About The Position

The Quality Performance Improvement Specialist I (QPIS I) oversees and facilitates quality improvement and patient safety activities while serving as a hands-on improvement leader. This role supports the administration of organizational quality programs and quality-of-care improvements through facilitation, advising, advocacy, and the coordination of data collection/aggregation and actionable analysis.

Requirements

  • Bachelor’s degree required (e.g., Project Management, Process/Performance Improvement, Health Implementation, Data Analytics, Systems Science, or related healthcare field).
  • Demonstrated project management, analytical, organizational, audit, computer, communication, and customer service skills.
  • Quality improvement experience in healthcare and demonstrated execution of quality improvement projects addressing quality-of-care concerns.
  • Clinical knowledge/experience may be required depending on assignment (source references inpatient acute care experience).
  • Ability to facilitate multi-disciplinary teams, produce written/verbal reports, and lead change initiatives aligned with organizational mission/values.

Nice To Haves

  • Master’s degree preferred.
  • Certified Professional in Healthcare Quality (CPHQ) within 3 years.
  • Licensure/certification in a healthcare-related field may be required (e.g., RN or other licensure/certification as applicable).

Responsibilities

  • Lead and facilitate clinical and operational quality improvement initiatives aligned with organizational and strategic objectives, using improvement methodology to achieve intended outcomes.
  • Maintain current best-practice understanding in quality and patient safety; assess gaps between current state and best practice; recommend process changes that impact quality and safety.
  • Routinely evaluate indicators and report to stakeholders to ensure continuous improvement; develop and/or direct ongoing performance improvement initiatives and standardize practices.
  • Collect, compile, coordinate, and aggregate data to support quality programs; mine new/existing systems and processes for actionable data and act where appropriate.
  • Perform retrospective chart audits and medical record analysis for key quality metrics and identify improvement opportunities in clinical and/or documentation processes.
  • Analyze performance metrics to identify trends or root causes; prepare reports and formal presentations of results and present to appropriate committee(s).
  • Maintain thorough understanding of regulatory, accreditation, quality reporting, and national quality standards/strategies; interpret quality standards and stay current with evolving requirements.
  • Participate in regulatory and survey activities including Joint Commission and CMS surveys; provide primary support and lead Leapfrog action planning and survey completion.
  • Facilitate and lead clinical improvement teams to identify, plan, implement, and sustain change using relevant quality tools and timelines; apply PDSA and other tools appropriately to improve care and services.
  • Coordinate and/or facilitate quality governance committees within the governance structure (agenda support, minutes/records as applicable).
  • Collaborate with other departments (e.g., patient safety, informatics, clinical systems, case management, regulatory compliance, population health, value-based reimbursement, policy management, clinical service departments and leaders) to develop and implement improvement projects supporting quality initiatives and concerns.
  • Respond to requests for explanation from payors related to quality-of-care letters/clinical concerns as appropriate.
  • Provide direct supervision to assigned quality staff as applicable (assign work, review work, performance management/evaluations) and promote an engaged, healthy work environment emphasizing growth and development.

Benefits

  • Travel for this position is sometimes required.
  • Participation in community and employee engagement activities is required.
  • Actively participates to move the team toward the completion of goals.
  • Always exhibits a high degree of professionalism and decorum consistent with Guthrie values
  • Makes procedural or process suggestions for achieving team goals or performing team functions; provides necessary resources or helps to remove obstacles to help the team accomplish its goals.
  • Listens to and fully involves others in team decisions and actions; values and uses individual's differences and talents.
  • Shares important or relevant information with the team.
  • Builds a positive team by helping and support to co-workers, patients, vendors, and partners.
  • Works actively to resolve conflicts.
  • Restates the opinions of others to clarify understanding.
  • Presents information effectively in a variety of settings: one-on-one, small and large groups, with peers, direct reports, and superiors.
  • Listens actively and is open to feedback. Provides fair and constructive feedback to others.
  • Keeps team members and customers adequately informed.
  • Displays original thinking and creativity to generate suggestions for improving efficiency and effectiveness.
  • Meets challenges with resourcefulness and solution orientation.
  • Demonstrates persistence and overcomes obstacles.
  • Tries new approaches when problem solving, seeking ideas or suggestions from others as appropriate.
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