Quality consultant serp_jobs.h1.location_city

Essential Job Functions

• Serves as a subject matter expert and source of analytical expertise in clinical quality, patient safety, and healthcare-associated infection data management and reporting of outcomes of care.
• Creates datasets, conducts statistical analysis, and performs quality checks on analytic deliverables and assures accuracy in data provided for decision making.
• Assists the director in the development of organization-wide policies and procedures, implementation of projects and materials.
• Participates in both short and long-term planning for the department.
• Identifies needs and sets goals for own growth and development in collaboration with department coordinator and director (Quality and Infection Prevention).
• Validates data elements used for public reporting and assures alignment with data specifications for public reporting.
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department / organization.
• Organizes, prioritizes, and performs data management project work to support the organizational strategic initiatives for quality improvement, patient safety, and infection prevention and control.
• Works in concert with leaders across the organization in explaining, accessing, extracting, synthesizing, validating, trending, and analyzing clinical information.
• Works directly with multidisciplinary teams to design report formats that effectively report data to support identified operational priorities and initiatives. Identifies the data required and internal / external means to gather that data; prepares quantitative and qualitative analysis within required deadlines.
• Serves as a resource for the data collection processes related to publicly reported data.
• Required skills include problem identification and resolution.
• Performs complex, in-depth analysis individually or as part of a team.
• Advanced in-depth organizational skills and analytical skills requiring creativity, logic, and the ability to conceptualize as well as break down concepts into detailed components.
• Analysis requires the use of information structures, information processes, and information technologies.
• Interpretation of complex regulatory algorithms and data schema.
• Responsible for establishing, validating, and maintaining the integrity of quality monitoring tools, data collection methods, case definitions, databases, or models to support analysis and improvement processes.
• Performs chart abstractions and / or develops and validates interfaces for data to comply with regulatory reporting standards and quality measures.
• Facilitates data management within required timelines for the organization’s accreditation and regulatory processes, compliance, and site visits for federal, state, medical society, and commercial programs such as :

CMS (Centers for Medicare and Medicaid Services)

DNV (Det Norske Veritas) Accreditation

(HHS) Health and Human Services

NCQA (National Committee for Quality Assurance)

STS (Society of Thoracic Surgeons)

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)

Magnet Designation ANCC

MCCN Mayo Clinic Care Network

NSQIP (National Surgical Quality Improvement Program)

NHSN (National Healthcare Safety Network)

ACO (Accountable Care Organizations)

The Leapfrog Group

Patient Safety Culture Assessments and survey instruments

PSO (Patient Safety Organization)

Voluntary Patient Safety Event Reporting

Others as assigned

Minimum Qualification

Education

Experience

Certifications and Licenses