Quality Assurance Analyst

WVU Medicine; United States; On-site; USD 85,000 - 120,000; Full time

Job summary

West Virginia University Health System seeks a qualified professional to coordinate the QA/QI, risk management, and HIPAA privacy initiatives across the Mon EMS program. You will collect, analyze, and report EMS data, conduct case reviews, and drive training improvements to reduce errors and improve patient outcomes.

You will work with the Clinical Services leadership to implement evidence-based practices, monitor compliance with WV OEMS standards, and support education programs for staff.

Qualifications

• WV paramedic licensure and NR paramedic certification are required.
• Minimum 2 years as an Advanced Life Support clinician.
• Minimum 2 years MS Office experience with emphasis on Excel and PowerPoint.

Responsibilities

• Review EMS reports for accuracy and policy compliance.
• Conduct case reviews and evaluate 911 communications for protocol adherence.
• Monitor EMS performance and provide feedback from patient care reports.
• Develop QA/QI methodologies and data dashboards for tracking metrics.
• Analyze CAD data to identify trends in response times and resource use.
• Recommend training updates based on report findings.
• Support education and training programs as directed.
• Collaborate with Medical Directors and leadership to improve clinical standards.
• Serve as liaison for clinical concerns and assist in research/data collection.
• Review and update patient care guidelines, policies, and procedures.
• Conduct compliance audits per WV OEMS standards.
• Present indicators to measure quality outcomes and drive initiatives.
• Develop and deliver data analysis services like dashboards and scorecards.
• Investigate sentinel events and patient safety concerns with documentation.
• Maintain HIPAA compliance and data security.
• Produce data reports and infographics for disseminating results.

Skills

Communication

Data analysis

Microsoft Office

Problem solving

Leadership

People management

Organization

Attention to detail

Multitasking

Teamwork

Education

WV paramedic license

Nationally Registered Paramedic

Bachelor’s degree (business, statistics, quality, healthcare)

EMS Instructor certification

Healthcare Quality/Patient Safety certification

Job description

This role is responsible for the day-to-day activities and coordination of an exceptional quality, safety, and compliance program at Mon EMS. Under general supervision of the Director of Clinical Services and the Medical Director, coordinates the collection, evaluation, and dissemination of Emergency Medical Services (EMS) data relative to specified quality assurance and quality improvement (QA/QAI) programs. This is achieved through extracting and analyzing data, building reports, reviewing clinical performance reporting, coordinating, and conducting individual case reviews and investigating incidents. Accountable for fostering a culture of patient and employee safety, continuous improvement, and assist in the systematic implementation of effective practices designed to reduce errors, increase efficiency, and improve patient outcomes. Serve as a resource to leadership and operations to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives. Will have responsibilities in the areas of Risk Management, Corporate Compliance, and HIPAA Privacy as required. and will work closely with other members of the Clinical Services education team to plan and instruct training and enhance clinical care within the organization.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Licensure as a State of West Virginia Paramedic, and certification as a Nationally Registered Paramedic.

EXPERIENCE:

1. Two (2) years of experience as an Advanced Life Support clinician.
2. Two (2) years of Microsoft Office experience, with emphasis on Excel and PowerPoint.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Licensure as a State of West Virginia Paramedic, and certification as a Nationally Registered Emergency Medical Technician AEMT or Paramedic.
2. Bachelor’s Degree, from an accredited college or university in business, statistics, quality, healthcare, or related field.
3. Certification and experience as an EMS Instructor.
4. Patient Safety or Healthcare Quality Certification (or obtained in 2 years)

EXPERIENCE:

1. Three (3) years of demonstrated work experience in managing programs for: QA/QI, risk management, privacy, and safety compliance.
2. Three (3) years of experience as an Advanced Life Support (ALS) provider.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Review reports generated by EMS personnel for accuracy, completeness, and policy & protocol compliance.
2. Conduct case reviews and evaluations of 911 communications for measurement of protocol compliance.
3. Monitor EMS system and personnel performance to provide patient care feedback by reviewing Patient Care reports to ensure correctness and completeness. Follow up with EMS personnel to correct any errors or discrepancies or provide clarification.
4. Recommend and design quality assurance and quality improvement evaluation methodologies.
5. Analyzes Computer-Aided Dispatch (CAD) data to determine trends in response time and resource utilization.
6. Recommend updates to training for individual personnel or entire department based on report reviews.
7. Support and assist with initial and continuing education, new hire classes, and other education or training programs as directed.
8. Collaborates with Medical Directors and Mon EMS leadership to make recommendations for clinical remediation and/or improvements in clinical standards of practice.
9. Liaison and point of contact for customer concerns regarding clinical matters.
10. Assists in research including data collection and written reporting.
11. Review and recommend patient care guidelines, policies, and operational procedures.
12. Conduct compliance audits for the organization to test compliance with established laws, regulations, company policies, and managerial guidelines pertaining to WV OEMS standards of care
13. Present evidence-based indicators and standards to measure, assess and improve quality patient outcomes and works collaboratively with Mon EMS leadership to approve and implement these initiatives.
14. Develop, support and deliver data analysis and services such as dashboards, scorecards and reports, to measure and trend key quality metrics, performance improvement initiatives, and support regulatory reporting requirements.
15. Investigate sentinel events, patient safety concerns, complaints, and deficiencies in standards of care, including maintaining documentation of QI investigations at the direction of the Director, Clinical Services or Mon EMS Medical Director and make recommendations for post-investigation actions to the organization
16. Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state, and federal regulations.
17. Performs data collection and analysis, to include developing reports, charts, and infographics to share data.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Physical Ability - Tasks require the regular and, at times, sustained performance of moderately physically demanding work, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and that may involve the lifting, carrying, pushing, and/or pulling of heavy objects and materials.
2. Sensory Ability - Some tasks require the ability to perceive and discriminate colors or shades of colors, sounds, odor, depth, texture, and visual cues or signals. Some tasks require the ability to communicate orally.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Essential functions are regularly performed without exposure to adverse environmental conditions; performance of functions in the field may require exposure to adverse environmental conditions, such as dirt, dust, pollen, odors, wetness, humidity, rain, fumes, smoke, temperature and noise extremes, hazardous materials, fire, unsafe structures, heights, confined spaces, machinery, vibrations, electric currents, traffic hazards, bright/dim lights, toxic agents, human bites, explosives, water hazards, violence, disease, pathogenic substances, or rude/irate people.

SKILLS AND ABILITIES:

1. Ability to effectively communicate verbally and in writing.
2. Ability to read, understand, curate, and analyze data.
3. Ability to utilize computing systems that are required for essential job functions.
4. Reliable and self-motivated.
5. Ability to understand and solve complex problems.
6. Ability to lead groups and projects with ease.
7. People management skills.
8. Exceptional organizational skills with a high attention to detail.
9. Flexibility and ability to work on multiple projects.
10. High degree of proficiency in Microsoft Office Suite, Outlook, and Internet applications.
11. Unencumbered ability to work legally in a healthcare setting in the State of WV and be following all Federal, State, and Local statutes, rules, and regulations.
12. Ability to function effectively as a team member and work cooperatively and collaboratively in order to commit to an. Achieve common goals. Able to lead small groups of employees effectively. Contributes to building a positive team spirit and morale, striving to enhance working relationships always.
13. Provides and welcomes constructive feedback despite any conflict between individuals, and provides support to team members, placing success of team above own interests.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

AHS LLC AHS LLC

Cost Center:

4851 AHS LLC EMS Monongalia

Address:

801 J D Anderson Drive

Morgantown

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively “WVUHS”) is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.