Coordinator Sepsis - Quality Management

Description CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 253-bed hospital serving the fastest- growing area of San Antonio. Specialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women?s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. The campus also boasts an Outpatient Imaging Center, an Ambulatory Surgery Center, and four medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: High Reliability Organization, the Coordinator Sepsis, reporting to the Director of Quality, is responsible for coordination activities of the Sepsis Clinical Improvement Program in the hospital. The Sepsis Coordinator works collaboratively with hospital and medical staff leadership to utilize data and evidence-based practice to drive strategies in performance improvement, regulatory, and patient safety activities that promote a culture of learning, improvement, and patient safety of the sepsis patient. Analyzes and reviews provided data for opportunities for improvement/process improvement to reduce the impact of sepsis and severe sepsis. This role is responsible for organizing and coordinating specific quality activities and for compiling/displaying/evaluating information from program for assigned hospital and medical staff committees and teams. This role is expected to apply clinical knowledge and analytical skills to assist the Director of QM and support change with a strong focus on improving quality outcomes and results. Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Communicate effectively to different audiences.
• Proficient in computer skills using EXCEL, PowerPoint, MSOffice, and Flowchart tools.
• Knowledgeable on High Reliability Principles and PDSA methodology.

Source: NAHQ Workforce Accelerator Competency Framework 2022: Eight Domains

• Quality Leadership and Integration -Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Foundational.
• Performance and Process Improvement -Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Foundational.
• Population Health and Care Transitions -Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Foundational.
• Health Data and Analytics - Leverage the organizations analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Foundational.
• Regulatory and Accreditation -Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities. Domain Level: Foundational.
• Patients Safety- Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Foundational.
• Quality Review and Accountability -Direct activities that support compliance with organization wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Foundational.
• Professional Engagement -Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Foundational.

Job Requirements:

Education/Skills

• Associate degree in Nursing or other allied health required
• Bachelors degree preferred

Experience

• 3 years of healthcare experience required
• 2 years of quality management experience preferred

Licenses, Registrations, or Certifications

• Registered Nurse, Licensed Vocational/Practical Nurse, Registered Respiratory Therapist, or Paramedic licensure required in the state of practice
• CPHQ (Certified Professional in Healthcare Quality) preferred

Work Schedule:
5 Days - 8 Hours Work Type:
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CHRISTUS Health is an international faith-based, not-for-profit health care system based in Irving, Texas, with more than 60 hospitals in Texas, Louisiana, New Mexico, Chile, Colombia and Mexico. CHRISTUS Health is made up of 50,000 Associates providing compassionate and individualized care at more than 600 centers, including community hospitals, clinics, long-term care facilities and health ministries. Sponsored by the Sisters of Charity of the Incarnate Word of Houston, Sisters of Charity of the Incarnate Word of San Antonio and the Sisters of the Holy Family of Nazareth, our mission is to extend the healing ministry of Jesus Christ to every individual we serve.

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