RN - Quality Excellence Leader

Position Purpose

With the changing landscape to a value-based service line, attention to quality across the continuum of care will be imperative. The impact of incentive payment on quality outcomes is increasing. This position will help lead the implementation of quality improvement activities through the development, oversight and coordination of detailed work plans and gap analysis of various internal constituents and external agencies.

This position assists with the analyses, review trends/research and develops new and more efficient approaches to care of the patient population and other populations as needed to maximize impact on operational efficiency, reduce preventable harm, improve incentive reimbursement and population health.

Required Qualifications

• Education: BSN or a health-related degree. MSN or health-related master's degree preferred.
• Experience: Three to five years of quality improvement background. Three to five years experience caring for surgical patients preferred. Knowledge of surgical patient populations. Knowledge of project management.
• Physical and Mental Requirements and Working Conditions: Advanced interpersonal skills necessary to effectively communicate complex theoretical and technical concepts effectively with a wide variety of individuals. Advanced analytical and computer skills in order to manage project work and data. Advanced analytical skills necessary to develop sound recommendations and assist in implementing improved delivery of care systems, policies and procedures, evaluating clinical practice outcomes and developing educational programs. Ability to work with and lead multidisciplinary teams in initiatives to facilitate implementation and measurement activities. Ability to integrate information across myriad settings with the goal of standardization (when appropriate), simplification, and reduction of non-value-added work and steps. Ability to analyze data and draw conclusions or understand other information needed. Ability to clearly communicate in written and oral situations. Independent decision-making skills.
• Skills needed in establishing and maintaining effective working relationships with patients, peers, medical staff and the public. Ability to lead productive committees and meetings.

What you will do

• Cook up and implement an annual quality improvement plan, evaluate the annual plan and needed revisions in policy and procedures and practice related to the plan.
• Develop strategies with teams to ensure patients receive safe and equitable care.
• Cook up and maintain committee agendas and minutes; develop and maintain queue and tracking mechanism to ensure follow up and closure of issues prn.
• Cook up with colleagues in identifying quality of care issues, assist in conducting audits and gap analysis resulting in detailed work plans to achieve compliance through team meetings and workgroups.
• Cook up with appropriate management and staff to ensure timetables are attainable and met.
• Cook up with appropriate departments to assure that all incentive programs are meeting data submission and quality indictor requirements to assure 100% reimbursement of the incentives.
• Educate or collaborate to ensure colleagues and stakeholders are updated on best practices in caring for key populations.
• Respond to requests for data from internal and external sources following developed protocols for release of information.
• Be proficient at the use of computer databases, importing and exporting data, report development and basic statistical analysis.
• Maintain knowledge of current trends in quality improvement and critical care.
• Interact with Trinity Health Service/Physician Enterprise and multiple external resources related to issues of quality.