Performance Improvement Specialist- Quality and Safety
At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized behavioral health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.
We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.
In support of this, we commit ourselves to the following values:
Full time 40 Hours per week
This position reports to the Director of Quality and Patient Safety. Under the direction of the Director of Quality and Patient Safety, the Performance Improvement Specialist (PI specialist) plays an essential role for managing the development, coordination, implementation and evaluation of quality improvement analytics, patient safety, and process improvement throughout Holy Family Hospital.
The PI Specialist will provide the leadership necessary to achieve national best practice performance levels in quality and patient safety while guiding staff and physicians on how to implement and monitor evidence-based quality and process improvement practices.
The PI Specialist will take a leadership role and work collaboratively with department managers to improve quality metrics, and patient outcomes measured by CMS indicators such as CORE measures, mortality/re-admission data, patient safety indicators, hospital acquired conditions, and patient satisfaction results.
The PI Specialist will:
- Assist with the development and monitoring of corrective action plans and follow up activities to assure compliance with improvement strategies
- Assist with the development and monitoring of corrective action plans for regulatory statements
- Work collaboratively with the Infection Control Practitioner to improve quality metrics, maintain regulatory compliance, and monitor compliance with IC initiatives and corrective action plans
- Maintain outcome data and metrics, both internal and external to the organization, related to quality and patient outcomes
- Prepare reports on quality and patient outcome data to present at quality/leadership/ medical staff committees
- Share the data with clinical managers, the Medical staff and Board.
- Perform Administrative functions to support the hospital wide quality goals as related to clinical patient outcomes.
- Support TJC, DPH, CMS and other regulatory requirements as related to quality and patient outcomes.
- Maintain quality and outcome data and uses the data to identify opportunities for improvement.
- Responsible for activities related to quality improvement and patient outcomes including monitoring coordination of root cause analysis (RCA) action plans
- Monitor corrective action plans for internal RCAs or from regulatory agencies
- Use outcome data to identify opportunities for improvement
- Take a leadership role in working collaboratively with clinical department managers to implement strategies for outcome improvement
- Submit identified cases for departmental peer review
- Create reports for department chair on aggregate peer review data including trends and patterns.
- Utilize outcome data to identify opportunities for improvement and improved patient outcomes
- Work collaboratively with clinical leaders to implement strategies for improvement
- Support hospital wide initiatives to improve patient satisfaction and outcomes
- Use outcome data to identify opportunities for improvement working with clinical leaders to implement strategies for improvement.
- Works toward meeting quality and patient safety goals as they related to CMS value-based purchasing requirements such as CORE measure outcomes, mortality, readmission data, hospital acquired conditions, patient safety indicators and patient satisfaction results.
- Bachelor’s Degree in healthcare related field. Master’s Degree Preferred
- At least 5 years of current experience Performance Improvement; Data Management and Presentation in the clinical setting
- Demonstration of time management, team building, and facilitation skills
- Lean/Six Sigma Certification or Equivalent
- CPHQ Preferred
Important COVID message
Please note, Holy Family hospital is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment - with confidence and without fear. Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence and convenience: Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible. Any COVID-19 related care takes place in designated areas away from other patients and their families. Emergency Departments are reorganized to be a safe place to treat all emergency patients. A stringent cleaning policy has been implemented throughout the hospital. A strictly controlled visitor and masking policy is required for patient safety. You can rest assured that we have made the necessary preparations to provide care in a safe, controlled and professional way.
Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.