Clinical Quality Coordinator

About the role

This role’s chief responsibility is to collect and submit reliable data to a specific national quality database. This is accomplished through high-quality data compilation, documentation, and entry into the database. The role works closely with members of various departments to analyze and ensure the data is presented in a usable format for improvements, identify opportunities for clinical quality and performance improvement, and support other special projects as identified.

Responsibilities

• Identify patient population for inclusion in the program through the application of program inclusion/exclusion criteria and protocols.
• Collect appropriate patient information for the program through the effective utilization of the medical record.
• Attend weekly Morbidity and Mortality conferences to ensure reliable data collection of adverse occurrences.
• Demonstrate applicability of the methodology and reliability of definitions utilized by reviewers within the program through inter-rater reliability testing.
• Identify streamlining and process improvement opportunities in the data collection process.
• Demonstrate appropriate utilization of resources necessary to obtain valid, reliable data for entry into the database.
• Utilize software applications for data collection and analysis.
• Analyze data and present solutions in coordination with physicians and staff to improve processes.
• Responsible for the accurate and timely entry of data into the database and meets caseload accrual requirement protocol.
• Establish effective working relationships with members of the hospital, especially staff in nursing, health information management, and informatics.
• Contact patients and families via telephone or written communication as needed for the database.
• Serve as an educational resource on the database for internal and external audiences by developing educational materials and delivering presentations.
• Participate in required program teleconferences.
• Participate in the required national conference annually.

Requirements

Minimum qualifications:

• Bachelor’s degree in Nursing or Respiratory Therapy and three years of experience in a hospital setting, or
• Diploma/Associate’s Degree in Nursing or Respiratory Therapy and three years of quality outcomes experience in a hospital setting, or
• Master’s degree and one year of experience in a hospital setting.

Preferred qualifications:

• Three years of healthcare experience with emphasis on process improvement activities and productivity systems.
• One year of clinical chart review and abstraction.

Skills

• Successfully complete the required trainings of the National Database of Nursing Quality Indicators (NDNQI).
• Build relationships and gain alignment for clinical support; articulate questions to receive appropriate support from supervisors, surgeons, and peers.
• Interact with all members of the surgical team and administrative staff in a professional and courteous manner.
• Use MS Word, Excel, Access, and other software to collect, analyze, and present data.
• Demonstrate knowledge and competency in: computer literacy, assertiveness, community and system resources, flexibility, effective interpersonal relations, diplomacy, written and verbal communication, negotiation, analysis, and research methods.

Physical Requirements

• Walk and stand for long periods of time.
• Lift 30 pounds and push 50 pounds.
• Dexterity to finger, handle, and reach.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Schedule

Scheduled weekly hours: 40