Provides managerial oversight for quality data abstraction and analysis. Direct management and leadership of nurse data abstractors, clinical outcomes analysts, regulatory review and accreditation processes. Ensures compliance with regulatory quality reporting programs. Collaborates with Information Technology to ensure systems interface properly, and documentation requirements related to clinical quality are met.
Manages data abstraction efforts, data analysis, best practice research, benchmarking studies, and takes action to continuously improve quality and performance within TMC Healthcare.
Prepares and presents actionable information regarding clinical quality outcomes data and metrics that supports continuous improvement and regulatory compliance.
Manages staff; interviews, hires and trains; evaluates employee performance; deals with performance opportunities as appropriate; and delegates work assignments effectively.
Manages budget, programs, contracts, and information systems.
Establishes performance standards for assigned area; effectively monitors efforts to meet standards.
Manages analysis of clinical performance and communicates results to applicable areas.
Assists with development of organization-wide best practices through a solid understanding of quality management methodologies and controls and industry trends; disseminates consistent, reliable information throughout the organization.
Provides clear short- and long-term direction, leadership, and guidance on quality initiatives to staff, management, customers, and other related stakeholders; provides leadership and direction to functionally related teams.
Assists in the development of programs, policies, procedures, and controls to ensure the delivery of quality service to internal and external customers while developing and maintaining effective working relationships.
Represents TMC Healthcare in a professional, knowledgeable manner, successfully establishes partnerships, communicates effectively, and promotes the mission and vision.
Supervises compliance efforts related to applicable federal, state, and local regulatory requirements and responsible for coordinating organizational response to applicable regulatory inquiry.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.
EDUCATION: Bachelor's degree in healthcare, nursing or related field is required with a minimum of three (3) years of healthcare quality experience.
EXPERIENCE: Three (3) years of quality management experience in an acute care setting.
LICENSURE OR CERTIFICATION: Current RN license permitting work within the State of Arizona is preferred.
KNOWLEDGE, SKILLS AND ABILITIES:
Strong problem solving skills, ability to manage project tasks and timelines.
Skill in managing, supervising, and training staff.
Ability to adapt easily to change and engage with others in a team environment.
Thorough knowledge of
Demonstrated skill in and understanding of data standards and interfaces.
Knowledge of best practices used of quality management theory and quality controls, risk mitigation techniques, and industry trends.
Skill in developing and maintaining working relationships with outside agencies, executive management, employees and the general public.
Skill in the use and application of Lean management system and PDCA.
Knowledge of core, industry standard metrics for specific patient populations.
Extensive knowledge of Meaningful Use reporting program and overlap with Inpatient Quality Reporting program.
Skill in exercising a high degree of independent judgment and decision-making authority as they relate to supported technologies and reporting requirements.
Ability to identify positive or negative variances from expected outcomes.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to prepare detailed reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to inquiries or complaints from employees, physicians and/or their representatives.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Strong communication skills, including the abilities to effectively communicate verbally and in writing, internally and externally, and at all levels of the organization