Performance Improvement Coordinator
About The Position
The Performance Improvement Coordinator collaborates with department leadership and committees to identify, trend, and analyze clinical quality issues and facilitate their resolution. The role manages data for internal and external reporting and supports organizational accreditation and survey processes. This is a regional Stroke Program Performance Improvement Coordinator position, supporting safe, timely, evidence-based stroke care and consistent implementation of stroke standards and program expectations. The coordinator helps maintain readiness for stroke certification and regulatory requirements; collects, validates, analyzes, and reports stroke quality data; and identifies care gaps and improvement opportunities. The position serves as a resource and liaison for multidisciplinary stroke teams, supports workflow reliability across the stroke continuum, participates in organizational committees and risk management, and provides education related to stroke performance improvement, patient safety, and statistical analysis. The role requires travel throughout and between facilities and compliance with applicable laws, accreditation standards, and regulatory requirements.
Requirements
- Associate degree in healthcare or a related field.
- Five years of related experience in healthcare or quality improvement.
- Knowledge of regulatory and accrediting standards.
- General knowledge and understanding of quality management and continuous quality improvement principles and theories.
- Expert knowledge of common statistical programs, spreadsheet and database management, and word processing.
- Effective verbal and written communication skills, including the ability to present information clearly and professionally to people at varying levels throughout the patient care process.
- Computer skills and dexterity for data entry and retrieval.
- Proficiency with computers, software, and web-based applications.
- Excellent organizational and time management skills, presentation skills, and facilitation capabilities.
- Strong team management and interpersonal skills.
- Ability to travel throughout and between facilities.
Nice To Haves
- Bachelor’s degree in healthcare or a related field.
Responsibilities
- Coordinate day-to-day stroke program activities to support safe, timely, evidence-based care and consistent implementation of stroke standards, protocols, order sets, pathways, and program expectations.
- Support readiness for stroke certification and regulatory requirements, including documentation review, tracer activities, surveyor materials, and compliance with organizational, Joint Commission, and applicable regional or state stroke system standards.
- Collect, validate, monitor, analyze, and report stroke quality data, including treatment timelines, documentation compliance, clinical outcomes, complications, transfers, registry measures, internal scorecards, and leadership reports.
- Identify performance trends, care gaps, workflow barriers, and improvement opportunities through chart review, data analysis, event review, and multidisciplinary feedback; lead or support action plans to improve care delivery and patient outcomes.
- Serve as a resource and liaison for multidisciplinary stroke teams.
- Support clinical workflow reliability across the stroke continuum through stroke program meetings and collaboration with program leaders.
- Participate in organizational committees and councils by providing data analysis, trended reports, and direction for performance improvement initiatives.
- Provide education related to stroke program performance improvement, clinical patient safety, and statistical analysis.
- Participate in risk management by identifying, trending, and following up on clinical issues.
- Adapt behavior and communication to the specific patient population, including respecting privacy, introducing oneself appropriately, explaining services or procedures, requesting permissions, and adapting communication style.
- Perform other related duties as required.
- Remain knowledgeable about applicable federal, state, and local laws, accreditation standards, and regulatory agency requirements, and ensure compliance.
- Report known or suspected unethical or questionable conduct and patient or employee safety, privacy, or other compliance-related concerns.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
