Quality Improvement Specialist

Saint Joseph's Medical Center/St. Vincent's Hospital Westchester Division; City of Yonkers (NY); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Dental Insurance

Retirement Plan

PTO

Job summary

Saint Joseph's Medical Center in Yonkers, NY seeks a Quality Improvement Specialist to implement the Performance Improvement plan under the Director of Quality Improvement. You will design data collection, run audits, and lead improvement teams to meet clinical quality goals.

The role emphasizes data-driven decisions, regulatory compliance, and collaboration with cross-functional teams to enhance patient care and outcomes.

Qualifications

• Bachelor’s Degree or commensurate experience.
• Registered Nurse in New York State required.
• Master’s Degree in Healthcare preferred.
• Current certification as CPHQ preferred.
• Expertise in Microsoft Office including Excel and PowerPoint.
• Familiarity with hospital operations and regulatory requirements.

Responsibilities

• Assist with data abstraction of Stroke cases and reports using the Stroke database.
• Facilitate Stroke Committee performance improvement initiatives and ensure NYS and Joint Commission compliance.
• Conduct monthly prevalence studies for pressure injuries and restraints; identify improvement opportunities.
• Perform audits of clinical staff, medical records, and patient interviews.
• Lead multidisciplinary improvement teams as needed to reach quality goals.
• Collect, measure, and analyze data for organizational and regulatory metrics.
• Present data to committees and leadership for informed actions.
• Represent the organization in community interactions as required.
• Improve patient experience through data analysis and initiatives.

Skills

Data abstraction

Statistical concepts

Microsoft Excel

PowerPoint

Analytical thinking

Education

Bachelor’s Degree

Registered Nurse in NYS

Master’s Degree in Healthcare

CPHQ certification

Tools

Get with the Guidelines Stroke Database

Job description

Under the direction of the Director of Quality Improvement, the Quality Improvement Specialist is responsible for implementing the organization’s Performance Improvement plan. Primary responsibility for designing and implementing accurate data collection and audit strategies to meet the goals of performance improvement projects. Responsible for meaningful aggregation of data using appropriate performance improvement tools and methodologies and implementing and facilitating appropriate interventions to meet quality goals. Promotes a culture that is positive, that values individual strengths, and is committed to optimal patient care, and compliance with regulatory standards.

Saint Joseph's Medical Center

• 1) Medical and Dental Insurances
• 2) Retirement Plan
• 3) PTO
• 5) and more!

Key responsibilities include:

• Assists with data abstraction of all Stroke cases and compilation of reports using Get with the Guidelines Stroke Database. Facilitates the Stroke Committee performance improvement initiatives and facilitates ongoing compliance with New York State and Joint Commission Stroke requirements. Attend Code Gray events and assist in debriefing post event as required.
• Facilitates and conducts monthly pressure injury and restraint prevalence studies in accordance with the National Database of Nursing Quality Indicators methodology. Analyzes prevalence study results and identify improvement opportunities.
• Conducts focused audits as directed which may include direct observation of clinical staff, review of medical record information, or patient interview.
• Facilitate and meet analytic needs for improvement projects/initiatives. Supports the department in development of problem charter and selection of the best tools for data analysis. Working knowledge of basic statistical concepts and improvement tools and techniques.
• Lead and/or facilitate complex multidisciplinary improvement teams as needed to achieve quality and performance improvement goals.
• Responsible for data collection, measurement, and analysis for organizational, federal and state quality metrics.
• Conduct focused audits of compliance with regulatory standards (CMS, TJC, and NYS) as directed.
• Create and present data needed for evaluation and appropriate action by committees, leadership, and quality improvement teams.
• Represents the organization within and external to the community when required.
• Assist in improving patient experience through analysis of data and implementation of initiatives to improve performance.

Requirements:

• Bachelor’s Degree or commensurate experience required.
• Registered Nurse in New York State required
• Master’s Degree in Healthcare specialty preferred
• Current certification as CPHQ preferred.
• Expertise in Microsoft office products including PowerPoint and Microsoft Excel.
• Familiarity with health care clinical operations and processes in an acute care hospital setting.
• Familiarity with regulatory requirements as related to hospital setting.