Quality Analyst

The Quality Analyst reports to the SEMC Quality Director. They assist will all functions of the quality division including

RCA’s, reporting metrics to governmental agencies and deals with any quality concerns at the hospital. They are

responsible for outreach to all divisions that submit quality metrics. They participate in any onsite Joint Commision, DPH,

or Medicare site visits to assess quality metrics. The Quality analyst participates in the Quality and Safety committee,

wound care committee, Infection control committee, pharmacy and therapeutics committee and ICU committee and any

other committee that reports quality data.

Key Responsibilities

· Reviews, evaluates, designs, and implements tools for quality data analysis, display, and reporting.

· Accountable for designing and communicating valid and reliable data and information concerning the level of

quality compliance of the different SEMC services.

· Assists in the design of interventions to assure compliance with any corrective action plans.

· Seeks input from the Quality Director in implementing interventions and strategies related to quality metrics.

· Tracks data and results for trend analysis, reporting, and identification of opportunities for improvement.

· Identifies, recommends, and assist with implementation of quality improvement initiatives.

· Makes quality status reports for each operational area/department as requested by the Quality Director.

· Acts as an information resource for staff and other departments within SEMC regarding Quality data and

information needs.

· Serves as primary contact for staff with responsibility for documenting compliance with quality requirements.

· Produce Quality Management Department reporting as indicated for Appeals, Grievances, HEDIS, NCQA, and

performance improvement projects. Attends monthly Quality Management Committee meetings as required.

· Actively research literature and/or electronic media for latest healthcare statistics, standards and/or comparison

data, and keeps Quality Management appraised of new and / or relevant changes in any quality metrics.

· Performs other related duties as requested by the Manager of Quality Management and the Chief Medical Officer.

· Adheres to departmental as well as institutional policies and procedures.

· Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment. · Commits to recognize and respect cultural diversity for all customers (internal and external) in accordance with the mission and vision statements.

· Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages.

· Provides superior customer service to internal and external clients, customers, and patients

Required Knowledge & Skills

Analytical skills and the ability to interpret health care data

· Proficient in various information systems and software applications including Meditech, Athena, Quality

Databases.

· Strong working knowledge of Microsoft Office and Excel database software programs.

· Ability to meet deadlines in a timely manner.

· Exceptional documentation skills necessary.

· Self-directed analytical abilities; ability to synthesize data into meaningful information for action.

· Detail oriented with the ability to work independently under limited supervision.

· Ability to read, analyze, and interpret government regulations.

· Strong communication skills with the ability to write reports, business correspondence, and procedure manuals.

· Ability to effectively present information and respond to questions from groups of managers, regulatory agencies,

management and the general public.

· Strong analytical skills with the ability to define problems, collect data, establish facts, and draw valid conclusions

· Strong verbal and written communication skills.

· Exhibits effective interpersonal skills and professionalism.

Education & Licensing

I.Education: Bachelor Science or Business Administration Degree or equivalent experience

II. Experience (Type & Length): Minimum of 2 years related experience in a healthcare organization.

III. Certification/Licensure: Bachelors Degree or equivalent work experience.

IV. Software/Hardware: Strong working knowledge of Excel, and Microsoft Office software packages.