Adheres to hospital policies including confidentiality; enhances professional growth and development through participation in educational programs; engages and fosters relationships with all levels of staff within the organization; builds strong relationships with team members, faculty and customers; possesses superior time management skills with ability to multi-task and prioritize established timelines and deadlines; ensures on-time completion of deliverables; remains highly organized and skilled at managing numerous details for multiple projects; showcases an open mind to continuous learning and research; practices innovation in process improvement and exhibits passion in the belief of harm prevention and evidence-based practice; maintains optimism and conviction to speak up for quality and safety, showcasing constructive approaches to errors and system improvement opportunities; advocates for the engagement of the family and patient; communicates and demonstrates appropriate customer relation skills with physicians, patients, families, and co-workers; maintains accurate, complete and confidential information utilized in the hospital Quality Assurance and Performance Improvement program; serves as a leader or member of various committees; advises organizational leaders/department heads in planning, monitoring and evaluating activities; provides education/information on Performance Improvement activities to various healthcare audiences on a regular basis; serves as a subject matter expert in the concepts of quality management, performance improvement, and patient/family engagement; possesses ability to accurately process detail-oriented work with advanced problem-solving skills, ability to think quickly and implement plans/structure for accomplishing work, remaining composed under pressure, working in a small, fast-moving and at times, intense environment; anticipates team needs and takes initiative to complete work before being asked; applies strategic planning to address large scale opportunities for improvement with transformational leadership; compiles complex data and analysis of data with statistical analysis to identify opportunities for improvement; understands the principles of human factors and safety and applies them in performance improvement project designs; participates in root cause analysis of sentinel, adverse or near miss occurrences to discern improvement opportunities, as needed; coordinates and promotes initiatives in alignment with the Joint Commission National Patient Safety Goals, reductions or elimination of patient safety indicators of harm, and evidence-based quality initiatives; identifies opportunities for improvement in coding or documentation and initiates improvement strategies; collaborates with staff development to develop staff education related to quality and performance improvement initiatives; plans, collects, organizes and reports QA data for use in the PI program and in external and internal benchmarking programs according to the hospital's PI plan; prepares reports, attends, and presents committee meeting materials; assists the organization in identifying opportunities for improvement; coordinates and/or revises policies and procedures related to evidence-based compliance; facilitates PI activities; collaborates with clinical areas to ensure that care meets evidence-based standards; designs and facilitates revisions or builds in Cerner applications to support evidence-based care; participates in local, state and/or national activities pertaining to evidence-based care; abstracts and enters data into web based software for the quality measures; validates data in the various programs as needed; facilitates/participates in activities to ensure policies/measures/safe practices are being followed; conducts inter-rater reliability audits for the program as indicated; conducts Plan-Do-Study-Act (PDSA) cycles for small, rapid-cycle tests of change; leads performance improvement teams with the science of improvement concepts including lean principles; seeks engagement of all staff, medical staff and residents in performance improvement initiatives; maintains current knowledge of Joint Commission/CMS standards/regulatory requirements; collaborates in development of service line dashboards; communicates and uses appropriate customer relation skills with physicians, patients, families and healthcare team in person and via telephone; communicates relevant aspects of evidence-based standards and compliance to members of the healthcare team and medical staff committees; demonstrates excellent interpersonal verbal skills and writing skills; maintains accurate and complete records through documentation; maintains working knowledge of Microsoft Word, Excel and PowerPoint; uses internet, email, databases, spreadsheets, word processing and presentation programs; accepts and completes all duties positively and without conflict; and cooperates, helps others and improves the performance of the department.
University of South Alabama | Coordinator, Quality and Performance Improvement - H01857
Bachelor's degree in nursing from an accredited institution as approved and accepted by the University of South Alabama, five years professional nursing experience and current licensure with the state of Alabama as a registered nurse.
Formal project management and performance improvement training, such as lean six-sigma required.
Master's degree preferred. Performance improvement experience and certification in healthcare quality (CPHQ) is preferred.
University of South Alabama