Healthcare Quality Improvement Expert
1 week ago
Healthcare Quality Improvement Expert**Job Code**:
30001047
**Basic Function**:
Serve as healthcare quality improvement expert and change agent in performance and process improvement (PPI). Utilize process improvement methods and tools to evaluate, measure capability, and redesign operational and clinical processes. Support the work of multidisciplinary project teams determining how best to achieve consistently high-quality, safe and efficient healthcare delivery. Facilitates culture of patient safety.
**Scope**:
All organizational service lines; inpatient units; outpatient units; Districts.
**Principal Contacts**:
All quality department staff members, organization physicians, nursing staff, other health and allied health staff.
**Principal Duties**:
**Improvement Science Methods and Approaches**
- Use a range of quality improvement tools and techniques (5 Whys, Value Stream Mapping, Failure Mode Effects Analysis, and Root Cause Analysis) and evaluate the output to successfully redesign processes toward improved performance. Employ an appropriate method based on the structure and purpose of the project. Identify and use quality improvement tools and techniques throughout the project. Evaluate and integrate the output of findings into the redesign of the process.
- Access and use information resources (electronic health records, registries, comparative and benchmark data, and published research) to demonstrate current practice, identify opportunities for improvement, and strive toward improved outcomes. Identify sources of valid and reliable information and metrics to monitor performance trends. Analyze and integrate information from disparate information sources to design solutions. Analyze comparative data, benchmarks, and best practices for possible adaptation into the organization, if culturally and practically appropriate. Use valid data to support opportunity recommendations and illuminate key trends for stakeholders to identify, define, and design solutions to address opportunities based on benchmarking, goal comparison, data analysis, and corrective actions.
- Communicate PPI priorities and results using narrative and visual tools (graphs, dashboards, and scorecards), providing a comprehensive context appropriate to the audience. Select and create specific visualizations (bar graphs, run charts, or pie charts) to ensure accurate and valid interpretation of findings. Develop basic dashboards and scorecards used to show internal data and benchmark comparisons. Create and present written and verbal communications that tell a story and are appropriate to the audience’s needs.
**Principal Duties (cont'd)**:
**Performance and Process Improvement Project Management**
- Define the need, expected benefits, and alignment of PPI projects to the organizational mission, vision, values, strategic goals, and business priorities. Develop a project plan/scope document ensuring active executive sponsorship, the identification of stakeholders, and alignment of the organization’s mission, vision, goals, and business priorities and goals. Determine a team composition that leverages stakeholder experience, expertise and influence. Ensure alignment and integration of the organization’s PPI initiatives with applicable regulations, standards and guidelines from standards-setting and accrediting bodies.
- Design the project plan including an opportunity statement, goals, scope, timeline, and critical milestones utilizing project management methodologies, performance measurements, and tools. Provide project coordination through a variety of project management tools and methods (charters, communication plans, Gantt charts, risk assessment, logic models, process flow diagrams, and action plan templates). Develop a project plan within the requirements of the charter, including project assumptions and constraints, in alignment with the organization’s mission and vision and establishing the total scope of the effort. Define measurement, establish a baseline, and refine the objectives. Develop a work breakdown structure to outline the course of action required to attain those objectives. Estimate costs and determine budget. Conduct preliminary and ongoing risk analysis and mitigate barriers. Review and incorporate best-practice, evidence-based, or established organization guidelines around proposed interventions. Prepare a plan for change management.
- Manage the work defined in the project plan/scope document to ensure the project moves forward according to the project plan goals and timelines. Coordinate people and resources and perform the activities of the project in accordance with the project plan. Identify and utilize clinical tools (clinical practice guidelines, pathways, and algorithms) as deemed appropriate.
- Understand the stages of team formation. Design team activities to maximize engagement using a range of methods for facilitating group interaction. Establish effective and transparent ground rules for te
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