Quality Process Improvement Specialist -Clinical Care

Lifespan


Date: 1 day ago
City: Providence, RI
Contract type: Full time
Lifespan
Summary:


The Care Transformation Specialist reports to the Director of Patient Safety and Care Transformation. Under general supervision and within Lifespan established policies and procedures performs diversified duties that help transform care and drive top decile clinical performance through the facilitation of quality improvement activities at the unit affiliate and system-level.Ensures standards of the quality management program The Joint Commission (TJC) the Centers for Medicare and Medicaid Services (CMS) Department of Health (DOH) and other regulatory and accrediting agencies are met.





Responsibilities:


Provides support for hospital team members and the medical staff for quality activities aimed to improve quality and scorecard metrics in alignment with the Vizient Q&A Study Quality Improvement Registries CMS and Joint Commission evidence-based measures.The Clinical Transformation Specialist actively monitors performance metrics shares departmental scorecards and identifies opportunities in clinical performance for the purposes of driving and facilitating improvement action(s) to address them.



Leads and coordinates ORO efforts for assigned affiliate and other affiliates as needed. This includes but is not limited to sharing relevant data with members of all levels of the organization identifying both gaps in performance as well as excellence in performance.The Care Transformation Specialist will spearhead improvement activities utilizing the tools of Lean and Six Sigma.Stays current with identifies and presents best practices and other tactics needed to improve performance.Monitors and makes suggestions to improve best practices and their integration into existing systems.He/she will engage hospital team members and the medical staff in quality improvement activities and provide education around quality improvement tools and possess a strong ability to motivate others.



Coordinates reviews of selected quality issues and leads investigations of critical events.Facilitates and leads root cause analysis and FMEA team projects using methodologies and tools. Facilitates development of robust corrective action plans when indicated in addition to the associated monitoring and documentation of compliance when appropriate.Provides feedback reports to staff members and leadership.Assists and supports the development of reports submitted to regulatory agencies including TJC DOH etc.Collaborates and coordinates review of selected quality issues with Risk Management Operational Excellence and System Quality SupportServices and with other quality initiatives and committees as needed across the Lifespan Health System.



Facilitates activities to support the Physician Peer Review Process.In collaboration with Medical Staff Leadership conducts initial clinical screening reviews.Refers cases identified through screening for physician peer review to appropriate Medical Staff Department Chairs/designees.Documents peer review activity in required tracking systems.



Provides support for clinical data abstraction and management processes for clinical quality measures as assigned i.e. accesses vendor abstraction tools addresses vendor issues and deadlines system maintenance training and scheduling monitors data for accuracy and verification. Completes and supports work assigned to the project team for specific task assignments including data management medical record coordination and abstraction in accordance with HIPAA regulations.



Serves as liaison for Lifespan with informatics and vendor partners to ensure integrity of abstraction for public and quality reporting initiatives.May participate in concurrent review activities. Troubleshoots and follows-up on missed clinical and operational opportunities falling outside of benchmark or performance goals. Guides physician and patient care team in providing evidence-based clinical care (on patient units) and/or while patient case/record is active.




Ensures quality improvement and TJC compliance by advising departments services and committees of quality improvement requirements.Interprets standards for evidenced-based care as required.Provides instruction on TJC regulations and information on models for clinical improvement efforts.Contacts those responsible for reporting data to determine status and collaborates as needed to achieve compliance with program specifications.




Reviews appropriate literature to maintain and enhance knowledge of federal state and voluntary regulatory standards that relate to quality improvement and Joint Commission accreditation.Participates in the department�s hosting of regulatory or accreditation personnel visits and any consequent follow-up work reports and/or presentations.


Completes clinical reviews of patient records as requested based on specific indicators or triggers. Reports findings and trends for identifying opportunities for improvement.



Performs other duties as assigned.





Other information:


EDUCATION:


Bachelor�s Degree in nursing health care or health science discipline required.


Master�s Degree in health care or health science discipline preferred.


Certified Professional in Healthcare Quality (CPHQ) is preferred.


Certification in Lean/Six Sigma (Green Belt or Black Belt) and TapRooT methodologies is required or must be attained within first 24 months of working in position (provided on-site).



EXPERIENCE:


At least five years progressively more responsible experience in health care demonstrating knowledge of clinical systems and indicators and/or quality improvement methods and standards is preferred.


Must be able to lead and facilitate meetings and project teams independently with participants representing both physicians and other patient care and hospital staff.


Proficiency with Lifespan EHR Information Systems preferred and other computer modules/applications related to data analysis presentation etc. is required (Microsoft Word Excel PowerPoint Visio Minitab).


Knowledge of practice methods and tools related to measuring and driving performance improvement are essential.


Interpersonal skills to work with all levels of Hospital personnel including physicians and to elicit detailed information.


Duties require excellent verbal and written communication skills. Excellent leadership and group facilitation skills are required.


Good oral presentation skills and the ability to clearly convey clinical and analytical information in public forums and across various audiences are required. Multilingual skills are desirable.Organizational and planning skills to manage workflow of many projects at once and to prioritize efforts as required.


WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:



Work is performed in a typical office setting requiring extensive periods of sitting with arms extended as well as walking and standing.



INDEPENDENT ACTION:



Performs independently within the department policies and procedures; refers specific problems to the Director where clarification of departmental policies and procedures or workload may be required.


SUPERVISORY RESPONSIBILITY:



None.





Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor




Location: Corporate Headquarters USA:RI:Providence




Work Type: Full Time




Shift: Shift 1




Union: Non-Union

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