Major Responsibilities: Proficiently facilitates performance improvement efforts and coaches others in the development of performance improvement initiatives. Maintains competence in applicable licensure, certification, accreditation, and other regulatory body requirements. Coordinates department and facility Quality Management System (QMS) Oversight Committee meetings, analyzes trends of performance metrics/business unit level dashboards, identifies opportunities for improvement, develops and maintains management actions plans, measures success of these action plans, creates the records, and follow-up metrics for each meeting and activity; reassesses approach to maximize success. Provides consultation to teammates and leadership in areas of quality, compliance, accreditation, and safety. Facilitates assessments, develops, implements, and evaluates corrective actions plans based on past surveys and internal audits activities. Develops strategies for improvement that include consideration for leading practice research, best practices and standard of care, and shares implementation results across the organization. Utilizes facilitation skills, data analysis and statistical process control to effect improvement in quality and clinical outcome. Consults with and trains staff to implement monitoring and measurement tools, and data analysis techniques. Provides education and training on performance improvement and patient safety. Demonstrates knowledge of the principles of growth and development and possesses that ability to respond to age specific issues and data reflective of the patient’s status. Knowledge of and supports population specific databases to drive improvement in outcomes. (i.e., VON, Peds. NSQIP, etc.,). Supports other projects and initiatives as assigned.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
11-50 employees