Quality Management Coordinator - Wellstar Cobb Hospital

2510 Cobb Hospital, Inc.•Mableton, GA

About The Position

The Quality Management Coordinator works in Wellstar Cobb Hospital’s Safety & Quality Department and functions under the AVP/Director of Quality and Patient Safety. The coordinator provides leadership and assistance in facilitating the hospital’s quality program, including areas such as Sepsis, Stroke, Heart Failure, PSI Review, HAC Review, Mortality Review, and Quality Performance Improvement. The role is preferably suited to a registered professional nurse, Industrial Engineer, or Healthcare Informatics professional. The coordinator performs chart and data abstraction, analysis, and reporting; coordinates departmental and service-line functions; supports process improvement; and provides physician and staff education. Using clinical expertise and operational knowledge, the coordinator assesses workflows and recommends changes to improve compliance with quality guidelines, patient focus, and quality outcomes. The role facilitates Performance Improvement committees and applies systems and analytical thinking to quality initiatives. The coordinator combines clinical, leadership, liaison, education, research, consulting, and quality-improvement responsibilities. The position shares responsibility for supporting adherence to practice standards and system and department policies and procedures, ensuring quality patient care, and assisting with compliance with regulatory and legal requirements.

Requirements

Bachelor’s degree in another or related field.
Five years of clinical or performance-improvement experience in nursing and/or clinical quality in a hospital or health system.
Advanced clinical knowledge and skills in the field of practice and knowledge of applicable standards.
Strong attention to detail and ability to coordinate patient-care activities across and within departments.
Ability to act as a change agent, apply a range of theories to complex problems, and use critical thinking to identify barriers and opportunities.
Exceptional interpersonal, team-building, and communication skills, including the ability to build consensus and foster organizational change.
Commitment to personal and professional growth; responsibility to self, team, and project; integrity, initiative, creativity, and passion.
Ability to work with minimum direct supervision.
Ability to review and analyze metrics and data from multiple sources and compile and synthesize findings.
Strong computer skills, including proficiency in Word, Excel, PowerPoint, Visio, and Outlook.
Excellent organizational, project-management, verbal, and written communication skills.
Comfort interacting with physicians and team members at all organizational levels, sharing data results, and speaking to small and medium-sized groups.

Nice To Haves

Master’s degree in another or related field.
Georgia RN license or Lean certification.
Training as a Clinical Nurse Specialist.

Responsibilities

Review relevant cases, deaths, and safety events related to sepsis and review Hospital Acquired Conditions, mortalities, and relevant AHRQ Patient Safety Indicators for improvement opportunities, as assigned.
Participate in mortality and patient safety reviews to identify preventable clinical harm and help implement processes to improve outcomes.
Assist with timelines for precursor, serious safety, and sentinel events, including quality focus areas such as Sepsis and PSIs.
Complete chart reviews for regulatory and accreditation audits as directed.
Promote and participate in performance-improvement initiatives to enhance patient care quality and improve work processes and efficiencies.
Partner with physicians, managers, and staff to improve the quality and value of clinical care through accountability and implementation of process improvements.
Foster teamwork, open communication, inclusion, shared decision-making, and positive team dynamics.
Research and present improvement ideas related to quality care, reporting, and clinical services.
Use problem-solving and communication skills, established Performance Improvement criteria, and Gemba quality processes to identify opportunities and recommend changes.
Serve as subject matter expert and facilitator for the designated Performance Improvement Committee, a subcommittee of the Quality Review Committee.
Analyze quality-improvement data and use lean and other quality methods to reduce waste and improve operational and clinical systems.
Provide clinical expertise to nursing staff, patients, and families; coordinate care for patient populations, including geriatric or pediatric patients, and ensure protocols are age appropriate.
Develop or provide input on clinical tools such as standing orders, bundles, nurse-driven interventions, and clinical decision-support apps.
Evaluate the feasibility of clinical outcome early-warning and response systems; provide input on nursing documentation standards and compatibility with the existing EMR.
Engage leaders in decision-making and support patient-centered care and service excellence through leadership, management, negotiation, and mediation.
Support clinical and non-clinical leaders in the effective operation of the care-delivery system and serve as a resource to physicians and leaders.
Communicate effectively with diverse audiences, establish performance standards related to sepsis care, and hold leaders and staff accountable for those standards.
Build partnerships with hospital leaders and medical staff, help resolve conflict, coach and guide others, and create growth opportunities for self and leaders.
Identify improvement opportunities in leaders and clinical systems and sponsor projects to address them, including work to ensure nursing division compliance with licensure, regulatory, and accreditation standards.
Use data and evidence to support clinical and operational decisions while observing legal and ethical requirements for patient and staff information and confidentiality.
Perform other duties as assigned and comply with Wellstar Health System policies, standards of work, and code of conduct.