Quality Improvement Specialist - Quality Administration - FT - Day

Stormont Vail Health•Topeka, KS

13d•Hybrid

About The Position

The Quality Improvement Specialist collects, analyzes, and reports data and communicates outcomes, gaps in care, and improvement opportunities in support of organizational goals and improved patient outcomes. The role works with clinical and hospital stakeholders to review processes, identify barriers, develop solutions, and provide evidence-based guidance and education on quality measures and care improvement. The specialist compiles and analyzes data for quality and performance improvement programs, enters information into organizationally assigned registries and databases, and uses the hospital medical record system to collect quality program information. The position maintains collaborative relationships with relevant clinical and hospital areas, communicates quality compliance variances, supports root cause analyses, develops educational materials and presentations, and attends relevant conferences and webinars. The position is not patient-facing and has no supervisory or budget responsibility. Hybrid remote work is available subject to the employer's remote-work guidelines.

Requirements

Associate's degree in Nursing.
Three years of clinical experience.
Computer and internet skills, including familiarity and comfort with Microsoft Word, Excel, and PowerPoint.
Registered Nurse licensure with KSBN.

Nice To Haves

Bachelor's degree in Nursing.
Clinical chart review and abstraction experience.
Database data-entry experience.
Knowledge and experience in patient-safety quality improvement.
Knowledge of statistics; preferred proficiency.
Certified Professional in Healthcare Quality certification through HQCC.

Responsibilities

Analyze data and conduct in-depth process reviews with stakeholders to identify opportunities to improve quality outcomes.
Identify performance-improvement challenges and barriers and collaborate with others to find successful solutions.
Provide evidence-based, best-practice guidance and educate stakeholders about quality measures, gaps in care delivery, and process-improvement opportunities.
Compile and analyze data supporting quality and performance improvement and regulatory and payer commitments, including applicable reporting and quality programs.
Enter information accurately and efficiently into national registries and databases assigned by the organization.
For MBSAQIP registry assignments, review program standards, complete initial and ongoing training, attend at least two of three required meetings including the annual comprehensive review meeting, retrieve and enter long-term follow-up data, protect PHI, and communicate directly with the MBS Director.
Maintain collaborative relationships with key clinical and hospital areas, attend relevant meetings, and provide updates, education, and support on quality-improvement outcomes.
Use the hospital medical record system to collect quality program components concurrently and reliably.
Communicate quality-compliance variances and fallout to hospital and clinic community members, and work with staff on root cause analysis.
Maintain an efficient and timely workflow using organizational skills.
Participate in interviews and surveys related to the area of expertise when requested by management.
Use appropriate resources to obtain valid, reliable data for timely entry into databases and websites.
Collaborate with leadership to help establish and achieve organizational objectives.
Develop educational materials and deliver presentations.
Attend conferences and webinars to stay current and informed about the program.
Comply with Stormont Vail Health policies, standards, mandatory training, and requirements, and perform other duties as assigned.