Quality Improvement Coordinator, Transplant Admin, First - Louisville, United States - UofL Health

Description

Overview:

We are Hiring at Jewish Hospital Transplant Clinic

Location: 200 Abraham Flexner Way Louisville, KY 40202

Shift Options: Full Time, First Shift

About Us

UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center.

With more than 13,000 team membersphysicians, surgeons, nurses, pharmacists and other highly skilled health care professionalsUofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Our Mission

As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Responsible for the coordination of the care and management of the transplant recipient. Must be able to function with considerable independence in the management of the transplant patient. Responsible for promoting the health and safety of the transplant recipient by ensuring the ongoing communication and collaboration providers and other multidisciplinary team members. Responsible for promoting the health and safety of the transplant recipient by ensuring the ongoing communication and collaboration providers and other multidisciplinary team members.

Leads performance improvement (Pl) initiatives consistent with organizational and service line priorities and goals
Coordinates clinical collaborative efforts to drive change in clinical practice and outcomes
Participates in implementation of patient safety initiatives and promote National Patient Safety Goals either separately or concurrently with other projects
Partners with Risk Management to perform failure mode effects analyses in identifying high risk processes and systems to proactively promote safe care
Integrates knowledge of external standards, including state and federal regulations pertaining to quality and safety
Researches literature or acceptable standards and guidelines to assist in development of practice guidelines (standing orders, policy/procedures, clinical pathways, protocols, etc)
Monitors quality performance, keenly identifying variation in the use of evidence based practice and to determine the need for peer review
Implements EBP, tools, tactics and techniques to improve clinical, operational and service excellence and help share best practices
Supports systems and standardization, while recognizing the individuality of each service line
Conducts medical record mortality reviews using Institutes for Healthcare Improvement (IHI) based criteria; looking for common causes and trends
Conducts medical record reviews and interventions for concurrent and retrospective hospital acquired conditions (HAC) and patient safety indicators (PSI)
Partners with Medical Staff Office in process of medical staff quality management programs, including peer review & Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Review (FPPE) quality information
Performs concurrent or retrospective medical record review for quality concerns; establishes timelines and exercises discretion and judgment when identifying concerns for review to improve processes
Supports several service line medical staff departments in performance improvement initiatives
Recommends areas for quality review; assist to identify high volume, high risk procedures across hospital and outpatient areas
Formulates appropriate review criteria and presents for physician review and approval
Prepares data reports for medical staff quality initiatives utilizing current concepts in quality improvement methodologies
Assists in integrating data abstraction, quality monitoring, and reporting activities which support medical staff quality improvement activities compliance with service line required accrediting bodies
Assists physicians with quality assessment reviews, prepare data and present reports to medical staff; collects data through chart reviews, performs data analysis, and presents information in an effective format to designated staff
Evaluates potential standards of care that may need to be reviewed by medical staff including patient/ family grievances, team complaints, inpatient mortality, surgical/ procedural complications, clinic operations, and blood utilization
Monitors reports for patterns and trends and act upon these appropriately
Provides service line-specific studies that require concurrent review, collection of data, and assistance in analyzing and sharing data
Conducts quality-related audits for select third party vendors providers to facilitate ongoing education and improvement to assigned populations
Applies quality improvement study design and implementation including selection of valid and reliable indicators, coordination of monitoring and evaluation activities, and medical record reviews
Analyzes data and prepare concise, accurate and meaningful quality management reports in accordance with quality management principles
Evaluates compliance with core measures including retrospective chart abstraction, outlier identification, dissemination of results and assistance in accompanying action plan
Partners with clinical informatics in providing consultation on core measures, quality and safety measures related to efficient and effective retrieval of data within the electronic health records
Works in parallel with clinical Informatics to ensure that clinical care-related changes are also carried over into the Electronic EMR environment
Compiles QA data, prepares reports, and gives statistical analysis of QA information
Assists Nurse Managers to lead monthly Program Quality Management meeting
Develops standard operating procedures for Program manual, data management and quality assurance, monitoring and storage of data; ensures timely review of new/revised procedures

Required Qualifications

• Bachelors degree in nursing
• Minimum of three (3) years relevant work experience in a healthcare setting

Preferred Qualifications

• Masters degree
• Clinical knowledge and expertise in a clinical service line specialty
• Nationally recognized quality-related certification
• Experience in quality improvement principles, performance improvement methodology, project/data management and research
• Clinical knowledge and expertise in a clinical service line specialty

Benefits & Perks

• Competitive Pay & Benefits Options
• Paid Vacation, Sick days, and Holidays
• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner
• 401K with Employer Match

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