Quality Improvement Specialist

CGH Medical Center

1d•$64,480 - $96,720

About The Position

The Quality Improvement Specialist coordinates and supervises organization-wide performance improvement activities, ensuring regulatory compliance and dissemination of results. The role serves as a liaison for performance improvement and patient safety activities among medical staff, administration, department managers, facilitators, and other employees. The specialist designs, manages, and executes quality and performance improvement initiatives; collects, submits, analyzes, and reports results to regulatory bodies; and leads quality and patient safety teams using appropriate improvement methodologies. The role also coordinates participation in external collaborative improvement projects, consults with department managers and medical staff on KPI outcomes and improvement opportunities, and develops and delivers organization-wide quality and performance improvement education, including new employee orientation. The specialist reports results, analysis, and action plans to designated Medical Staff and Board Committees and works collaboratively with management and department employees.

Requirements

Bachelor’s degree in Nursing, Public Health, Health Care Administration, or another healthcare-related field, or at least 8 years of relevant healthcare, quality improvement, performance improvement, regulatory, patient safety, clinical, or process improvement experience.
Certified Professional in Healthcare Quality (CPHQ), or ability to sit for the CPHQ exam within 2 years of accepting the position.

Nice To Haves

Healthcare or previous Quality/Process Improvement experience.
Certification in Patient Safety, IHI Fellowship, or Lean.
Significant knowledge of performance improvement theory and statistical analysis, as well as general knowledge of healthcare regulatory standards.
Experience using Word, PowerPoint, Excel, and an electronic medical record system.

Responsibilities

Design, manage, and execute organization-wide quality and performance improvement initiatives.
Collect, submit, analyze, and report results to regulatory bodies, including TJC, CMS, IPT, and PSO, as assigned by the Director.
Lead and facilitate quality and patient safety teams using problem-solving methodologies such as root cause analysis (RCA), Failure Mode and Effects Analysis (FMEA), Plan Do Study Act (PDSA), and Kaizen events.
Coordinate participation, team selection, and rapid-cycle change through external collaborative improvement projects with organizations such as IHI, IHA, and IFQHC.
Consult with department managers and medical staff regarding KPI outcomes, opportunities for improvement, and recommended best practices.
Develop and implement organization-wide education programs in quality and performance improvement, including new employee orientation; provide individual or group consultation as requested.
Report results, analysis, and action plans to designated Medical Staff and Board Committees.
Work effectively and professionally as a team member with management staff and other department employees.