Quality Improvement Specialist

City of Hope•Irvine, CA

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. The role of this position is to act as a consultant empowering others to meet their needs for information and improvement support. The position supports the organization, the Medical Departments, the Performance Excellence Program, as well as quality and peer review for the foundation. This position is designed to assist the organization in defining, measuring, analyzing, and applying data to make quality improvements. The QIS is an expert resource in process and outcome measurement, analysis, and performance improvement including concepts and techniques, evidenced based practices, relevant legislation, accreditation standards, medical staff bylaw/rules and regulations, and policies/procedures. The position requires knowledge of lean/six sigma process improvement tools, facilitative leadership, change management and regulatory and licensing standards.

Requirements

Masters Degree in Nursing or BSN with masters in related/complementary field required. Experience may substitute for educational requirement with VP approval.
Three years experience in clinical nursing and/or quality, risk and regulatory activities
RN in California

Nice To Haves

Specialty certification (CPHQ) preferred

Responsibilities

Team Leading/Facilitation
Coordinates and leads discrete quality improvement teams in collaboration with each team’s physician liaison.
Collaborates with administrators and/or the physician liaison for each team in the development of the agendas; tracks the actions, and assures timely follow up on actions.
Event Investigation, Mitigation and Correction
Supports event reporting and peer review for campus and external community clinics.
Facilitates root cause analyses and other deep dive activities needed to refine and modify policies and procedures and/or processes to improve the quality of patient care.
Follows-up on quality activities such as case/sentinel event reviews to make sure appropriate changes have taken place.
Quality/Metric and Peer Data Collection and Reporting
Obtains, reviews and analyzes clinical data through review of the in-patient and out-patient medical record and data reports from numerous sources to gather data for OPPE, peer review, other case review, quarterly quality reports, special projects, performance improvement and other quality metrics chosen by the organization or mandated by external agencies; Participates in observational activities (e.g. nursing studies, policy adherence) to collect needed data.
Collaborates with Quality Analytics, Biostatistics and other departments to develop processes to ensure accurate, timely, consistent access to relevant data.
Presents data in a meaningful and useful manner.
Attends the applicable medical staff committees for quality report and event review and is an active participant at QA&I