Medical Staff Quality Coordinator

Summary

Position Summary

The Medical Staff Quality Coordinator implements, guides and supports provider quality programs such as ongoing professional practice evaluations, processing and auditing statistics, and identifying process improvement initiatives under the supervision of the Director, Medical Staff Services.

Essential Duties

1. Coordinates the Medical Staff Services provider quality program, querying multiple data sources for clinical, procedural, and credentialing data used to evaluate performance for all providers with privileges.   Conduct systematic data collection and reporting of selected quality indicators and outcomes, working cooperatively with IST and HIM. 
2. Aggregates, analyzes, and maintains provider-specific quality data.  Work cooperatively with IST to develop protocols to extract data from multiple clinical systems, and assimilate the data into provider report cards.  Create and maintain a centralized data repository for provider quality data.
3. Implements ongoing quality review and assurance of extracted data, recognizing, investigating and validating discrepancies.  Identify outlying trends in provider data and report them to the Director, Medical Staff Services.
4. Ensures provider report cards (ongoing professional practice evaluations) contain validated data, and are presented in a clear manner that supports credentialing and privileging, working with MSS Director to identify and link necessary provider data to privileging forms, ensuring appropriate data to support ongoing readiness for TJC. 
5. Disseminates report cards to providers, Chiefs and Chairs.  Track division and department review of OPPE reports, retaining required data for TJC surveys.
6. Attends, as requested the Medical Staff Committees where quality factors are reviewed and discussed.

Other Duties

1. Works to learn the credentialing and privileging process to assist in that area if demands necessitate.

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. Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
3. 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.
4. Creativity and Innovation: Applies creative problem-solving skills to develop solutions to problems; recognizes and demonstrates the value in taking “smart” risks and learning from mistakes; develops multiple alternatives and understands the feasibility of each; effectively shares and implements his/her ideas. Generates innovative solutions in work situations; tries different and novel ways to deal with work problems and opportunities.
5. Managing Work and Time: 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.one

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: High school diploma or equivalent required. Bachelor’s degree preferred.
2. Work Experience: A minimum of 3 years of recent and related experience in healthcare, data collection/analysis/reporting, quality data and metrics, FPPE or OPPE.
3. Special Training, Certification and Licensure: None 

Salary Range: $24.00 - $28.00

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