University of Utah-posted 3 months ago
$74,425 - $95,306/Yr
Full-time • Mid Level
Salt Lake City, UT
Educational Services

The Compliance and Quality Improvement Specialist is a member of the ambulatory operations team responsible for pediatric sub-specialty clinical services. This position reports to the Director of Ambulatory Operations. Under minimal supervision, responsible for assisting division leadership and clinical support staff in ensuring quality patient care and compliance with State Rules and accreditation requirements through quality improvement (QI) program design, and data collection, analysis and presentation. Acts as a catalyst between the department and its customers and staff to ensure continuity and quality of service and care. Promotes sound operational practices using a variety of communication strategies, process efficiencies, training programs, and data-based metrics. Works collaboratively with Department leadership, Primary Children's Hospital (PCH), and physician faculty members. Works closely with ambulatory operations leadership and business analysts across 13 ambulatory clinics in the department of pediatrics. Monitors compliance and provides education to divisions and their clinical support staff. Works with divisions to give education on new compliance requirements, quality measures, and quality goals. The ambulatory group in the Department consists of 13 pediatric subspecialty divisions and service lines that practice primarily at Primary Children's Salt Lake Campus, Primary Children's Riverton, Primary Children's Layton, Primary Children's Lehi (Miller Campus), and various satellite clinics. The pediatric ambulatory clinics at Primary Children's operate in site-of-service 11 and site-of-service 22 space that is used in conjunction with PCH and other University and community pediatric providers. The Department of Pediatrics is the second largest department in the University of Utah School of Medicine and one of the largest pediatric departments in the country. We are committed to improving the lives of children through excellence in advocacy, education, research, and clinical care. For more information about the Department of Pediatrics, please visit: http://medicine.utah.edu/pediatrics/. Mutual respect and appreciation are highly valued in the department.

  • Designs QI studies, develops criteria for evaluation, and assists divisions with appropriate data collection and data analysis.
  • Reviews and interprets patient care information, discharge summaries, operation reports, and other data sources used to assess quality care issues.
  • Creates reporting documents for divisions to use for tracking QI activities, trends and patterns, and identifying opportunities for improvement.
  • Provides education on data analysis and utilization of information to clinical teams.
  • Facilitates division and department QI meetings, providing 'expert' input regarding problem identification and resolution, continuous quality improvement (CQI), and other patient care and accreditation activities.
  • May provide ongoing clinical support to divisions by reviewing and logging charts and incident reports and recording improvement activities and results.
  • Monitors daily QC, performs weekly and monthly QC and tracks/manages completion of vendor performed periodic maintenance on all laboratory equipment.
  • Oversees inventory control for supplies and reagents. Monitoring supply levels, ordering, tracking vendors, receipt and verification of incoming supplies, quality release into usable inventory and restocking work areas.
  • Assists the clinic managers and the director of ambulatory operations in tracking and trending Quality Indicators, writing and executing validation plans and SOPs, deviation management, root cause analysis, carrying out CA/PA and other Quality Assurance duties as dictated by management.
  • Tracking and ad hoc work on institutional goals and priorities.
  • Routine check ins with divisions for feedback to generate initiatives.
  • Works with the safety committee and helps carry out tasks with the safety committee.
  • Help establish a hospital based (SOS 22) injection clinic.
  • Evaluates Epic EMR optimization and provides training and education to providers and clinical support staff.
  • Bachelor's degree in a health care field or equivalency (one year of education can be substituted for two years of related work experience).
  • Two years of clinical or related hospital experience.
  • A current Utah License to practice nursing.
  • Excellent health care coverage at affordable rates
  • 14.2% retirement contributions that vest immediately
  • Generous paid leave time
  • 10 paid Holidays per year
  • 50% tuition reduction for employee, spouse, and dependent children
  • Flex spending accounts
  • Free transit on most UTA services
  • Employee discounts on a variety of products and services including cell phones & plans, entertainment, health and fitness, restaurants, retail, and travel
  • Professional Development opportunities
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