At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Quality Coordinator will assist with data collection and analysis, creating aggregate data reports, open record revew, survey preparation and on-going survey compliance, event investigation and management, and other activities related to hospital performance improvement. Work is divided between reviewing opein electronic and paper records, on an off the patient unit. Computes data entry and report writing, attendance at meetings and data analysis.

Essential Functions

• Supports the department and hospital’s efforts toward a comprehensive and effective program for evaluating and improving organizational performance.
• Performs accurate open record review, tracking, aggregating, trending, analysis and creating reports for performance improvement activities.
• Assists with facility response to significant and/or sentinel events and assists with timely evaluation on completion of a root cause analysis and action plan.
• Maintains event database and produces aggregate reports.
• Demonstrates ability to look at the system issues behind medical errors and portrays a no blame demeanor in all event investigations and performance improvement activities.
• Demonstrates ability to develop, maintain and produce reports related to organizational performance.
• Collects and enters performance improvement data.
• Collaborates with appropriate hospital department leaders to assure compliance with National Patient Safety Goals and provides reports on compliance.
• Prepares and completes follow-up activates related to the hospital and Market Quality Council meetings. The preparation and follow-up at minimum the collection, analysis and reports, agenda development, recording of minutes and maintenance of the historical records.
• Assists in the annual completion of the Periodic Performance Measurement tool for Joint Commission compliance.
• Leads and/or facilitates performance improvement teams.
• Participates in performance improvement studies and projects as assigned by the Director of Quality Management.
• Maintains all information in a manner that ensures confidentiality and meets all regulatory requirements.
• Assists with ensuring compliance with external regulatory bodies, including but not limited to Centers for Medicare and Medicaid (CMS), The Joint Commission, state Public Health, and OSHA.
• Remains current with changes in regulatory standards as applicable.

Knowledge/Skills/Abilities/Expectations

• Comprehensive understanding of performance improvement strategies for health care.
• Computer skills to manage word processing, spreadsheet, presentation and database software along with the electronic medical records.
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Approximate percent of time required to travel: 0%
• Performs other related duties as assigned.

Education

• Graduate from an accredited program leading to licensure as an LPN/LVN or RN, preferred.

Licenses/Certification

• Current clinical licensure, preferred

Experience

• 3 years clinical experience in healthcare and performance measurement or improvement experience.