Quality Outcomes Specialist\RN ASN or BSN

West Tennessee Healthcare•Jackson, MS

17h

About The Position

The Quality Outcomes Specialist supports medical staff departments, sections, and committees responsible for overseeing the quality of patient care, treatment, and services provided by privileged practitioners. The role performs quality improvement activities, including concurrent and retrospective chart review, observation of clinical and operational performance, and data collection and analysis. It coordinates the quality and peer review aspects of medical staff meetings, supports external peer review when needed, and assists with focused and ongoing professional practice evaluation (FPPE/OPPE). The specialist serves as an educational resource on quality, patient safety, and regulatory issues; tracks and monitors compliance; and supports performance improvement initiatives that promote a culture of safety. The role uses and develops appropriate tools and strategies to analyze and present performance-improvement data. It also maintains peer-protected review information, prepares reports and presentations, participates in medical staff meetings, and collaborates with organizational leaders and quality personnel to identify and address improvement opportunities. The position requires at least an associate degree in nursing or an allied health field, with a BSN preferred, and current licensure as a registered nurse or allied health professional. A minimum of three years of experience in a clinical area is required.

Requirements

Associate degree in nursing or an allied health field required.
Current licensure as a Registered Nurse or Allied Health Professional.
At least three years of experience in a clinical area.
Knowledge of accepted clinical procedures acquired through clinical experience.
Knowledge of data assessment, care planning, and care coordination affecting fiscal management of patient care, acquired through on-the-job training.
Knowledge of hospital policy and operations, medical and nursing staff procedures, and hospital and community resources, acquired through on-the-job training.
Leadership and management skills.
Knowledge and understanding of computer programs.

Nice To Haves

Bachelor of Science in Nursing (BSN).
AHA Basic Cardiac Life Support certification is recommended.

Responsibilities

Establish a system for identifying and reviewing practices or events that fall outside established standards of care and medical staff quality and safety triggers.
Communicate significant clinical findings to medical staff leaders to support best practices and improvements in standards of care through medical staff governance.
Participate in medical staff department and committee meetings to exchange information and promote consistency across departments.
Work within the peer review process for case-level reviews and involve appropriate parties in non-peer-review issues affecting quality and patient safety.
Support quality improvement by identifying and validating data elements for the medical staff and health system.
Identify and investigate medical staff issues affecting patient care and involve stakeholders in policy changes or actionable responses.
Ensure departmental work meets accreditation and regulatory requirements for medical staff governance and peer review oversight, including FPPE and OPPE.
Serve as a resource to others resolving complex provider peer review problems and issues.
Facilitate and coordinate medical staff peer review committee and subcommittee meetings.
Prepare and distribute education from peer review committees to appropriate medical staff departments, committees, and providers.
Attend assigned medical staff meetings.
Gather patient-care quality review data from various sources and enter it into a database.
Maintain a peer-protected database tracking patient-care reviews and medical staff findings, and use it to prepare review trends as requested or needed.
Assemble, summarize, and present clinical quality and safety information at medical staff meetings as required.
Collaborate with appropriate leaders on quality activities and improvement opportunities discussed in medical staff meetings.
Prepare special reports and design, complete, and present studies as requested.
Review individual charts at organizational leadership's request regarding clinical quality and safety.
Prepare information for external peer reviews, fair hearings, and other activities intended to improve medical staff quality.
Work with quality personnel to incorporate service-line and payer-specific quality requirements and opportunities into the medical staff quality process, and develop subject-matter expertise in relevant quality programs.
Participate in organizational clinical quality and safety improvement activities as requested.
Assist in orienting new personnel to quality outcomes processes.
Complete continuing education to improve job performance.
Contribute to a positive work climate and team effort, carry out related responsibilities as required or directed, and greet guests according to service excellence principles.