Quality Improvement Facilitator - Women's Health

Carilion Clinic•Roanoke, VA

About The Position

The Women's Quality improvement facilitator facilitates major/significant organizational change initiatives intended to improve clinical quality, efficiency, effectiveness, timeliness, patient satisfaction or financial performance within the OBGYN department. Provides guidance and training on the development, administration and technical aspects of the organization's quality improvement efforts to all staff. Facilitates and leads quality improvement/patient safety initiatives to achieve outcomes in clinical departments Utilizes organizational and project management skills, clinical knowledge and presentation skills to advance goals. Communicates progress to key stakeholders which demonstrates active leadership skill set in unit-rounding and unit-based, action-oriented meetings. Designs and conducts studies of clinical practice, outcome and effectiveness. Makes recommendations for quality/patient safety goals and initiatives. Initiates and implements processes and procedures necessary to comply with departmental quality and performance improvement. Maintains, updates and provides reports from specific data sources (HBI, HPM, QS Data, Atlas) as requested. Verifies and provides data to appropriate department(s) for submission of required regulatory data. Tracks and trends data for purpose of identifying risk, quality or patient safety concerns. Identifies opportunities to share quality and patient safety data and/or risk reduction strategies throughout the organization. Creates, maintains and distributes quality and other performance improvement reports, assists with reporting requirements and preparation of Quality Assurance reports as defined. Serves as a change champion. Performs chart audits/reviews when needed by OBGYN Quality Department, however, derives action steps on projects primarily from unit rounding and action planning with frontline nurses and leaders. Performs clinical workflow observations and works with frontline nursing teams on identified opportunities to improve processes, access to clinical information and communication across Carilion’s delivery network. Gains support of staff through influence, preparation and knowledge. Serves as a subject matter expert in quality improvement and patient safety efforts. Educates various teams and team members on the strategic impact of quality/patient safety issues and the need for change. Facilitates team building and the positive resolution of identified issues. Generates alliances with internal and external partners to enable the quality/patient safety/risk management functions to successfully support improvement of the delivery, quality, efficiency, and outcomes of patient care. Facilitates the development of patient safety initiatives based on priorities, quality and patient safety events and identified goals. Leads clinical reviews and evaluation of quality and patient safety improvement opportunities. Champions a culture of safety within Carilion Clinic. Consults with others formally and informally, regarding organizational or process change, solutions to problems and/or barriers. Independently assists clients (internal staff and external clients) in the development, design and production of data in a format that can be interpreted. Measures, monitors and reports process improvement outcomes. Utilizes multiple internal and external data sources for comparative benchmarking of pathways, protocols and standards of care. Utilizes clinical and other data to analyze and minimize risks. Translates data into meaningful recommendations. Recommends effective quality/patient safety and risk management organizational goals and/or indicators. Effectively manages multiple and changing priorities Coordinates external responses based upon clinical reviews of records, interviews, physician communications and peer reviews. Maintains supporting documentation. Facilitates In collaboration with stakeholders, facilitates the development action plans and prevention strategies based on clinical processes and evidence-based practice. Participates in the design and dissemination of education information, as needed, in quality improvement, patient safety, risk management and event review methodology, root cause analysis (RCA) and failure mode and effects analysis (FMEA) referring identified staff educational needs regarding clinical or hospital processes to Human Resources Development or management, as appropriate. Serves as a resource for ongoing education on quality improvement/patient safety and risk management for hospital nursing staff across the system Supports the activities for accreditation, licensure and other regulatory requirements. Assists with coordinating site specific activities and supporting follow-up activities.

Requirements

Education: Bachelor's degree in nursing or in a related field or 4 years of experience can be used in lieu of degree.
Experience: 5 years of experience in clinical setting including leading quality and/or patient safety improvement projects in complex organizational environments. RN license with related experience may be considered in lieu of experience.
Licensure, certification, and/or registration: Certification required may vary by department: Must have plan to obtain at least one of these certifications within 2 years of hire.
Acts as a problem solver.
Demonstrates ability to complete projects with minimal supervision and/or direction.
Excellent written and oral communication skills, interpersonal skills, organizational ability, and initiative.
Proven ability to understand and apply analytical tools and make process improvement recommendations.
Must be familiar with Microsoft Office software and able to learn other software as needed.
Good project management and team dynamic skills in order to facilitate change and achievement of defined outcomes.
Must be able to work with minimal amount of supervision

Nice To Haves

CPHQ (Certified Professional in Healthcare Quality) preferred
CPHRM (Certified Professional in Healthcare Risk Management) or CPPS (Certified Professional in Patient Safety)

Responsibilities

Facilitates major/significant organizational change initiatives intended to improve clinical quality, efficiency, effectiveness, timeliness, patient satisfaction or financial performance within the OBGYN department.
Provides guidance and training on the development, administration and technical aspects of the organization's quality improvement efforts to all staff.
Facilitates and leads quality improvement/patient safety initiatives to achieve outcomes in clinical departments
Utilizes organizational and project management skills, clinical knowledge and presentation skills to advance goals.
Communicates progress to key stakeholders which demonstrates active leadership skill set in unit-rounding and unit-based, action-oriented meetings.
Designs and conducts studies of clinical practice, outcome and effectiveness.
Makes recommendations for quality/patient safety goals and initiatives.
Initiates and implements processes and procedures necessary to comply with departmental quality and performance improvement.
Maintains, updates and provides reports from specific data sources (HBI, HPM, QS Data, Atlas) as requested.
Verifies and provides data to appropriate department(s) for submission of required regulatory data.
Tracks and trends data for purpose of identifying risk, quality or patient safety concerns.
Identifies opportunities to share quality and patient safety data and/or risk reduction strategies throughout the organization.
Creates, maintains and distributes quality and other performance improvement reports, assists with reporting requirements and preparation of Quality Assurance reports as defined.
Serves as a change champion.
Performs chart audits/reviews when needed by OBGYN Quality Department, however, derives action steps on projects primarily from unit rounding and action planning with frontline nurses and leaders.
Performs clinical workflow observations and works with frontline nursing teams on identified opportunities to improve processes, access to clinical information and communication across Carilion’s delivery network.
Gains support of staff through influence, preparation and knowledge.
Serves as a subject matter expert in quality improvement and patient safety efforts.
Educates various teams and team members on the strategic impact of quality/patient safety issues and the need for change.
Facilitates team building and the positive resolution of identified issues.
Generates alliances with internal and external partners to enable the quality/patient safety/risk management functions to successfully support improvement of the delivery, quality, efficiency, and outcomes of patient care.
Facilitates the development of patient safety initiatives based on priorities, quality and patient safety events and identified goals.
Leads clinical reviews and evaluation of quality and patient safety improvement opportunities.
Champions a culture of safety within Carilion Clinic.
Consults with others formally and informally, regarding organizational or process change, solutions to problems and/or barriers.
Independently assists clients (internal staff and external clients) in the development, design and production of data in a format that can be interpreted.
Measures, monitors and reports process improvement outcomes.
Utilizes multiple internal and external data sources for comparative benchmarking of pathways, protocols and standards of care.
Utilizes clinical and other data to analyze and minimize risks.
Translates data into meaningful recommendations.
Recommends effective quality/patient safety and risk management organizational goals and/or indicators.
Effectively manages multiple and changing priorities Coordinates external responses based upon clinical reviews of records, interviews, physician communications and peer reviews.
Maintains supporting documentation.
Facilitates In collaboration with stakeholders, facilitates the development action plans and prevention strategies based on clinical processes and evidence-based practice.
Participates in the design and dissemination of education information, as needed, in quality improvement, patient safety, risk management and event review methodology, root cause analysis (RCA) and failure mode and effects analysis (FMEA) referring identified staff educational needs regarding clinical or hospital processes to Human Resources Development or management, as appropriate.
Serves as a resource for ongoing education on quality improvement/patient safety and risk management for hospital nursing staff across the system Supports the activities for accreditation, licensure and other regulatory requirements.
Assists with coordinating site specific activities and supporting follow-up activities.