Quality Improvement Specialist

Banner Health•Glendale, AZ

9d•Onsite

About The Position

This position supports high reliability in clinical performance through ongoing assessment of performance, prioritizes clinical improvement activities, facilitates performance improvement, and promotes successful implementation to achieve entity/system targets. This role requires strong communication, collaboration, teamwork, and change management skills in order to achieve desired results across the continuum of care. This role serves as a quality SME to Leaders throughout the facility.

Requirements

Requires a Bachelor’s degree.
Requires a proficiency level typically attained with five years clinical experience OR quality improvement experience.
Requires Certified Professional Healthcare Quality (CPHQ) or Certified Professional Patient Safety (CPPS) certification within 3 years of being in the job and obtaining Quality work experience.
For individuals in this role prior to June 1, 2025, CPHQ or CPPS must be obtained within 3 years.

Nice To Haves

Registered Nurse (RN) license preferred.
Master’s Degree is preferred.
Experience with process improvement, regulatory/accreditation programs, data management, and analysis including graphic development and presentations is highly desirable.
If in a profession that requires licensure, current licensure/certification/registration is required for state worked.
Additional related education and/or experience preferred.

Responsibilities

Facilitates the integration of quality into the fabric of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of care.
Support the quality infrastructure, protect the use of privileged or confidential information, facilitate processes for engagement and interprofessional teamwork, identify and promote continuous learning opportunities to advance the organization/facility/entity and communicate effectively.
Facilitates performance improvement projects with physicians, clinical leaders, and staff to identify improvement opportunities utilizing qualitative and quantitative data analysis, knowledge of health care operations and systems thinking.
Serves as a subject matter expert in performance and process improvement, project management and change management methods to support operational and clinical quality initiatives.
Facilitates activities related to or resulting from patient safety, harm reduction, clinical performance, peer review and compliance with regulatory and accrediting agencies.
Evaluate and improve healthcare processes and care transitions to advance the efficient, effective, and safe care of defined populations.
Foster integrated team-based clinical delivery model to population-based care.
Facilitate the implementation of standardized process, that are evidence-based Population Health management strategies, when appropriate.
Encourage and contribute to a holistic approach to improvement and collaborate to improve care processes and transitions back to the community.
Monitor and report facility Clinical Practice performance that have been handed-off to Quality Improvement.
Supports the organizations' analytic environment to help guide data driven decision making while facilitating meetings with departments and teams to guide quality improvement initiatives and activities.
Adheres to procedures for the confidentiality and integrity of data, designing, influencing, and monitoring data collection plans for Key Performance Indicators.
Collaborates with process owner(s), acquiring, and integrating data from internal and external benchmarking sources.
Uses statistical and visualization methods to analyze data for administrative and clinical decision making.
Provides on-going assessment of performance, analyzes clinical outcome data, and identifies performance improvement opportunities or trends.
Conducts and reports to stakeholders in-depth assessment of qualitative and quantitative data.
Participates in and contributes to a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm.
Seves as an advocate for the patient safety culture, applying safety science principles/methods, identify and report patient safety risks/events and collaborates to analyze patient safety risks and events.
They facilitate teams to improve processes that impact the safety of patients.
Supports the evaluating, monitoring, and improving compliance with internal and external requirements.
Participates in processes to prepare for, participate in, and follow up on Regulatory Agencies and certifications.
Participates in processes to support compliance with PI standards, contributes toward continuous survey readiness activities and participates in the survey processes and findings.
Facilitate and support compliance with voluntary, mandatory, and contractual reporting requirement for data acquisition, analysis, reporting and process improvement.
May support practitioner and nursing performance review activities as directed.
Engages in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competencies and advancing the field by integrating ethical standards into practice, engaging in lifelong learning and participating in activities that advance the profession, such as participation in professional organizations and achievement of certification in healthcare quality.
Responsibilities cross all levels of internal customers including the department, facility and system, and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.