Clinical Quality Consultant

TriHealth; Cincinnati (OH); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Retirement contributions

Paid time off

Tuition assistance

Wellness resources

Job summary

TriHealth seeks a Clinical Quality Specialist to collaborate with Medical Staff, Nursing leadership, and service line chiefs to advance quality improvement initiatives and enhance patient outcomes across NICU, Labor & Delivery, AOC, and MBU. The role collects and analyzes clinical data, identifies care issues, and leads or supports QA projects while supporting Joint Commission accreditation efforts.

The position partners with OB physician teams on QI initiatives, presents findings at staff

Qualifications

• Bachelor's degree in Nursing or Health Administration or related field.
• 3–4 years of clinical nursing experience in a specialty relevant to patient care.
• 3–4 years of nursing experience in quality improvement and medical peer review in a healthcare setting.
• Knowledge of quality assessment and improvement techniques, including medical chart reviews.
• Excellent communication and customer service skills; experience in data analysis and statistical reporting.

Responsibilities

• Organizes and staffs clinical quality meetings and ensures quality assurance/improvement with Joint Commission and accrediting bodies.
• Facilitates organization-wide quality strategies including process improvement and data analysis; prepares reports from QA databases.
• Disseminates legal guidance for system-wide peer review alignment and updates workflows accordingly.
• Collaborates with Medical Staff to perform physician peer review (FPPE and OPPE) and initiates corrective actions as needed.
• Prepares and presents quality narratives and statistics for Medical and Administrative Staff; analyzes trend data by practitioner/service line.
• Works with Healthcare Team to measure and analyze patient care services and supports problem identification and resolution.

Skills

Communication

Customer service

Data analysis

Statistical reporting

Quality improvement

Education

Bachelor's degree in Nursing or Health Administration or related field

Tools

Excel

Word

PowerPoint

Job description

Job Overview:

As the Clinical Quality Specialist at TriHealth collaboratively with Medical Staff Department/Section Chairs, Service Line System Chiefs, physician/practitioner teams, and Nursing leadership to develop and support quality improvement (QI) initiatives aimed at improving patient outcomes and care delivery. The role collects and analyzes clinical data, identifies and evaluates patient care issues, and leads or supports QI projects across areas including the NICU, Labor & Delivery, AOC, and MBU. It facilitates peer review of clinical performance through QA Committees and supports Professional Practice Evaluation activities to meet Joint Commission accreditation requirements. The position also partners with CCHMC and OB physician teams on quality improvement initiatives, presents QI findings and updates at staff meetings, and supports root cause analyses, apparent cause analyses, and other patient safety activities.

Benefits Snapshot

TriHealth offers a comprehensive benefits suite including medical, dental, vision, retirement contributions, paid time off, tuition assistance, and wellness resources.

Learn more: https://careers.trihealth.com/what-we-offer/benefits

Job Requirements:

• Bachelor's Degree in Nursing or Bachelor's Degree in Health Administration, other related field (Required)


• 3 - 4 years experience Clinical in Nursing in specialty area of patient care relevant to the assignment and other extensive clinical, medical/surgical, or critical care experience (Required)


• 3 - 4 years experience Nursing in Quality Improvement and Medical Peer Review in a Healthcare setting (Required)


• Knowledge in field of specialty


• Knowledge of quality assessment, quality improvement techniques, i.e., medical chart review


• Excellent communication and customer service skills Experience in Data Analysis and Statistical Reporting


• Registered Nurse

Job Responsibilities:

• Organizes and staffs all assigned clinical quality meetings and demonstrates knowledge of and assists with implementation of policies and procedures for quality assurance and improvement of TriHealth to assure compliance with requirements of The Joint Commission (TJC), other accrediting agencies and regulatory bodies. Facilitates organization-wide quality structure and strategies including process improvement, development, data analysis, and report preparation from the following databases: TJC, Centers for Medicaid and Medicare Services (CMS), Core Measures, American College of Cardiology (ACC), Society of Thoracic Surgeons (STS), Health Data Management (HDM), and Vizient.


• Assumes an active role for the dissemination of legal guidance and directives for system-wide alignment relative to peer review activities. Incorporates changes as needed to workflow designs, reducing system vulnerability through deliberate communication cascades and implementation of processes / practices throughout local department / section levels, including QA Committees.


• Collaborates with Medical Staff to perform physician peer review including FPPE and OPPE reviews in strict accordance with the established guidelines (TH and Joint Commission). Identifies trends and utilizes a proactive approach in notifying all Chairs for further follow-up and direction. Provides a summary incorporating assessment and analysis of FPPE findings and initiates appropriate corrective action. Reviews and evaluates patients' medical records and applies quality measures/criteria and utilizes hospital approved tools. Screens cases using clinical expertise and recommends referral for organized physician peer review. Provides necessary and appropriate follow through.


• Formally prepares and presents quality narrative and statistical reports in a clear and objective format for the Medical and Administrative Staff (as required). Analyzes and validates quality outcome data and reports trends by practitioner, service line, or procedure. Proficiantly uses data systems, and skills with applications such as Excel, Word, and PowerPoint, and effective report development.


• Acts as staff and/or participating member of various Specialty Quality Committees; responsibilities may include agenda planning/meeting organization, coordinating follow-up as directed, and assisting in the development of methods/tools and/or process for implementing projects/programs that have the potential to positively impact the quality of patient care.


• Works collaboratively with other healthcare providers and ancillary services as part of the Healthcare Team to provide the necessary effective measurement and analysis of the patient care services received. Effectively communicates and responds to requests in a timely manner to support efforts aimed at problem identification and effective resolution. Understands the roles and responsibilities of the key players, quality champions, and customers. Serves as a source of knowledge for area of expertise. Adapts traditional methodologies within a changing business environment. Collaborates professionally with staff and agencies.


• Indirect Report FTE's = 3-9

Working Conditions:

Bending -
Climbing - Rarely
Concentrating - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Interpersonal Communication -
Kneeling - Occasionally
Lifting <10 Lbs. - Frequently
Lifting 50+ Lbs. - Occasionally
Lifting <50 Lbs. - Occasionally
Pulling - Occasionally
Pushing - Occasionally
Reaching - Occasionally
Reading - Consistently
Sitting - Consistently
Standing - Occasionally
Stooping - Occasionally
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands -
Color Vision - Consistently
Visual Acuity: Far - Consistently
Visual Acuity: Near - Consistently
Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS...
Welcome everyone by making eye contact, greeting with a smile, and saying \"hello\"
Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...
Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
Offer patients and guests priority when waiting (lines, elevators)
Work on improving quality, safety, and service

Respect: ALWAYS...
Respect cultural and spiritual differences and honor individual preferences.
Respect everyone's opinion and contribution, regardless of title/role.
Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...
Value the time of others by striving to be on time, prepared and actively participating.
Pick up trash, ensuring the physical environment is clean and safe.
Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...
Acknowledge wins and frequently thank team members and others for contributions.
Show courtesy and compassion with customers, team members and the community