Description
Responsible for the organization-wide quality/performance improvement activities designed to improve patient outcomes and patient safety, in support of the hospital Performance Improvement Program. This role works closely with Medical Staff leadership on providing accurate clinical summaries, data trending, reports, and analyzes. Supports the Medical Staff Peer Review Committee functions and the flow of information to Medical Staff groups and hospital departments. Performs chart reviews and abstracts data for quality and patient safety initiatives, such as core and quality measures, to determine compliance Federal and State regulatory requirements and Joint Commission standards. Collects, aggregates, analyzes, and reviews data for improvement opportunities. Provides evaluation, updating and assuring hospital adherence to established and newly implemented policies and procedures from recognized regulatory agencies. Works closely with the organized medical staff to fulfill their responsibilities of maintaining the quality of patient outcomes. Collaborates with coworkers, staff, hospital leaders, and Medical Staff to achieve compliance and improvement with hospital initiatives.
Minimum Education: Bachelor's Degree Nursing. Minimum Experience: 5 years Clinical experience is required with a preference for medical/surgical or critical care focus. Required Certifications: Registered Nurse - RN (CA Board of Registered Nursing) Preferred Experience: 2 years Quality/Performance Improvement experience. Preferred Certifications: Certified Professional in Healthcare Quality - CPHQ (NAHQ)
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