Quality Improvement Specialist

CGH Medical Center; United States; On-site; USD 64,000 - 97,000; Full time

Benefits offered by this job

Health and Dental Insurance

IMRF (Illinois Municipal Retirement)

Retirement Fund (457 and 401A)

Flexible Spending

Life Insurance

Disability (Short/Long Term)

Paid Time Off

Tuition Reimbursement/Loan Forgiveness

CGH Day Care Discount

CGH Pharmacy Discount

Employee Assistance Program

Job summary

CGH Medical Center seeks a leader to coordinate organization-wide quality and performance improvement efforts. You will drive initiatives, analyze results for regulatory bodies, and lead teams using RCA, FMEA, and PDSA methods.

The role requires knowledge of healthcare standards, experience with educational programs, and collaboration with medical staff and management to implement best practices.

Qualifications

• Bachelor’s degree in Nursing, Public Health, Health Care Administration, or related field.
• CPHQ or eligibility to sit for CPHQ within 2 years of start date.
• CPHQ certification, Patient Safety/IHI Fellowship or Lean preferred.
• Experience with performance improvement theory and healthcare regulatory standards.
• Experience using Word, PowerPoint, Excel, and EMR systems.

Responsibilities

• Design, manage and execute organization-wide quality and performance improvement initiatives.
• Collect, submit, analyze and report results to regulatory bodies (TJC, CMS, IPT, PSO).
• Lead problem-solving using RCA, FMEA, PDSA and Kaizen events.
• Coordinate external collaborative improvement projects (IHI, IHA, IFQHC).
• Consult with managers and medical staff on KPI outcomes and improvements.
• Develop and deliver educational programs in quality and performance improvement.
• Provide individual or group consultation as requested.
• Report results and action plans to Medical Staff and Board Committees.

Skills

Performance improvement

Quality metrics

Root cause analysis

FMEA

PDSA

Kaizen

KPI analysis

Statistical analysis

Cross-functional collaboration

Education

Bachelor’s degree in Nursing

Bachelor’s degree in Public Health

Bachelor’s degree in Health Care Administration

Tools

Word

PowerPoint

Excel

EMR system

Job description

POSITION PURPOSE

Coordinates and supervises organization-wide performance improvement activities, ensuring regulatory compliance and dissemination of results. Serves as a liaison for performance improvement and patient safety activities between the medical staff, administration, department managers, facilitators and other employees.

ESSENTIAL FUNCTIONS

Responsible for the design, management and execution of initiatives to drive organization wide quality and performance improvement. Responsible for collection, submission, analysis and reporting of results to regulatory bodies including but not limited to: TJC, CMS, IPT, and PSO as assigned by the Director. Leads and facilitates quality and patient safety teams utilizing appropriate problem-solving methodologies including but not limited to; root cause analysis (RCA), Failure, Mode, Effects & Analysis (FMEA), Plan Do Study Act (PDSA), and/or Kaizen events. Coordinates participation, team selection and rapid cycle change through external collaborative improvement projects with organizations such as IHI, IHA, and IFQHC. Consult with department managers and medical staff regarding KPI outcomes, opportunities for improvement and recommended best practice. Develops and implements organization-wide educational programs in quality and performance improvement, including new employee orientation. Provides individual or group consultation as requested. Responsible for reporting results, analysis and action planning to designated Medical Staff and Board Committees. Works effectively and professionally as a team member in conjunction with management staff and other department employees.

SPECIALIZED KNOW-HOW & REQUIREMENTS

Bachelor’s degree in Nursing, Public Health, Health Care Administration, or other healthcare related field required. Healthcare or previous Quality/Process Improvement experience preferred. Certified Professional in Healthcare Quality (CPHQ) or ability to sit for CPHQ exam within 2 years of accepting position required. Certification in Patient Safety, IHI Fellowship, or Lean preferred. Significant body of knowledge in performance improvement theory and statistical analysis as well as general body of knowledge in healthcare regulatory standards preferred. Experience utilizing Word, PowerPoint, Excel, and electronic medical record system preferred.

Compensation Range $64,480.00 - $96,720.00

Available Benefits for Benefit Eligible Positions

• Health and Dental Insurance
• IMRF (Illinois Municipal Retirement Fund)
• Retirement Fund (457 and 401A Plan)
• Medical and Dependent Care Flexible Spending
• Life Insurance
• Short and Long Term Disability
• Optional Insurances
• Paid Time Off
• Tuition Reimbursement and Loan Forgiveness
• Gift Shop Discount
• CGH Day Care Discount
• CGH Dietary Discount
• Employee Assistance Program
• CGH Pharmacy Discount
• CGH Vision Center Discount

Thank you for your interest in a career at CGH Medical Center. Extraordinary care. Extraordinary service. Extraordinary people.

Since 1909, CGH Medical Center has been serving Sterling, Rock Falls and the surrounding communities with exceptional quality healthcare. Through the years, there’s been one constant, the passion of our employees for making a difference. As part of CGH, you’ll join a team that’s focused on delivering the best health care and patient experience for all of the communities we serve. From our hospital and Main Clinic to our 16 outlying clinics, our physicians and employees are dedicated to providing high-quality healthcare to our patients, friends and family with outstanding skill and heartfelt compassion.