RN Performance Excellence Consultant

Trinity Health

1d•$39 - $59•Onsite

About The Position

The RN Performance Excellence Consultant supports and promotes continuous performance improvement and the Trinity Health Leadership System throughout the network. The consultant assists with Plan, Do, Study, and Adjust (PDSA) improvement activities, coaches staff at all levels in the PDSA process, leads Rapid Improvement Events, and analyzes process data. The role requires familiarity with regulatory and accreditation requirements, including Joint Commission, DNV, Department of Health standards, CMS, and other reporting requirements. The consultant works with network staff and the Performance Improvement Department to define, collect, analyze, and report quality and operational data. Depending on the area of specialization, work may focus on regulatory readiness, emergency department and critical care quality improvement, peer review, clinical integration, specialty measures, or clinical outcomes analytics. The position is based in an office setting and involves light physical work, including walking, sitting, standing, lifting, pulling, pushing, and carrying, as well as CRT exposure and repetitive data-entry motions.

Requirements

Baccalaureate degree in nursing or a health-related field.
Registered Nurse or equivalent clinical experience, or at least 3 years of industrial experience in a process improvement setting.
Maintain licensures and certifications according to New York State regulations and specialty-area requirements.
Participate in continuing education and maintain knowledge and skills related to areas of expertise.
Excellent written and oral communication skills.
Strong interpersonal skills.
Knowledge of computer applications such as Microsoft Office.
Skill in using statistical software.
Demonstrated skill in acquiring, managing, and displaying data.
Ability to build rapport and coach front-line staff.
Demonstrated ability to manage and introduce organizational change.
Specialty credentialing and educational degree according to clinical practice specialty.

Nice To Haves

Certified Professional in Healthcare Quality (CPHQ) certification is preferred; it must be obtained within 2 years of hire.

Responsibilities

Adhere to network policies and procedures, confidentiality requirements, and safety standards.
Aggregate and analyze collected data to measure performance against established criteria.
Participate as an internal auditor for hospital and regulatory groups.
Apply performance improvement knowledge to determine improvement priorities.
Assist with developing or updating policies and procedures related to the Performance Improvement Department.
Collaborate with network staff to establish criteria for data aggregation, comparison, and review.
Participate in developing educational materials for network quality initiatives.
Ensure teams are data driven and outcome oriented.
Enter data accurately and in a timely manner.
Report performance improvement activities to the department manager, director, and appropriate clinical teams.
Review literature for information related to performance improvement and identify best-practice measures.
Serve as a resource to Quality, Peer Review, and organizational teams, and as an ad hoc resource to Core Measure/Data Base teams.
Use statistical principles, national and local benchmarks, and PC applications to analyze and display data.
Identify opportunities for improvement and variances in practice patterns.
Work collaboratively with the PI Department analyst and Decision Support team to prepare quality and operational data.
Coach staff at all levels in the PDSA improvement process and lead Rapid Improvement Events.
For regulatory readiness specialization, apply DNV accreditation requirements and schedule and monitor internal audits.
For ED and Critical Care Quality Improvement specialization, support sepsis education, tracking, follow-up, and reporting with hospital staff, physicians, and others.
For Peer Review specialization, coordinate with Risk and Safety to refer cases to physicians, support physician meeting groups, and follow up on recommended activities; maintain database documentation.
For Clinical Integration specialization, lead special PI projects for specific units and support other network initiatives such as hand hygiene and ethics.
Work on measures and data that may include PPC, PPR, AHRQ, STS, and ACC, as applicable to the specialty area.
For Analytics specialization, develop and analyze clinical outcomes aimed at improving quality of care.