• Coordinator Quality Improvement

    Hunterdon Health Care System (Flemington, NJ)


    Position Summary

    Performs quality improvement activities in identified areas in need of improvement. Performs medical staff peer review activities with assigned medical staff departments and committees including Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE). Involved with hospital wide performance improvement projects and studies.Responsible for the collection and distribution of assigned National Quality Measures, (CMS, TJC, NJDOHS, QIO)

     

    Primary Position Responsibilities

     

    1.

     

    Accurately collects, analyzes and distributes data regarding assigned National Quality Measures (Core Measures) within assigned time frames. Works with appropriate staff to implement quality improvement projects to increase compliance

     

    2.

     

    Performs Medical Staff Peer Review activities for assigned medical staff departments. Creates reports regarding the same. Configures and distributes medical staff FPPE and OPPE reports on a scheduled basis.

     

    3.

     

    Assists the Patient Advocate with complaints, grievances and service recovery.

     

    4.

     

    Involvement in quality improvement initiatives when assigned.

     

    5.

     

    Assists with Regulatory compliance with Joint Commission, NJ DOH standards.

     

    Work Contact Group (Internal/External)

     

    Medical Staff, Quality Improvement staff, Risk Management and Patient Safety, all patient care areas.

     

    Reporting Relationships

    Reports to (position):

    Admin Director Quality Improvement

    Supervises (position(s):

    None

    Qualifications

    Minimum Education:

    Required:

    Bachelor’s degree in Nursing, Healthcare Administration or related field.

    Preferred:

    Master’s Degree in Nursing, Healthcare or Health Related Science

    Minimum Years of Experience (Amount, Type and Variation):

    Required:

    5 years clinical experience

    Preferred:

    2 years experience in Healthcare Quality

    License, Registry or Certification:

    Required:

    None

    Preferred:

    CPHQ certification

     

    Certificate and/or Advanced Specialized or Technical Training in Nursing &/or Certified Professional in Healthcare Quality, (CPHQ)

     

    If an RN, Current NJ RN license

    Knowledge, Skills and/or Abilities:

    Required:

    Excellent analytical, communication, interpersonal, and organizational skills.

     

    Knowledge and experience in Performance Improvement techniques.

     

    Experience in working with PI teams as a member and leader.

     

    Experience with MS Office software.

     

    Experience in data analytics and data display

    Preferred:

    Advanced MS Office and database skills