Quality Analytic Assistant

Ohio County Healthcare•Hartford, KY

2d•Onsite

About The Position

The job description reflects the general details considered necessary to fulfill the essential job functions and shall not be construed as all-inclusive of all work requirements inherent in this position. Other specific job-related knowledge and skills may be required. All employees subject to an annual performance evaluation based on the duties and responsibilities of this position. PHYSICAL DEMANDS & WORKING ENVIRONMENT: Usual working space is a well-ventilated area. Requires standing, walking, turning, bending, stooping, and lifting. Clear speech to communicate effectively with customers (e.g. patients, families, and other team members). Fine and gross motor skills. Environment may be stressful at times, therefore ability to work under stressful conditions is necessary. Lifting up to 50 lbs may be required, anything over 50 lbs should be a team lift or with the use of a lifting aid. COMPLIANCE AND REGULATORY EXPECTATIONS: All employees are expected to conduct themselves in a manner that upholds the highest standard of integrity, ethical behavior, and regulatory compliance. As a condition of employment, employees must adhere to: · OCH Code of Conduct · OCH Policies and Procedures · Scope of Practice within License/Certification. · HIPAA and HIPAA Security Confidentiality Standards · Workplace Safety · Mandatory Training · Annual Compliance Education ESSENTIAL JOB FUNCTIONS & KEY RESPONSIBILITIES: Committee and Administrative Support · Provides administrative and analytical support to Quality, Patient Safety, Infection Prevention, Employee Health, Risk Management and QAPI committees. · Prepares agendas, meeting materials, reports, dashboards, and minutes. Data Collection, Analysis, and Reporting · Collects, validates, analyzes, and trends data related to quality outcomes, patient safety events, healthcare-associated infections, employee health incidents, and risk management events · Develop routine and ad hoc reports, dashboards, and performance summaries for leadership and committees · Identifies trends, high-risk areas, and opportunities for improvement across clinical and non-clinical domains · Supports data integrity and timely reporting for internal monitoring and external reporting requirements Quality and Patient Safety Support · Supports Quality Assessment and Performance Improvement (QAPI) activities and initiatives · Supports root cause analyses, failure mode and effects analyses (FMEA), and corrective action plans · Monitors effectiveness of interventions and ensures issues are appropriately closed and sustained · As directed initiates Proactive Risk Assessment and Follows through with process. Infection Prevention Support · Assists in tracking and trending healthcare-associated infections and infection prevention metrics · Supports surveillance activities, audits, and reporting requirements · Assists with documentation and follow-up related to infection control findings and improvement actions · Supports readiness for regulatory and accreditation surveys related to infection prevention Employee Health Support Assist the Employee Health nurse with the following: · Notifying employees for annual TB screenings · Conducts Annual N95 FIT testing to employees · Scheduling employees for appointments Regulatory and Accreditation Readiness · Maintains documentation to support compliance with CMS Conditions of Participation, Joint Commission standards, and state regulatory requirements · Assists with audits, tracers, data requests, and surveys · Tracks required inspections, reviews, and corrective actions · Ensures data and documentation are accurate, complete, and survey-ready General Office Duties · Utilizing MS office to prepare documents needed as per request. · Maintaining office equipment and supplies · Picking up and delivering internal mail within the organization on behalf of office · Scheduling and organizing collaborative meetings on behalf of director or manager. · Taking minutes and creating agendas for departmental meetings · Assist with data collection and generating spreadsheets to report data as needed. · Maintains the office email including Quality and Employee Health and department fax inbox QualificationsQUALIFICATIONS: EDUCATION: Minimum high school diploma or equivalent required for all positions (may be allowed to sign a GED agreement to obtain within 6 months). REQUIRED: see above PREFERRED: 2-year Associate Degree EXPERIENCE: REQUIRED: none PREFERRED: 1 year clerical experience with Microsoft office products preferred OTHER REQUIREMENTS OR LICENSURE: BLS certification or must obtain within 6-months of hire

Requirements

Minimum high school diploma or equivalent required for all positions (may be allowed to sign a GED agreement to obtain within 6 months).
BLS certification or must obtain within 6-months of hire

Nice To Haves

2-year Associate Degree
1 year clerical experience with Microsoft office products preferred

Responsibilities

Provides administrative and analytical support to Quality, Patient Safety, Infection Prevention, Employee Health, Risk Management and QAPI committees.
Prepares agendas, meeting materials, reports, dashboards, and minutes.
Collects, validates, analyzes, and trends data related to quality outcomes, patient safety events, healthcare-associated infections, employee health incidents, and risk management events
Develop routine and ad hoc reports, dashboards, and performance summaries for leadership and committees
Identifies trends, high-risk areas, and opportunities for improvement across clinical and non-clinical domains
Supports data integrity and timely reporting for internal monitoring and external reporting requirements
Supports Quality Assessment and Performance Improvement (QAPI) activities and initiatives
Supports root cause analyses, failure mode and effects analyses (FMEA), and corrective action plans
Monitors effectiveness of interventions and ensures issues are appropriately closed and sustained
As directed initiates Proactive Risk Assessment and Follows through with process.
Assists in tracking and trending healthcare-associated infections and infection prevention metrics
Supports surveillance activities, audits, and reporting requirements
Assists with documentation and follow-up related to infection control findings and improvement actions
Supports readiness for regulatory and accreditation surveys related to infection prevention
Assist the Employee Health nurse with the following:
Notifying employees for annual TB screenings
Conducts Annual N95 FIT testing to employees
Scheduling employees for appointments
Maintains documentation to support compliance with CMS Conditions of Participation, Joint Commission standards, and state regulatory requirements
Assists with audits, tracers, data requests, and surveys
Tracks required inspections, reviews, and corrective actions
Ensures data and documentation are accurate, complete, and survey-ready
Utilizing MS office to prepare documents needed as per request.
Maintaining office equipment and supplies
Picking up and delivering internal mail within the organization on behalf of office
Scheduling and organizing collaborative meetings on behalf of director or manager.
Taking minutes and creating agendas for departmental meetings
Assist with data collection and generating spreadsheets to report data as needed.
Maintains the office email including Quality and Employee Health and department fax inbox