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Job Objective: A brief overview of the position.
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The Quality Outcomes Analyst will assist in measuring and analyzing clinical data to improve quality of patient care and cost-efficiency for the organization.
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Reports to
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Quality Manager or Director
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Supervises
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None
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Ages of Patients
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None
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Required: BSN or MSN
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Licensure/Certification
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Required: California RN license
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Preferred: Healthcare Quality Certification (CPHQ), Certified Professional in Patient Safety (CPPS), or other relevant certification
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Experience
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Required: Two years’ experience in performance / quality improvement activities and/or one year experience as a registered nurse, and/or two years experience in healthcare analytics.
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Essential Responsibilities
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
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Participates in regulatory body surveys (e.g. Joint Commission, California Department of Public Health) and assist in monitoring of action items as requested.
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Coordinates the Joint Commission (TJC) readiness education activities (e.g. audio conferences).
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Assists with TJC Periodic Performance Review (PPR) and disease specific certification process by providing structure and process to organization stakeholders.
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Assures accreditation survey reference-documentation binders are updated routinely.
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Coordinates and schedules facility-wide TJC tracers, including distribution of results and requests for follow-up from various department.
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Facilitates meetings/projects that support TJC, CDPH, CMS and other regulatory readiness (e.g. Sentinel Event Alert Gap Analysis/ Action Plan Teams, Proactive Team Assessments and Mock Survey Response Teams).
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Researches current findings of best practice and provide this information to appropriate clinical performance improvement teams.
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Acts as facilitator and minute keeper for PI teams as required.
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Analyzes, disseminates, and presents hospital outcomes data using statistical tools (i.e. process control charts, descriptive statistics, etc.) in an appropriate manner, as requested.
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Prepares reports illustrating quality measures, data and recommendations.
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Implements tracking systems to measure the effectiveness of interventions.
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Communicates with team members and participates in appropriate committees to report process-outcome information.
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Provides education to customers regarding process-outcomes data, specific data elements and other issues as identified.
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Supports Root Cause Analysis process as requested.
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Documents conclusions, recommendations and actions of Root Cause Analysis Meetings and distribute to appropriate individuals for follow up as requested.
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Assists with projects supporting the Quality Department (e.g. identification of clinical financial-process measures to improve clinical outcomes and cost-efficiency, cost analysis based on research and financial data).
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Assists with Quality Council agenda, minutes, follow-up, and related reports for medical committees and Board of Director, as directed.
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Acts as a quality improvement leader and is a resource to the hospital, and the medical staff regarding TJC, CMS, and Title 22 standards.
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May support Medical Staff Quality Improvement/Peer Review Committees as appropriate
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May be responsible for core measure abstraction
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May assume coordinator responsibilities for the Sepsis core measure
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May act as an assistant to the Infection Preventionists
- Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
