Quality Improvement Specialist - Quality Administration - FT - Day

Stormont-Vail HealthCare; Topeka (KS); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Stormont Vail HealthCare is seeking a Nurse Data Analyst to lead data collection, analysis, and reporting with a focus on improving patient outcomes. The role involves identifying gaps in care, guiding evidence-based improvements, and educating stakeholders on quality measures and processes.

Responsibilities include managing registry data, supporting regulatory programs, and collaborating across hospital and clinic teams to drive performance improvements while ensuring data confidentiality and

Qualifications

• 3 years clinical experience.
• Familiar with MS Office products (Word, Excel, PowerPoint).
• Clinical chart review and abstraction experience preferred.
• Database data entry experience preferred.
• Quality improvement of patient safety knowledge and experience preferred.

Responsibilities

• Analyzes data and conducts in-depth process reviews with stakeholders to identify opportunities to improve quality outcomes.
• Compiles and analyzes data to support quality and performance improvement programs (HACRP, VBP, HQR, etc.).
• Enters information into national registries and databases with accuracy and efficiency, maintains PHI confidentiality.
• Develops and maintains collaboration with clinical and hospital areas, attends relevant meetings, and provides updates on quality improvement outcomes.

Skills

Statistics knowledge

MS Office

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

MS Office

Job description

Position Status:

Full time Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information

Exemption Status: Exempt

A Brief Overview

Responsible for the collection, analysis and reporting of data and the communication of outcomes, gaps in care and opportunities for improvement with a focus on the organizational goals and objectives that lead to improved patient outcomes.

Education Qualifications

• Associate's Degree Nursing. Required
• Bachelor's Degree Nursing. Preferred

Experience Qualifications

• 3 years Clinical experience. Required
• Computer and Internet skills and experience required - familiarity and comfort with MS Office products is essential for success in this position (Word, Excel, and PowerPoint). Required
• Clinical chart review and abstraction experience. Preferred
• Database data entry experience. Preferred
• Quality improvement of patient safety knowledge and experience. Preferred

Skills and Abilities

• Knowledge of statistics. (Preferred proficiency)

Licenses and Certifications

• Registered Nurse - KSBN Required
• Certified Professional In Healthcare Quality - HQCC Preferred

What you will do

Analyzes data, conducts in-depth process reviews with stakeholders to identify opportunities to improve quality outcomes. Identifies challenges and barriers to performance improvement and works collaboratively to find successful solutions. As a subject matter expert, provides evidence based, best practice guidance to facilitate promotion of positive patient outcomes, educates stakeholders on quality measures, gaps in care delivery and opportunities for process improvement (including hospital and clinic staff, physicians, departmental Directors).

Responsible for the compilation and analysis of data which supports quality and performance improvement in order to fulfill regulatory and payer- based commitment. These programs include but are not limited to: the hospital acquired condition reduction program (HACRP) , Value Based Purchasing, Hospital Inpatient Quality Reporting Program, Hospital Outpatient Quality Reporting Program, Ambulatory Surgery Center reporting program, Readmission and Mortality programs, Healthcare Associated Conditions, National Health Safety Network, NSQIP, MBSAQIP, MIPS, BCBS ACO, MSSP ACO and others.

Enters information into national registries and databases as determined by the organization with accuracy and efficiency. Team members assigned to the MBSAQIP registry will review full details of the MBSAQIP standards, complete online initial training as well as ongoing maintenance of training certification, must attend at least two of the three required MBSAQIP meetings one of which must be the annual comprehensive review meeting, retrieves and enters long-term follow-up data on all patients, maintains confidentiality of PHI, and routinely communicates directly with the MBS Director.

Develops and maintains a collaborative relationship with the key clinical and hospital areas associated with the assigned databases, attending relevant meetings, providing updates on quality improvement outcomes, education and support.

Effectively utilizes the hospital medical record system in the concurrent, reliable collection of quality program components.

Utilized exceptional communication skills to convey variances and fallout in quality compliance with members of the hospital and clinic community. Works with staff to conduct root cause analysis to identify underlying issues and opportunities for improvement.

Utilizes organizational skills to maintain efficient and timely workflow.

Participates in interviews/surveys regarding this area of expertise as requested by management.

Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into databases and websites in a timely manner.

Collaborates with leadership to assist with establishing and achieving specific organizational objectives.

Serves as an educational resource by developing educational material and delivering presentations.

Attends conferences and webinars pertaining to the program to stay current and informed.

Required for All Jobs

Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health

Performs other duties as assigned

Patient Facing Options

Position is Not Patient Facing

Remote Work Guidelines

Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.

Stable access to electricity and a minimum of 25mb upload and internet speed.

Dedicate full attention to the job duties and communication with others during working hours.

Adhere to break and attendance schedules agreed upon with supervisor.

Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

Hybrid

Scope

No Supervisory Responsibility

No Budget Responsibility No Budget Responsibility

Physical Demands

Balancing: