San Francisco, California
Anderson, South Carolina
Jersey City, New Jersey
Jacksonville, Florida
Posted: 24-Jan-23
Location: Lewes, Delaware
Salary: Open
Categories:
Internal Number: 6845
Summary:
The Medical Staff Quality Coordinator is responsible for supporting and coordinating Medical Staff Peer Review committees and activities across defined departments. This role works closely with Medical Staff leadership on providing accurate clinical summaries, data trending, reports and analysis. This role reports to the Medical Staff Office Manager.
Other information:
- Graduate of accredited School of Nursing, BSN preferred
- 3-5 years in an Acute care environment in Performance Improvement, preferred
- Data Management proficiency and graphical display skills preferred
- Current Delaware RN Licensure
Responsibilities:
1. Identifies cases meeting the criteria for clinical case review through pulling reports from various data systems.
2. Performs preliminary (RN level) review of retrospective Morbidity and Mortality review using indicators and screening criteria developed and approved by the Medical Staff.
3. Coordinates and communicates with physicians and/or their offices in regard to screening, scoring and assist with their presentation of select cases for peer review.
4. Attends the medical staff peer review meetings and creates the record of the peer review discussion and outcomes. Coordinates follow-up planning processes/activities. Provides data abstraction, analysis and reporting of trends relating to defined departmental outcomes.
6. Maintains knowledge of Evidence-based, CMS and TJC clinical metrics (i.e. Core Measures, AHRQ Patient Safety Indicators, Hospital Acquired Conditions)
7. Performs data entry of peer review findings into a Medical Staff Database to facilitate physician-specific reports for Ongoing Professional Practice Evaluation (OPPE).
8. Creates charts and graphs to facilitate the communication of data and trends
9. Maintains data tracking system.
10. Facilitates timely and accurate triage of Medical Staff related Risk Events Notices
11. Assist the Medical Staff when New equipment or procedures are sought after in following the policies outlined.
12. Attend monthly meetings on purchasing of new equipment to help determine if privileges will need to be changed or developed
13. To Educate the medical staff departments on mandatory quality initiatives, and hospital based quality initiatives to improve the OPPE process.
14. Maintain scorecards that can be presented to the Credential's, MEC and Board of Directors about the quality of any physician seeking re-appointment.
Credentials:
Essential:
* RN - Registered Nurse
Competencies and skills:
Essential:
* Clear Communication Skills Both Written And Verbal
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills To Provides Customer Service To Patients, Team Members And Visitors
* Knowledge And Experience With Electronic Health Records
Education:
Essential:
* RN Diploma/RN Graduate Program
Location: Hospital-Main Campus
Shift : Flexible-hours/shifts may vary depending on department needs
FTE: 1.000000
Work Status: Full Time
