Senior Quality & Patient Safety Improvement Consultant

NALHE; Sacramento (CA); On-site; USD 110,000 - 140,000; Full time

Job summary

NALHE in Sacramento seeks a Quality Improvement Specialist to provide consultation and education on clinical quality, patient safety, accreditation and licensing, risk management, and infection prevention and control.

The role involves evaluating and implementing evidence-based guidelines to reduce practice variation and optimize patient outcomes, and preparing for regulatory reviews through data collection and interpretation.

Responsibilities

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies.
• Develops and implements data collection and analyses to support quality improvement efforts by: conducting advanced statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review; investigating opportunities to improve the reporting and narrative summaries of improvements by integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports in a format which enables care providers to see variations in practice patterns; presenting quality improvement metric reports to demonstrate improvements and effectiveness of quality improvement programs to department and program managers; and serving as a technical expert to team members, supervisor, and key stakeholders by interpreting trends, potential errors, and other analyses, by assisting in problem resolution for data source analysis, and by advising on the application of results.
• Supports in-depth and advanced quality improvement and improvement risk management efforts by: researching corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact on department functioning; ensuring process improvements are compliant with established internal and external regulation requirements at the local and state level; conducting complex root cause analysis, failure mode and effect analysis, and other assessments in response to significant events near misses, and good catches in order to identify areas of improvement and evaluate newly internalized processes and programs; and proactively escalating high-risk issues and trends to appropriate entity for resolutions.
• Investigates opportunities to develop new and improve current quality improvement performance metrics development, collection, and utilization by: researching and recommending best practices in the development of performance metrics, standards, and methods to establish improvement success; consulting with multiple stakeholders, often with competing/conflicting objectives, to ensure development of cohesive and reachable metrics are practical, meet multidisciplinary standards, and are approved at the department level; and designing the delivery of measurable results and alignment with strategic objectives by integrating metric utilization into workflows with sound methodology.
• Facilitates the development of quality improvement initiatives by: leveraging and implementing advanced technology, methods, and tools to develop stakeholders capabilities for process improvements; monitoring the use of data-driven improvement principles, tools, and problem-solving methods, including Lean/Six-Sigma concepts and techniques using quality improvement metrics; and synthesizes key information and works to break down issues into logical part for the creation of milestones, detailed workplans, and documentation practices in order to create a clear, logical, and realistic plan.
• Serves as the subject matter expert for quality improvement processes and regulations for internal and external stakeholders by: providing consultation independently on the interpretation and interaction of current policies, and how they interact with the current climate, and potential changes to regulations and legislation; serving as a technical advisor on committees, projects to drive discussions on drawing guidelines on the enforcement, development of policies or procedures of regulations and auditing processes; fostering collaborative, results oriented partnerships to ensure compliance with regulations and improve patient safety, maintain the KP safety culture, reporting accuracy, and health outcomes and provides insight to the regulation climate; developing educational programs to raise awareness for changes in regulation requirement, internal concerns, and system/database usage; and anticipating issues and weighs practical and technical considerations in addressing issues and co
• Develops stakeholder development and quality performance review processes by: developing and improving the utilization and performance reviews processes by utilizing multidisciplinary criteria and guidelines, and takes a systematic approach to quality improvement; identifying performance areas of improvement for at the program, provides feedback and coaching as needed, and develops a corrective plan; presenting performance review reports at the program level to department managers; and developing the curriculum for training and educational programs related to process improvement for quality improvement programs.

Job description

NALHE in Sacramento seeks a Quality Improvement Specialist to provide consultation and education on clinical quality, patient safety, accreditation and licensing, risk management, and infection prevention and control.

The role involves evaluating and implementing evidence-based guidelines to reduce practice variation and optimize patient outcomes, and preparing for regulatory reviews through data collection and interpretation.