Clinical Program Coordinator

Performance Improvement Coordinator

The Performance Improvement Coordinator will:

• Serve as a resource to Department/Committee Chairmen and Department Managers.
• Analyze information provided by internal sources and external agencies and assist in the assessment of anticipated impact of external regulations and cost-containment efforts related to quality improvement.
• Initiate/update programs and workgroups to meet mandatory requirements/regulations (e.g., TJC and others) as well as ratings agencies such as Leapfrog, US News and World Report.
• In collaboration with the department director, oversee the Quality Project abstraction/review by Quality Analysts for timeliness and accuracy, the quarterly validation of data abstraction reports, and report compliance and/or technical inaccuracies.
• Assist in performance improvement efforts throughout the organization through process redesign including but not limited to policy change and education.
• Participate in annual reappraisal of system Quality and Safety plan and assist department leadership in aligning with strategic goals, key indicators for overall strategy

Requirements:

• Five (5) to seven (7) years of experience preferred in Performance Improvement, and/or Quality and Safety project management. Experience shall include the ability to assess and analyze health care data at the patient, unit, and organizational levels. Must be able to educate health care and physician staff about health care policies and current practices related to the use of data in evaluation of quality and safety.
• Baccalaureate degree required; RN preferred.
• Ability to:
• Work independently and relate to various groups of professionals.
• Analyze data to identify patterns/trends.
• Prepare statistical summaries.
• Tolerate long periods of intense concentration.
• Ability to be objective, tactful, and discrete and maintain confidentiality.
• Knowledge of the following: Patient care evaluation methodology, including criteria development and data analysis. Governmental and voluntary standards, requirements and guidelines for performance improvement. Relevant knowledge of JCAHO, State and Federal regulations required.
• Working knowledge of computers/software applications, including MS Office and quality databases.
• Must possess interpersonal skills to interact effectively with other departments and attending Physicians of the Medical/Dental Staff.
• Certified Professional in Healthcare Quality achieved within one year of hire.