Performance Improvement Analyst FT ROC

Universal Health Services; McAllen (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

Universal Health Services seeks a Quality Improvement professional to coordinate a system-wide PI program and participate in Sigma quality projects. You will support CMS core measure data collection, analyze results, and create action plans with stakeholders across STHS facilities.

You will generate monthly core measure reports, conduct staff and physician communications, and assist with meetings and reviews. A strong background in nursing/QI and compliance is essential.

Qualifications

• Bachelor or Associate degree in Nursing, Computer Science, business or health-related field, or 5+ years Quality experience.
• RN license in Texas or compact state, or a temporary Texas RN license may be required.
• BLS upon hire and maintained during employment.
• Strong computer skills: Word, Excel, Access, PowerPoint; familiarity with compliance requirements.

Responsibilities

• Coordinate organization-wide Performance Improvement program.
• Participate in six sigma quality projects and QC functions.
• Perform data collection reviews for CMS core measures across facilities.
• Analyze data and create action plans with stakeholders.
• Generate monthly core measure reports to identify improvements.
• One-to-one contact with nursing staff and physicians for areas of improvement.
• Assist with meeting prep (PowerPoint, packets).
• Perform mortality and other focus reviews and discuss results with committees.
• Promote and coach continuous quality improvement activities.
• Understand UHS Scorecard and linkages to quality studies.

Skills

Communication

Travel

Compliance

Education

Bachelor's in Nursing (RN)

Bachelor/Associate in Computer Science or Business

5+ years Quality experience

Master preferred

Tools

MS Word

Excel

Access

PowerPoint

Job description

Responsibilities

POSITION SUMMARY: Assist in facilitating the coordination of a systematic organization-wide Performance Improvement program, Participate in six sigma quality projects and quality control functions for the STHS. Perform concurrent reviews for data collection of the CMS required core measure indicators at all STHS facilities. Analyze and create action plans in coordination with stakeholders of the core measure data . Generate core measure reports monthly to identify successes and areas for improvement. Perform one-to-one contact with nursing staff and/or physicians associated with the areas for improvement. Assist with meeting preparations such as power point presentations, packet copying/assembly. Perform mortality reviews, quality data check reviews, \"never event\" reviews and other focus reviews as assigned. Be knowledgeable about the results and able to explain the results to committee members. Compose business letters to physicians and other correspondence as it pertains to core measure indicators. Promote the Quality Improvement activities throughout the system by facilitating and coaching continuous improvement activities. Foster the PI process of focus/assess the need, plan/do, measure the success, and evaluate the outcome. Understand the UHS Scorecard and it's linkages to quality studies and measurement.

Qualifications

QUALIFICATIONS:

1. Must have current computer knowledge in word, excel, access, power point; other software specialty knowledge a plus.

2. Strong proficiency in oral and written communication skills (grammar and spelling) necessary for communication with employees, physicians, and guests of the hospital.

3. Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

4. Able to travel to other STHS facilities.

EDUCATION / LICENSURE:

1. Bachelor or Associate degree in Nursing, Bachelor in Computer Science, business, health-related field, or a minimum of 5 years experience in Quality. Master preferred.

2. If bachelor's or Associate in nursing, currently licensed in the State of Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent one.

3. RN will have BLS upon hire (and maintain through employment).

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Authorized by

Corporate Human Resources