design efforts and accomplishments via formal presentations and or publications at local, regions and national forums when available

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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