Quality Supervisor Quality Management * Days ( M-F, 8a-5p ) 40hrs/wk

Shift: Days | FTE status: Full-time | On-call: No | Weekends: No

About the Role

A registered nurse who oversees the following components of the Quality Management Program at University of Michigan Health-Sparrow:

• BCBSM/BCN Collaborative Quality Initiatives (CQIs)
• Clinical Data Registries
• Inpatient Quality Reporting:
  • Centers for Medicare and Medicaid Services (CMS) Core Measures
  • Electronic Clinical Quality Measures (eCQMs)
  • The Joint Commission (TJC) data submissions, if applicable

Qualifications

• Graduate of an accredited school of nursing
• Bachelor’s degree in nursing (required)
• Master’s degree in nursing (preferred)
• Current Michigan R.N. license
• Minimum of three (3) years of experience with collaborative quality initiatives, clinical data registries, and/or core measures

Skills & Abilities

• Skill and proficiency in applying performance improvement principles and concepts
• Advanced communication and interpersonal skills with all levels of internal and external customers, including medical staff, patients, families, clinical personnel, support and technical staff, outside agencies, and community members
• Knowledge of relevant computer software and hardware applications
• Self-motivated, able to work independently, make decisions, and take appropriate action when concerns arise
• Ability to work with sensitive and/or confidential information
• Ability to make effective decisions, exercise judgment, and incorporate problem-solving techniques
• A high degree of professionalism in all interactions

Responsibilities

• Provides oversight for the Collaborative Quality Initiative portion of the BCBSM/BCN Value Partnership Program
• Maintains current knowledge of the CQIs, requirements for participation, annual performance criteria, and Pay-for-Performance program
• Works collaboratively with physician champions, CQI coordinating centers, and outside vendors to ensure goals are met
• Attends collaborative meetings as required
• Participates in/facilitates quality initiative meetings as needed
• Reviews data related to performance measures to identify areas for improvement
• Reports performance improvement data from CQIs and clinical data registries as indicated
• Oversees mandated reporting requirements for Centers for Medicare and Medicaid Services (CMS) Core Measures and Electronic Clinical Quality Measures (eCQMs), including required data submissions for The Joint Commission, if applicable
• Maintains current knowledge of, and compliance to, reporting requirements
• Understands applicable regulations and maintains awareness of current data trends and best practices
• Recommends system changes to improve performance and patient safety where appropriate
• Provides direction and mentorship for quality coordinators and decision support staff responsible for CQIs, clinical data registries, core measures, and eCQMs, including:
  • Participates in recruitment and selection of staff
  • Provides/coordinates staff orientation and development opportunities
  • Meets regularly with assigned staff to provide guidance and support
  • Enables accurate and timely data abstraction by quality staff
  • Supports staff to meet annual performance goals
• Monitors the success of performance improvement and quality activities via key process and outcome variables
• Reports performance improvement data related to Quality Department activities as indicated
• Maintains current knowledge of quality management principles, including data collection and measurement, analysis, improving reliability, engaging stakeholders, project management, and PDSA
• Reviews and updates policies and procedures related to Quality Management activities
• Supports and works collaboratively with members of the Quality Team
• Works closely with E.D.I.S and H.I.T.S. to implement electronic file support of clinical data to reduce the burden of manual data abstraction, analysis, and reporting
• Recognizes and rewards individuals and groups for their efforts in performance improvement and utilization of best practices
• Promotes a non-punitive culture of service excellence, continuous quality improvement, and patient safety
• Performs other duties as assigned, including:
  • Maintaining a current knowledge base of department processes, protocols, and procedures
  • Pursuing self-directed learning and continuing education opportunities
  • Participating on committees, task forces, and work groups as determined by management