Quality & Safety Excellence Nurse RN
About The Position
The Quality & Safety Excellence Nurse assists and supports the manager in quality and safety strategies, plans, and regulatory requirements designed to improve outcomes and reduce patient harm. The role works closely with ministry colleagues, providers, and leaders to implement, monitor, and evaluate quality and safety programs, structures, and requirements that contribute to high reliability. Under the direction of the manager, the nurse supports quality and safety work related to patient outcomes, performance improvement strategies and methodologies, TogetherSafe culture-of-safety initiatives, and collaboration with the patient safety organization and risk management to ensure high-quality, safe care. The position also supports assigned quality measures, data analysis and reporting, clinical education, and performance improvement activities.
Requirements
- Current RN license to practice nursing in Iowa where the work is performed.
- At least three years of experience in a healthcare setting.
- Ability to use computers for documentation and other relevant activities.
- Knowledge of software such as event reporting systems, government reporting systems, and other appropriate software programs.
- Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and reporting tools.
Nice To Haves
- Bachelor’s degree in nursing or higher preferred.
- Previous hospital performance improvement experience preferred.
- Experience with PowerChart, EPIC, or a similar tool is helpful.
Responsibilities
- Demonstrate MercyOne (Trinity Health) Mission, Vision, Core Values, Actions, and Promise in behaviors, practices, and decisions.
- Identify patient quality and safety issues and collaborate with stakeholders to address and improve them.
- Coach others in problem-solving to improve quantitative and qualitative clinical outcomes and patient experience.
- Facilitate integration of clinical quality indicators into the work environment.
- Review medical records for data related to assigned quality and safety initiatives required by CMS, The Joint Commission, and other organizations.
- Support the Nurse Governance Council as appropriate to quality and safety work.
- Assist with The Joint Commission surveys as applicable.
- Use vendor databases or other computer programs to input, aggregate, and analyze data for quality measurement and organizational performance improvement.
- Report measure outcomes to appropriate clinical leaders, medical staff, disease management groups, and others as identified.
- Educate physicians and clinical staff about requirements and documentation expectations for assigned quality and safety measures.
- Work with multidisciplinary teams to ensure measure documentation meets required specifications.
- Create reports, scorecards, and graphs to communicate data analysis.
- Collaborate with multidisciplinary teams to develop strategies for variance reduction and performance improvement.
- Facilitate quality and safety improvement work, which may include falls prevention, readmissions, mortality, and other projects determined by the manager.
- Perform quality improvement activities and medical record chart abstractions for measures including CMS core measures, Trinity Health measures, NDNQI measures, ORYX measures, medical staff measures, and selected national database measures.
- Interpret clinical information in medical records, including physician documentation, diagnostic tests, medications, procedures, and nursing assessments.
- Participate in scheduled quality improvement meetings; report successes and deficiencies related to selected indicators; and participate in action planning and follow-up.
- Attend Trinity Health monthly Quality Contacts calls and apply information to current quality activities.
- Participate in periodic CMS or audio conference calls, WebEx education, and other Internet communications about CMS indicator manual revisions and updates.
- Participate on the Nursing Performance Improvement Committee and other hospital committees.
- Analyze and interpret information and provide accurate, valid, reliable, usable, and meaningful reports using statistical and performance improvement tools.
- Serve as Stroke Coordinator/Neuro Service Line QSEN as applicable per site.
- Provide medical staff support as determined by the manager.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
