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Quality and Outcomes Coordinator – AdventHealth Shawnee Mission

All the benefits and perks you need for you and your family:

• Vision, Medical & Dental Benefits from Day One
• Student Loan Repayment Program
• Received Magnet® recognition from the American Nurses Credentialing Center in January 2019

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: FT Days

Shift: 

• Monday-Friday
• Exempt

Location: AdventHealth Shawnee Mission  

                 9100 West 74th Street, Merriam, KS 66204

The community you’ll be caring for:

At AdventHealth Shawnee Mission, formerly Shawnee Mission Medical Center, you're more than just a number on a chart. You're a whole person, who functions best when physically, emotionally, and spiritually fit. Find whole-person care, dedicated teams and staff, and a wide variety of medical services, all at our hospital in Shawnee Mission, Kansas.

The role you’ll contribute:

The Quality & Outcomes Coordinator (QOC) is part of the Quality Management department.  The QOC is responsible to collect, aggregate, analyze, and summarize quality data for hospital organizational performance and physician performance data.  The position participates in hospital-wide outcome and performance improvement activities and provides direction to service lines and clinical departments as it relates to data collection as assigned. In addition, the QOC works closely with leaders, to ensure compliance with regulatory and accreditation requirements such as The Joint Commission, Kansas Department of Health and Environment, Centers for Medicare and Medicaid (CMS) and Food and Drug Administration (FDA).

The QOC is also responsible for coordinating Medical Staff initiatives related to Medical Staff quality improvement, peer review, and data management, supporting the Medical Staff leadership in fulfilling the requirements and consistent application of the Medical Staff Peer Review policy.

The value you’ll bring to the team:

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

Department Core Competencies.

·         Utilizes the Performance Improvement Model

·         Utilizes excellent interpersonal skills to deal with challenging situations while maintaining strong supportive relationships.  Readily available for questions; handles requests in a courteous and respectful manner.

·         Communicates effectively, both written and verbally.

·         Demonstrates a proactive attitude and seeks to remedy situations before mistakes are made or corrects errors when found; takes responsibility for the overall “quality image” of the department.

·         Ensures accuracy of data collection and submission; validates integrity of data collected.

·         Develops data reports for projects, committees, hospital departments, medical staff departments, as designated.

·         Knowledge of and utilizes statistical approaches, measurement techniques, including benchmark and comparative data to develop quality reports.

·         Collects, aggregates, analyzes, summarizes and reports quality data for hospital organizational performance and physician performance data as indicates. 

·         Participates in hospital-wide outcomes and quality improvement initiatives/ performance improvement teams.

·         Assists in efforts to improve and streamline the process and workflow of the department.

·         Demonstrates the ability to set appropriate priorities.

·         Recognizes how absence impacts the functioning of the healthcare team and strives to minimize this effect.

·         When requested, is willing to adjust personal schedule in order to complete workload when necessary

·         Attends educational offerings as needed to promote continuous learning and support to department

Position Core Competencies

·         Implements the objectives of Risk Management and Patient Safety Plan

·         Working knowledge of the PSO (Patient Safety Organization)

·         Reports potential risk management concerns to the risk manager

·         Collaborates with leaders, staff, and physicians to improve quality, patient safety, and organizational performance.

·         Assists medical staff with the development of medical staff clinical indicators. 

·         Collects, abstracts, compiles, analyzes, and communicates medical staff data for the appropriate committees. (scorecards)

·         Completes event report reviews and investigations in preparation for medical staff review and standard of care assignments.

·         Works with assigned Medical staff department chairs and vice chairs to coordinate QI / peer review meetings.

·         Prepares and maintains documentation and correspondence related to the medical staff quality and peer review process.  

·         Coordinates assigned meetings to include review of agendas, notices, notebooks and minutes. Perform necessary follow-up based upon actions taken by the committee.

·         Continues to develop and utilize comprehensive databases of clinical information to enable physicians, hospital leaders and departments analyze practice patterns and make improvements. E.g. MIDAS, excel worksheets, access databases, etc.

·         Provides education formal and informal related to assigned areas.

·         Monitors release of medical staff/physician data to outside organizations.

·         Supervise the collection, trending, and reporting of physician specific QI data for assessing competency. Monitors ongoing implementation of FPPE/OPPE/ reappointment profiles for timeliness, accuracy, and effectiveness.

·         Demonstrates excellent management, communication, organization, interpersonal, problem-solving, critical thinking, systems thinking, consulting, and team building skills.

·         Ability to prioritize, plan and execute while pursuing various projects simultaneously.

·         Cross trains to others’ assignments within the department to gain depth in duties and allow cross coverage.

·         Assists with regulatory accreditations and certifications as assigned.

·         Working knowledge of The Joint Commission, CMS CoP’s, Kansas Risk Management statutes, and Patient Safety Organization (PSO) requirements, as it pertains to performance improvement, patient safety, and quality.

The expertise and experiences you’ll need to succeed:

·         Bachelor’s Degree in Nursing

·         1 to 2 Years of Nursing Experience

·         RN Clinical Experience

EDUCATION AND EXPERIENCE PREFERRED:

·         2 to 5 Years of Position-Related Experience

·         Quality Department Experience/Data Collection

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

·         Kansas Registered Nurse License

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

·         CPHQ (Certified Professional in Healthcare Quality)