Req Number 001ROG
Job Category Quality Management
Facilitates and participates-in the implementation of the multidisciplinary hospital-wide Quality Assurance (QM)/Performance Improvement (PI) program. Promotes collaborative practice among departments/services for improved clinical outcomes and processes of care. Plans and implements a systemic process to monitor the quality and appropriateness of patient care.
Maintains Quality Management and NYPORTS database.
Provides Department Chairman and Quality Management/ Performance Improvement Committees with data analysis of trends, including high-risk patients/ procedures.
Coordinates Root Cause Analysis and reports results to appropriate departments and regulatory agencies.
Evaluates risk management activities including monitoring of appropriate corrective actions/ improvements to render quality health care in all related phases.
Monitors statistical data from Quality Management reports and evaluations.
Assists in the implementation of the philosophy, goals, and objectives of the Hospital.
Participates in departmental/service Quality Improvement committees, task forces and organizational performance improvement teams as appropriate.
Participates in program planning and development.
Serves as a consultant to the multidisciplinary department/service Quality Improvement Committees.
Participates as a member of the institutional Quality Management/ Performance Improvement committees in planning, reviewing, and implementing activities related to the organizational goals and objectives.
Recommends topics for review, including but not limited to, high risk, high volume, or problem prone activities.
Uses knowledge of standards of accreditation and regulatory agencies to advise and assists with assessment of adherence.
Maintains an effective reporting system (i.e. QM database and NYPORTS database) to communicate and document findings, action and follow-up resulting from systematic monitoring and evaluation criteria.
*ADA Essential Functions
REQUIRED EXPERIENCE AND QUALIFICATIONS
Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, required. Master’s Degree, preferred.
Current license to practice as a Registered Professional Nurse in New York State.
Minimum of (5) five years clinical experience including general knowledge of QM principles, NYPORTS and JCAHO requirements.
Maintains current knowledge of Quality Management, NYPORTS and TJC requirements and supporting information system applications.