Quality Improvement Specialist

Summary

Position Summary
The Quality Improvement Specialist is responsible for managing, reporting and supporting performance improvement activities hospital-wide.  

Essential Duties

1. Collaborates with leadership to prioritize improvement activities based on strategic goals and objectives.
2. Aligns projects to meet strategic objectives and goals to improve efficiencies, patient safety and quality.
3. Initiates and oversees performance improvement initiatives in collaboration with clinical managers, team leaders and departments. Serves as a resource and facilitates improvement teams to plan, implement and coordinate activities to maximize clinical and operational outcomes.
4. Collaborates with the hospital’s leadership and staff to identify and address patient safety related issues such as adverse events and occurrences. 
5. Oversees hospital compliance with regulatory agencies (CMS and Joint Commission) by managing all survey activities, data collection and reporting requirements.
6. Serves as a resource for CMS and Joint Commission requirements as well as performance improvement methodologies throughout the facility.
7. Manages ongoing assessment of performance, analyzes clinical outcome data and identifies opportunities for improvement. Conducts high level assessments and data analysis for clinical decision making.
8. Manages data extraction by providing and analyzing data including trend analysis. This involves the use of various clinical information systems to ensure the accurate and timely use of data in order to drive quality and patient safety. Findings are presented to managers, directors, physicians and other hospital personnel.
9. Ensures all implementation of improvement activities is aligned with evidence based clinical practices and guidelines and in compliance with the requirements of regulatory and accrediting agencies which include Joint Commission, CMS and the State.

Other Duties
None

Competencies

1. Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health. 
2. Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
3. Business Acumen: Using economic, financial, market, and industry data to understand and improve business results; using one’s understanding of major business functions, industry trends, and own organization’s position to contribute to effective business strategies and tactics.
4. Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
5. Managing Work and Time/Project Management: Effectively managing one’s time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e., budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.
6. Peer Relationships: Interacts with others in a constructive, positive, and respectful manner, regardless of individual differences. Assists team members or co-workers in achieving personal goals and completing assignments.

Supervisory or Managerial Responsibility
None

Travel
None

Core Values

1. Be available to work as scheduled and report to work on time.
2. Be willing to accept supervision and work well with others.
3. Be well groomed, appropriately for your role and wear ID Badge visibly.
4. Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
5. Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures. 
7. Wears appropriate PPE as outlined by the infection control policies and procedures.
8. Demonstrates compliance with all state, federal and all other regulatory agency requirements.

Minimum Qualifications

1. Education: Bachelor’s degree in health-care related field or science required.
2. Work Experience: A minimum of three (3) years of recent and relevant experience in the QI/PI or medical field required. 
3. Special Training, Certification or Licensure: None

Salary Range: $38.00 - $43.00 

Benefits

At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset.

With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.

• Medical Plans, Dental Plans and Vision Insurance
• Retirement Plan
• FSA and HSA
• Short and Long Term Disability
• Life Insurance and AD&D
• Voluntary Benefits, like Accident Insurance, Critical Care and Hospital Indemnity
• Sick and Vacation Paid Time Off
• Wellness Program
• Legal Plan