Mercy Health Careers

Description

Responsible for clinical data collection, analysis, and reporting. Identifies process improvement opportunities based on clinical information, auditing, and data analysis. Interprets and implements quality assurance standards throughout the organization to ensure quality of care for patients. Reviews quality assurance standards, studies existing hospital policies and procedures, and conducts quality audits and evaluates effectiveness of the quality assurance program. Reviews medical records for quality assurance and evidence based medicine requirements. Conducts concurrent quality assurance reviews and works directly with physicians and clinical staff on process improvement initiatives. Enters clinical indicators and data into appropriate software tools for analysis, reporting, and process improvement. Reviews and validates clinical data/indicators according to evidence based medicine, CMS, the Joint Commission, and insurance payers. Works with multidisciplinary teams to improve organizational performance. Supports physicians and clinical staff for data collection & QI efforts. Coordinates data collection and analysis in support of organizational wide quality initiatives.

Responsible for clinical data collection, analysis, and reporting. Identifies process improvement opportunities based on clinical information, auditing, and data analysis. Interprets and implements quality assurance standards throughout the organization to ensure quality of care for patients. Reviews quality assurance standards, studies existing hospital policies and procedures, and conducts quality audits and evaluates effectiveness of the quality assurance program. Reviews medical records for quality assurance and evidence based medicine requirements. Conducts concurrent quality assurance reviews and works directly with physicians and clinical staff on process improvement initiatives. Enters clinical indicators and data into appropriate software tools for analysis, reporting, and process improvement. Reviews and validates clinical data/indicators according to evidence based medicine, CMS, the Joint Commission, and insurance payers. Works with multidisciplinary teams to improve organizational performance. Supports physicians and clinical staff for data collection & QI efforts. Coordinates data collection and analysis in support of organizational wide quality initiatives.

Required:
1. Licensed to practice as a Registered Nurse in the State of Michigan.
2. A minimum of 3-5 years of nursing in an obstetric acute care setting.
3. Knowledge and proficiency with document development and data analytic software.
Preferred:
1. Experience collecting, analyzing, and managing clinical data and information.
2. Knowledge of process improvement tools and techniques.

5. A minimum of 3-5 years experience managing clinical quality, core measures, and Joint Commission requirements. Understanding for CMS, Joint Commission, and payer abstracting and reporting requirements.
6. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
7. Ability to use business intelligence query tools, computer spreadsheet (Excel), and Access database and other statistical tools at an advanced level.
8. Ability to communicate effectively both orally and in writing. Ability to handle multiple responsibilities and changing priorities.
9. Ability to quickly learn and implement knowledge of new technical processes. Must pay attention to details. Excellent organizational skills.
10. Demonstrated ability to work effectively with medical staff, administration, consultants, and laypersons. Ability to work effectively in a multi-faceted, time-critical work environment.

1. Conducts concurrent quality assurance reviews \u2013 reviews clinical data and compiles, trends, and reports clinical quality data and information to support organizational process improvement requirements - reviews documentation and information to ensure standards of care and care plans are appropriate.
2. Responsible for managing quality assessments and process improvement activities in accordance with hospital policies, Joint Commission standards, CMS, and state/federal laws.
3. Conducts routine/daily medical records reviews of patient clinical information \u2013 coordinates with appropriate clinical staff and physicians with quality of care concerns \u2013 interacts with Case Management and Medical Records/Coders to ensure all evidence based medicine is appropriately provided to patients.
4. Reviews, audits, and monitors compliance with required CMS, Joint Commission requirements. Identifies variances in the quality of care \u2013 trends, analyzes, and interprets clinical performance data - provides appropriate feedback to clinical staff and physicians.
5. Responsible for data abstraction, analysis, collection reporting, and outcomes measures \u2013 provides oversight of the statistical analysis, interpretation, and monitoring of clinical data, and in the design and development of performance improvement reports.
improvement principles and methodologies.
6. Collects, reviews, validates, enters, reports, and distributes clinical data and information to required internal and external customers \u2013 identifies and participates in process improvement initiatives.
7. Exercises discretion and judgment to analyze, interpret, and make decisions on data - requires ongoing assessment planning, implementation, and evaluation of quality improvement initiatives for the organization.
8. Facilitates performance improvement activities and CQI activities throughout the hospitals and acts as resource/consultant for administrative teams, department managers, and medical staff.
9. Coordinates the completion of quality improvement studies - abstracts and validates the receipt of high quality data by active participation and leadership.
10. Designs and regularly distributes quality improvement & safety data and reports - accountable for the monitoring, implementation and evaluation of process and programs to meet regulatory, accreditation and standards of practice.
11. Directs and coordinates the organizations internal and external Clinical Quality, Patient Safety, and Process Improvement data/scorecard through the use of clinically relevant statistical analysis reports, Statistical Process Controls, and identification of process improvement activities.
12. Develop, design, and recommend strategies or activities intended to improve performance in clinical quality, patient safety, and regulatory compliance for all clinical programs for the organization. May directly implement or provide consultation to individual clinical programs in the implementation of improvement strategies.