Quality Improvement Specialist(RN)

Saint Joseph's Medical Center•Yonkers, NY

About The Position

Under the direction of the Director of Quality Improvement, the Quality Improvement Specialist implements the organization's Performance Improvement plan. The role designs and implements data collection and audit strategies for performance improvement projects, aggregates and analyzes data using appropriate tools and methodologies, and facilitates interventions to meet quality goals. The Specialist promotes a positive culture that values individual strengths, optimal patient care, and compliance with regulatory standards. The role has primary responsibility for data abstraction of Stroke cases and reporting through the Get With The Guidelines Stroke Database, and facilitates Stroke Committee initiatives and ongoing compliance with New York State and Joint Commission requirements. It also conducts pressure injury and restraint prevalence studies, focused audits, and data analysis for organizational, federal, and state quality metrics. The Specialist supports improvement project planning, facilitates multidisciplinary teams, presents findings to committees and leadership, and assists with initiatives to improve patient experience. The position involves interactions with a variety of disciplines and patient populations; the work environment is usually quiet.

Requirements

Bachelor's degree or commensurate experience required.
Registered Nurse license in New York State required.
Expertise in Microsoft Office products, including PowerPoint and Microsoft Excel.
Familiarity with healthcare clinical operations and processes in an acute care hospital setting.
Familiarity with regulatory requirements related to a hospital setting.
Regularly lift, carry, or push/pull less than 10 pounds; frequently lift, carry, or push/pull less than 10 pounds; occasionally lift, carry, or push/pull up to 10 pounds.
Regularly perform activities requiring fine motor skills; frequently perform repetitive motion and hear, reach, sit, and speak; occasionally walk.
Vision abilities required include color, far, and near vision.

Nice To Haves

Master's degree in a healthcare specialty preferred.
Current CPHQ certification preferred.
Working knowledge of basic statistical concepts and performance improvement tools and techniques.

Responsibilities

Implement the organization's Performance Improvement plan.
Design and implement data collection and audit strategies for performance improvement projects.
Aggregate and analyze data using appropriate performance improvement tools and methodologies, and facilitate interventions to meet quality goals.
Abstract data for all Stroke cases and compile reports using the Get With The Guidelines Stroke Database.
Facilitate Stroke Committee performance improvement initiatives and ongoing compliance with New York State and Joint Commission Stroke requirements.
Attend Code Gray events and assist with post-event debriefing as required.
Conduct monthly pressure injury and restraint prevalence studies in accordance with National Database of Nursing Quality Indicators methodology; analyze results and identify improvement opportunities.
Conduct focused audits as directed, including direct observation of clinical staff, medical record review, or patient interviews.
Meet analytic needs for improvement projects and initiatives; support development of problem charters and selection of data analysis tools.
Lead or facilitate complex multidisciplinary improvement teams as needed to achieve quality and performance improvement goals.
Collect, measure, and analyze data for organizational, federal, and state quality metrics.
Conduct focused audits of compliance with CMS, TJC, and New York State regulatory standards as directed.
Create and present data for evaluation and appropriate action by committees, leadership, and quality improvement teams.
Represent the organization within and outside the community when required.
Assist in improving patient experience through data analysis and implementation of performance-improvement initiatives.