Quality Improvement Specialist

Description

Summary:

Primary responsibility of this role is to the patient safety and strategic deployment of patient safety initiatives. Plans, implements, and manages patient safety initiatives that decrease risk of safety occurrences based on incident reporting and issues that arise through ongoing monitoring and reporting. Supports patient safety and quality improvement activities designed to identify opportunities and achieve improvements in patient care across the assigned department(s).

Responsibilities:

1. Ensures quality, patient safety and regulatory compliance for assigned clinical department(s).

2. Using process improvement methods, conducts analyses of data to promote increased efficiency, safety, revenue, satisfaction and quality.

3. Coordinates, implements, and evaluates patient safety initiatives and harm-reduction activities for assigned clinical departments. Recommends appropriate actions based on the analysis. Using project management skills, facilitates projects that have major organizational impact.

4. Coordinates all aspects of the Peer Review process and partners with Peer Review Committee Chairs to ensure appropriate case referral and thorough review of patient care.

5. Functions as an expert in the interpretation of Joint Commission, state and federal standards, and ensures adherence with requirements.

6. Promotes safety programs through presentation, staff education and education materials

7. Collaborates with the Patient Safety/Risk Management office to identify risk management issues and opportunities for improvement.

8. Conducts Risk Assessments, Failure Mode and Effects Analyses & Root Cause Analyses to identify ways to reduce threats to patient safety & organizational exposure & works with the identified departments to implement corrective action that minimizes risks.

9. Responsible for patient relation activities as set forth by Site Director of Quality.

10. Conducts research and works with outside agencies on focused research initiatives.

11. Maintains confidentiality of information encountered through job activities.

12. Fulfills all compliance responsibilities related to the position.

13. Performs other duties as assigned.

Other Information:

Required:  Bachelor's Degree with a minimum of 3 years work related experience.

CPHQ preferred.

Desirable: Masters level degree or master's level prepared. 

Working Conditions:

Manual: Some manual skills/motor coord & finger dexterity

Occupational: Little or no potential for occupational risk

Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment: Generally pleasant working conditions

Company: Danbury Hospital

Org Unit: 307

Department: Quality Improvement

Exempt: Yes

Salary Range: $39.21 - $72.83 Hourly