Employment Type:

Full time

Shift:

Day Shift

Description:

This position will support surgical services.

GENERAL SUMMARY

With the changing landscape to a value-based service line, attention to quality across the continuum of care will be imperative. The impact of incentive payment on quality outcomes is increasing. This position will help lead the implementation of quality improvement activities through the development, oversight and coordination of detailed work plans and gap analysis of various internal constituents and external agencies. This position assists with the analyses, review trends/research and develops new and more efficient approaches to care of the patient population and other populations as needed to maximize impact on operational efficiency, reduce preventable harm, improve incentive reimbursement and population health.

ESSTENTIAL DUTIES AND RESPONSIBLITIES

Coordinate and ensure development and implementation of annual quality improvement plan, evaluation of the annual plan and needed revisions in policy and procedures and practice related to the plan. Develop strategies with teams to ensure patients receive safe and equitable care.

• Coordinate the preparation of committee agendas and minutes; develop and maintain queue and tracking mechanism to ensure follow up and closure of issues prn.

• Collaborate with colleagues in identifying quality of care issues, assist in conducting audits and gap analysis resulting in detailed work plans to achieve compliance through team meetings and workgroups. Coordinate with appropriate management and staff to ensure timetables are attainable and met.

• Coordinate with appropriate departments to assure that all incentive programs are meeting data submission and quality indictor requirements to assure 100% reimbursement of the incentives.

• Educate or collaborate to ensure colleagues and stakeholders are updated on best practices in caring for key populations

• Respond to requests for data from internal and external sources following developed protocols for release of information.

• Proficient at the use of computer databases, importing and exporting data, report development and basic statistical analysis.

• Maintain knowledge of current trends in quality improvement and critical care.

• Interact with Trinity Health Service/Physician Enterprise and multiple external resources related to issues of quality.

• Maintains the confidentiality of information acquired pertaining to patient, physician, employees and visitors to Saint Joseph Mercy Health System. Discusses patient and hospital information only among appropriate personnel in appropriately private places.

• Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.

• Behaves in accordance with the Mission, Vision and Values of Saint Joseph Mercy Health System.

• Other duties as assigned.

REQUIRED SKILLS AND ABILITIES

• Advanced interpersonal skills necessary to effectively communicate complex theoretical and technical concepts effectively with a wide variety of individuals.

• Advanced analytical and computer skills in order to manage project work and data.

• Advanced analytical skills necessary to develop sound recommendations and assist in implementing improved delivery of care systems, policies and procedures, evaluating clinical practice outcomes and developing educational programs.

• Ability to work with and lead multidisciplinary teams in initiatives to facilitate implementation and measurement activities.

• Ability to integrate information across myriad settings with the goal of standardization (when appropriate), simplification, and reduction of non-value-added work and steps.

OTHER FUNCTIONS AND RESPONSIBILITIES

• Knowledge of project management.

• Ability to analyze data and draw conclusions or understand other information needed.

• Ability to clearly communicate in written and oral situations.

• Independent decision-making skills

• Skills needed in establishing and maintaining effective working relationships with patients, peers, medical staff and the public.

• Ability to lead productive committees and meetings.

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

• Current registered Nurse with a current Michigan license.

• BSN required

• Master's degree in nursing or a health related degree preferred.

• Three to five years of quality improvement background.

• Three to five years of experience working in surgical services preferred.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran