Senior Quality Analytics Coordinator - QIP - Fulltime - Days
Description
Division: Quality and Resource Management |
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Job Title: Senior (Sr.) Quality Analytics Coordinator | Job Code: 12H | |
Position Summary | The Senior Quality Analytics Coordinator is responsible for timely and accurate data and reporting for high impact, organization-wide quality incentive programs. This role serves as the technical expert on nationally recognized quality measures (HEDIS, eCQM, CMS Core Set, NCQA, etc.) and closely collaborates with Information Systems (IS) to ensure that data and reporting meet technical specifications and program requirements. Collaborates with IS and operational leadership to ensure front line clinical workflows collect information necessary for reporting. Collaborates with outside organizations to acquire and integrate outside data as needed for quality reporting. Serves as a quality measure steward advising on improvement strategies to maximize performance. Leads statistical analyses and outcome measurement activities. Provides guidance to others on measurement and analysis activities. Participates in regulatory audits for quality measurement validation. Maintains expertise in quality measurement trends at the national and state level.
In addition to performing the essential functions listed below, may also be assigned other duties as required. | |
Statement of Accountability | Reports to: QIP Program Manager
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JOB DESCRIPTIONS SR. QUALITY ANALYTICS COORDINATOR
Qualifications
Specify if qualifications are Required or Preferred | 1. Bachelor Degree in health or data science related field required. 2. Master’s Degree in Health Care Administration, Public Health, Public Administration, Data Science, or a related field preferred. 3. Experience in the interpretation and technical application of standardized health care quality measurement methodologies (HEDIS, eCQM, CMS Core Set, NCQA, etc.) required. Experience leading these efforts, preferred. 4. Five years of experience in health care quality measurement or quantitative analysis required. 5. Experience with Epic application build, Slicer-Dicer, and Reporting Workbench preferred. 6. Experience managing multiple data and/or quality projects simultaneously required. 7. Certified Professional in HealthCare Quality (CPHQ) preferred. 8. Experience in data management and advanced data analysis required. 9. Ability to express technical information to audiences of varying educational and clinical backgrounds in an understandable manner. |
JOB DESCRIPTIONS SR. QUALITY ANALYTICS COORDINATOR
Job Description:Page 1
Sr. Quality Analytics Coordinator
Essential Job Responsibilities | |
Achieving ResultsKey Components: assess, plan, evaluate, demonstrate initiative, quality of work, productivity | 1. Responsible for timely and accurate quality reporting for high impact, value-based, quality incentive programs in inpatient and outpatient healthcare delivery settings. 2. Leads the development, and ongoing maintenance, of quality reporting that adheres to standardized quality measurement specifications (HEDIS, CMS, eCQM, CMS Core Set, NCQA, etc.). 3. Serves as a quality measure steward for the QIP Program, and quality improvement leaders and staff, providing technical expertise in the interpretation and implementation of nationally recognized quality measurement methodologies (HEDIS, CMS, eCQM, CMS Core Set, NCQA, etc.). 4. Evaluates quality measure technical specifications and provides guidance to IS on accurate report development. 5. Lead and conducts extensive data validation through various mechanisms to ensure data integrity. 6. Effectively translates complex technical measure specifications to various audiences including clinical and administrative staff. 7. Collaborates with outside organizations (Managed Care Plans, County Health Departments, State Agencies, etc.) to obtain and share data as required for quality measurement and reporting. 8. Works with IS to effectively integrate outside data sources into quality reporting as needed. 9. Advises on use of quality measures and performance improvement strategies to maximize performance. 10. Develops and/or collaborates with IS to develop meaningful data visualizations to monitor metric performance, including quality dashboards. 11. Develops standardized processes, tools, and templates for internal reporting and analytics to support quality and process improvement. 12. Provides analytical and technical support to teams as needed for advanced analysis activities. 13. Leads and conducts statistical and data analysis and outcome measurement activities. |
Demonstrates SkillKey Components: competency, job knowledge, organizational skills, analytical skill, management of information, employee & patient safety
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Planning & Coordinating Key Components: delegates, decision making, problem solving, management of resources |
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ProfessionalismKey Components: dependability, interpersonal skills, teamwork, patient first ethic, customer service, communication skills, punctuality/attendance, receptiveness to criticism, judgment, confidentiality |
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Improving the Organization Key Components: performance improvement, quality initiatives |
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Self-DevelopmentKey Components: maintain license/certification, education and training |
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Regulatory Compliance Key Components: JCAHO, Title 22, OIG, HIPAA, State/Federal laws, hospital policies |
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Prepared by: | Sabrina B. Valade | Date: | 07/31/23 | ||||
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JOB DESCRIPTION: SR. QUALITY ANALYTICS COORDINATOR
Page 1
Physical Requirements
Job #: Job Title: Senior (Sr.) Quality Analytics Coordinator
- Physical Activities – General description. Show average time (0 – 8 hours) per workday.
a. Sitting: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
b. Walking: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
c. Standing: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
d. Bending: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
e. Squat, kneel, None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs) crawl:
- Weight lifted / force exerted. Show average time (0 – 8 hours) per workday:
a. 0 -25 lbs. (light): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
b. 26 - 50 lbs. (med): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
c. 51 + lbs. (heavy): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
d. Describe type of activity: Pushing/Pulling Reaching above shoulder level Lifting Carrying.
e. Details of heaviest item/activity:
- Repetitive use of hands. Show average (0 – 8 hours) / workday:
a. Both hands: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
b. Dominant only: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs))
c. Dexterity: Simple grasping Power grasping Fine manipulation.
Describe any special activity:
- Repetitive use of feet (other than walking/standing), i.e. foot control. Show average time (0 – 8 hours) workday:
a. Right Left Both None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)
Describe any special activity:
- Vision requirements: Basic Vision Requirements; including Close Vision (clear vision at 20 inches or less) and Distance Vision (clear at 20 feet or more).
Specific Vision Requirements:
a. Color Vision (ability to identify and distinguish colors)
b. Peripheral Vision (ability to observe up/down or left/right while eyes are fixed on a given point)
c. Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships)
Describe any special vision requirement:
- Hearing requirements: Basic Hearing Requirements; including ability to hear alarms and pages, ability to hear communications, requests or instructions from patients, staff or public.
Describe any special hearing requirement:
- Work Environment - This job requires exposure to the following environmental conditions:
a. Blood or body fluids e. Toxic or caustic chemicalsi. Electrical shock risk.
b. Wet, humid conditions (non-weather) f. Outdoor weather conditionsj. Risk of radiation
c. Work near moving mechanical parts g. Extreme cold (non-weather)k. Vibration
d. Fumes or airborne particles h. Extreme heat (non-weather)
i. Noise level for work environment is: Very Quiet Quiet Moderate Loud Very Loud
- Other (if applicable):
JOB DESCRIPTION: SR.QUALITY ANALTYICS COORDINATOR
Job Description:Page 1
Sr. Quality Analytics Coordinator
Job Hazard Analysis
Department: PRIME 8515 Job Code: Sr. Quality Analytics Coordinator
Hazards Which May Be Encountered | Injury | Methods To Prevent Injuries |
Lifting Objects/Patients | Back Injuries
Hernias | Understand A&P of back, causes of back pain, preventive approaches, use of aids when lifting.
Preventive measures when lifting and use aids when lifting. |
Slip/Trip/Falls | Contusions, Sprains, Strains | Avoid undue speed. Use handrails. Clean up spills immediately. |
Possible Falls | Contusions, Fractures | Employees often must use ladders and do some climbing as part of their job. Employees should never use ladders in need of repair. Employees should follow safety procedures as outlined in department. |
Fires & Natural Disasters | Burns & All Types of Injuries | Recognize possible causes of fires. Smoking materials, faulty equipment. Employees should educate patients. Compressed gasses are flammable & under pressure so must be handled with care. Workers need to be familiar with disaster plans and know exit routes. |
Electrical Hazards | Shocks & Burns | Be aware of unsafe equipment and appliances. Complete electrical safety training and seek assistance if any unsafe areas are noted. |
Assaults | Minor Injury to Death | Employees need to be cognizant to potential dangers to ensure safety. Awareness of existing security measures and defensive behavior can protect employee from assaults. |
Needles & Sharps | Cuts, Punctures, Lacerations | Sharps should be discarded in designated containers. Employees should exam & handle soiled linens & similar items as if they contained hazardous items. |
Obstacles & Broken Objects | Abrasions, Contusions, and Lacerations | Arrange furniture to allow free movement about the room. Keep doors & drawers closed when not in use. Clean/discard broken objects properly (i.e. broken glass should be swept up - not picked up with fingers). |
Possible Exposures to Infections Hepatitis/Tuberculosis/Cytomegalovirus/Varicella/AIDS/Herpes/Staph Infections, Lice/Scabies/Rubeola | Infection | Use Infection Control procedures as defined in Infection Control manual. These include handwashing, protective clothing, knowing the risks. Label linens and wastes properly. |
Latex | Dermatitis to death | Alert supervisor if you feel that you are allergic to latex materials. Use non-latex gloves for sterile procedures. |
Soaps, Detergents, Cleaning Solutions | Dermatitis | Follow Departmental procedures. Protective clothing is available if Dept. is unable to substitute agents that do not cause dermatitis. |
Possible exposure to radiation | Sterility, Cancer, Shortened Life Expectancy | When appropriate, employees should wear film badges (they are monitored routinely) and use lead aprons, gloves, or shields. |
Possible Exposure to Chemotherapeutic Agents
| Refer to HazMat Binder | Be aware of procedure for chemo spills. |
Possible exposure to acids & other chemicals used within the hospital | Refer to MSDS's | Employees should follow procedures as explained in their department Hazardous Material training and refer to MSDS's before using/handling any chemical. Follow procedures and do not use any chemical without proper labeling. |
Possible Chemical Exposure | Refer to MSDS's | Employees work with a variety of chemicals within the lab setting. Employees receive training upon hire and also are expected to review the Chemical Safety Plan yearly. Employees are expected to follow safe working procedures as instructed. |
Exposure to Chemical Agents | Burns
Irritations
Burns & Irritations | Ammonia solution is frequently used as cleaning agent and the gas is used as a refrigerant. Gloves should be worn and other precautions as described in training and MSDS.
Chlorine solutions are often used as disinfectants. Gloves should be worn and other precautions as described in training and MSDS.
Drain cleaners are often used and splashing may occur. Protective clothing should be used and other precautions as described in training and MSDS. |
Exposure Microwave Radiation | Radiation Effects | Doors may not close completely due to: hinges & catches may loosen; spilled food; if interlock system fails. Regular maintenance is done but employees should report any problems & clean all spills. |
Possible Heat Stress | Weakness, Nausea, Dizziness | Employees need to be aware of symptoms and the need for water consumption. |
Possible injuries due to Improper Storage | All types of injuries | Employees should follow safety procedures of fuel & Cylinders of Oxidizing Gas as outlined in their department. |
Possible exposure to Waste Anesthetic Gases | Health Effects per MSDS's | Employees should be cognizant of hazards of anestetic gases and follow procedures as outlined and trained in their department. |
Ergonomic Problems
| Wide Variety of Musculoskeletal nervous disorders | Body mechanics, positioning of equipment/furniture and repetitive actions can cause employees to experience a variety of physical problems. Employees should follow safe body mechanics as described in hospital education. Employees are encouraged to seek assistance from their supervisor if they feel a task is causing them to experience physical problems. Work site evaluation may be indicated and this should be discussed with manager. |
Exposure to Video Display Terminals | Eye strain & stress in addition to ergonomic complaints | It is unknown if significant visual dysfunction results from long-term use of VDT's. Problems may be controlled with control of lighting and glare, the color contrast, and workers should have adequately corrected vision. Employees should seek assistance from their supervisor if they feel VDT is causing problems for them.
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Potential Hazards from Office Work | Variety Musculoskeletal | Employees need to be cognizant of potential dangers to ensure safety. Each Dept. provides office safety classes to alert employees to potential dangers. |
JOB DESCRIPTION: SR QUALITY ANALYTICS COORDINATOR
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