Quality Outcomes Specialist

West Tennessee Healthcare•Jackson, MS

17h

About The Position

The Quality Outcomes Specialist assists the Quality Outcomes Manager with medical staff quality improvement activities, including outcome measurement, understanding relationships between processes and outcomes, and tracking outcome indicators related to DRGs. The role collects data relevant to patient outcomes and rights, as well as medical staff rights and ethics. It requires understanding continuity of care, reimbursement issues, clinical path development, and variation analysis. Under general direction, the specialist gathers and assembles data for the medical staff, prepares and presents findings to medical staff departments and committees, and represents the Medical Affairs Division at medical staff meetings. The specialist works independently and prioritizes duties appropriately. Under the direct supervision of the Quality Outcomes Manager, the role is responsible for assigned shifts five days a week and works closely with the manager to support the objectives and needs of the Quality Outcomes Improvement Department. The employee is subject to call back and overtime as required by the hospital.

Requirements

Associate degree in Nursing or an Allied Health field.
Current licensure as a Registered Nurse or Allied Health Professional.
At least 3 years of experience in the area of clinical expertise.
Knowledge of accepted clinical procedures acquired through 3 years of clinical experience.
Knowledge of data assessment, planning, and coordination of care affecting the 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.
Ability to collect, assemble, and present quality data and work independently while prioritizing duties.

Nice To Haves

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

Responsibilities

Attend assigned medical staff meetings.
Establish a system for identifying the caseload of patients to be reviewed.
Gather data from various sources for quality-of-patient-care reviews and enter it into the database.
Keep Midas data current, complete, and accurate to meet deadlines.
Assemble, summarize, and present quality information at medical staff meetings, including quality improvement, risk management, utilization review, core measure, and infection control data.
Advise appropriate parties of recommended corrective actions generated from medical staff departmental meetings.
Inform the Quality Outcomes Manager, Quality Outcomes Director, or Medical Director about quality activities and improvement opportunities discussed at medical staff meetings when they are absent.
Prepare special reports.
Design, complete, and present studies as requested.
Review individual charts as requested by the Quality Outcomes Manager, Director, Risk Management, Medical Director, COO, or CEO.
Prepare information for outside reviews, fair hearings, and other activities intended to improve medical staff quality.
Prepare profiles for the medical staff.
Coordinate peer review activities for the medical staff.
Assist in orienting new personnel to quality outcomes processes.
Participate in and lead Quality Plus teams when requested.
Participate in Institute for Healthcare Improvement activities.
Complete continuing education to improve job performance.
Contribute to a positive work climate and team effort, perform related duties as required or directed, and greet guests according to Guest Excellence principles.