Healthcare Data Analyst Jobs

About The Position

Requirements

• Bachelor’s degree required.
• Current Registered Nurse license in the State of Michigan, which must be maintained.
• Three years of experience in an acute care hospital setting required.
• Knowledge of accreditation standards and state and federal requirements.
• Familiarity with hospital accreditation requirements and federal and state compliance standards.
• Strong medical terminology and pharmacology knowledge.
• Strong skills using ASM/MD Stat database software to collect, distribute, and report FPPE/OPPE provider performance.
• Strong skills in Microsoft Excel, Word, PowerPoint, and Adobe.
• Excellent communication skills for conveying project goals, objectives, and expectations to team members, stakeholders, and senior management.
• Ability to manage time effectively and complete projects on schedule or adjust timelines for challenging projects or other circumstances.
• Leadership skills and ability to interact with and direct individuals at all levels.
• Ability to work and communicate effectively with management personnel, physicians, universities, nurses, other IRBs, and regulatory inspectors.
• Advanced skills and experience leading and facilitating groups, decision-making, and conflict resolution.
• Ability to make sound independent decisions and direct workflow.
• Excellent time management and organizational skills, with attention to detail.
• Excellent analytical, critical-thinking, and problem-solving skills.
• Ability to maintain information confidentially.
• Ability to maintain punctual attendance consistent with ADA, FMLA, and other federal, state, and local standards.

Nice To Haves

• Experience using an electronic medical record (EMR) to research and analyze patient records for monthly complication evaluation, review, and direction against evaluation criteria.
• Experience with EPIC EMR.
• Experience with patient safety and quality.

Responsibilities

• Coordinate development of universal and department-specific OPPE measures and other assigned focus reviews.
• Direct FPPE monitoring for providers receiving initial privileges, requesting new privileges, or identified as having performance non-conformance.
• Coordinate FPPE/OPPE reviews with appointed Medical Staff physician leaders and ensure timely completion in accordance with ACHC standards and Medical Staff Bylaws.
• Analyze FPPE/OPPE performance data and prepare reports for physician leaders.
• Compose correspondence to physicians and other providers regarding FPPE/OPPE program results.
• Participate in quality assessment and improvement activities, identify improvement opportunities, make recommendations, and implement actions consistent with organizational goals.
• Initiate ongoing professional performance monitoring to assess competency, identify possible improvement areas, and provide objective data for decisions about continued privileges.
• Identify provider performance outliers and facilitate appropriate follow-up, such as retrospective case review, FPPE, performance improvement plans, education, or prospective monitoring.
• Create, revise, or maintain policies and protocols addressing identified variations and possible improvement strategies, training, proctoring, or privilege amendments.
• Enter and manage performance and peer review data in electronic credentialing and privileging systems.
• Develop and improve the ASM/MD Stat system for FPPE/OPPE provider report cards and prepare special reports as requested.
• Monitor provider proctor supervision and completion requirements, follow up on assignments, assess whether completion criteria are met, and assign providers to FPPE as appropriate.
• Assess the Peer Review and Professional Practice Evaluation Program, identify clinical competence thresholds and improvement opportunities, and work with Medical Staff leaders on clinician performance strategies.
• Develop key performance indicators with input from Medical Staff leaders, team members, Department Chairs, Section Leaders, and other stakeholders, and monitor progress.
• Protect the confidentiality, protected status, and integrity of peer review and professional practice evaluation programs, and provide reports showing individual or systemic successes or deviations.
• Review monthly complications reports for potentially critical actionable items and assess complications across Medical Staff areas against applicable criteria.
• Refer complications requiring critical Medical Staff leadership assessment to MSQI Committee, with possible referral to the Medical Executive Committee.
• Collaborate with Medical Staff leaders at least every two years to determine appropriate complication review criteria.
• Provide administrative support and resources to help Medical Staff fulfill duties and obligations under federal regulatory requirements, bylaws, and rules and regulations.
• Support the Manager of Medical Staff Services, Chief Medical Officer, and Chief of Staff by preparing and presenting ad hoc provider performance and evaluation reports.
• Maintain compliance with applicable CMS, ACHC, and other regulatory requirements, including consulting with regulatory bodies to demonstrate compliance.
• Communicate successes and deviations to practitioners and their department and Medical Staff leaders.
• Represent Medical Staff Services on assigned committees and, when the MSQI Peer Review Specialist is absent, facilitate Peer Review meetings, including preparation, attendance, feedback communication, and transcription of minutes.
• Create policies and procedures appropriate to assigned duties as required.
• Participate in meetings as needed, provide leadership with work status updates, and perform other duties as assigned.