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    Quality Coordinator - Bar Harbor, United States - Mount Desert Island Hospital

    Mount Desert Island Hospital
    Mount Desert Island Hospital Bar Harbor, United States

    3 weeks ago

    Default job background
    Full time
    Description
    Job Type

    Full-time

    Description


    Reports to: Director, Quality, Safety, & Experience


    Summary: The Quality Coordinator works under the auspices of Senior Leadership and the Director of Quality, Safety, & Experience to coordinate and support quality and safety initiatives. The quality coordinator works in the hospital, clinics, and Birch Bay Village to develop, maintain, and implement plans to achieve quality and safety goals. The coordinator identifies strategies and opportunities in collaboration with the healthcare team to design, implement, and evaluate clinical quality improvement initiatives and provide ongoing monitoring, coordination, and analysis of identified program initiatives. The coordinator will educate staff using research and evidence-based practice to move initiatives forward. The coordinator will work with the Leadership Team and Quality Director in participation with national and other initiatives as accepted by MDIH, including, but not limited to quality data extraction and timely reporting. The coordinator will support survey readiness initiatives to ensure compliance with accreditation and regulatory requirements. They will L leads and participate s in special projects as directed, such as spearheading patient experience initiatives. The coordinator supports both Organizational Quality and Board Quality and Safety Committees' designated improvement initiatives.


    Benefits:


    MDI Hospital and Birch Bay Retirement Village offer a competitive salary, robust medical/dental/vision/life insurance, identity theft protection program, matching retirement plan, ample paid time off, a comprehensive award winning wellness program with reimbursement incentives, generous tuition reimbursement, and continuing education benefits.

    Some positions may qualify for a sign on bonus and relocation assistance.


    EEO Statement:


    MDI Hospital and Birch Bay Retirement Village provide equal employment opportunities to all employees and applicants for employment in all job classifications without regard to race, color, religion, age, mental disability, physical disability, medical condition, gender, sexual orientation, genetic information, ancestry, marital status, national origin, veteran status, and other classifications protected by applicable state and local non-discrimination laws.

    Requirements


    Major Responsibility Areas for this position (All are Essential Functions):

    #1- Coordinates Quality Improvement Initiatives to integrate and move processes forward including successful participation in external processes and reporting targets. Must be familiar with all parts of the medical record and chart review.

    Measurement:
    Demonstrates high level knowledge of quality initiatives, attends pertinent educational sessions and provides documentation of quality initiatives coordinated.

    #- Performs extensive medical record reviews of identified patient quality indicators and other reviews as assigned as part of current quality initiatives. Performs analysis of data related to Quality Initiatives.

    Measurement:
    Demonstrated competency of data analysis and outcome monitoring as observed by the Quality Director.

    #- Enters collected information into designated programs and software in order to meet both regulatory requirements and organizational needs. Disseminates information and develops planning and successful work tools. Reviews changes in reporting requirements, disseminates and provides updates to key stakeholders in a clear and concise manner to ensure the integrity of the reporting and extraction process.

    Measurement:
    Data entry is complete, timely, and accurate and passes any external validations. Changes are reviewed and explained to stakeholders including the Organizational Quality Committee and Board Quality Committee Members.

    #- Is proficient in all organizational Electronic Medical Records for the purpose of data analysis and collection and participation in Quality Projects including American College of Surgeons NSQIP, QHIP and Leapfrog Programs. Organizes effectively and is proactive in promotion of Quality Improvement. Reviews data findings and trends with key stakeholders and demonstrates outcomes and impact on overall quality to the organization.

    Measurement:
    Quality Initiative data is accurate and meets deadlines.

    #- Participates in Committee Assignments as assigned, collaborates with the Organizational Quality Committee and the Outpatient Quality Improvement team to integrate process improvements throughout the organization.

    Measurement: 90% attendance in records of designated committees.

    #- Develops, leads and promotes a unified quality program through building teams and meetings that are designed to provide an overview of the organization's quality initiatives, deliverables and timelines to meet all quality objectives.


    Measurement:
    Team meeting minutes and in house publicizing of quality initiatives.

    #- Attends external meetings as requested by the Director of Quality, Safety, and Experience and brings the information back for presentation and implementation to MDIH.


    Measurement:
    Observation by Director that information is complete and implementation imitated as delegated.

    #- Participates and Coordinates Efficiency Risk Assessments within the Quality Scope as requested.


    Measurement:
    Demonstrates the ability to be an effective facilitator.


    Education, Training or Certifications Required:


    • Current Maine RN Licensure preferred of Masters of Public Health
    • Will consider other applicants on an individual basis that may meet the specific requirements to perform job functions.

    Experience Required:

    Experience with Medical Record Documentation.

    Proficient in Excel, database navigation and electronic medical records.

    Quality assessment, clinical data abstracting and analysis experience preferred.

    Clinical experience in health care quality, patient care, or case management within a hospital or clinical setting to include experience and/knowledge with CMS requirements and Core Measurements components preferred.


    Special Requirements:


    • Flexible in job responsibilities.
    • Knowledge of Core Measure Sets and Components used in Quality Improvement reviews.
    • Must be willing to travel as needed to attend meetings and educational presentations.

    Cognitive Requirements:


    • Emotional maturity and excellent people skills required.
    • Ability to work within tight deadlines and juggle multiple priorities.
    • Proficient computer skills.
    • Strong attention to detail.
    • Ability to maintain high level of security in working with confidential information.
    • Understanding of Quality Process and Motivational Skills

    Physical Demands:


    • Able to sit, stand, or walk for eight hours.
    • Able to perform under stress.
    • Has adequate hearing, vision, speech and manual dexterity.
    • Long periods of time on keyboard with data entry.
    • Ability to drive.

    Environment:


    • Health Care worker setting potential for exposure to blood, body fluids, and contagious diseases.
    • Office work hazards.
    • Varied work settings as required by work product development.
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