Provides general expertise in the area of Performance Improvement (PI). Promotes quality through utilization of the PI Plan, Medical Staff Bylaws, external criteria (accreditation and regulatory standards) and policies and procedures of the health system. Major areas of focus include collection, analysis and reporting of data.
This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
Produces severity-adjusted reports, with analysis, as applicable to quality issues. Utilizes system databases (e.g. EPIC, Quantros).
Facilitates organizational compliance with external agency accreditation standards (e.g. the Joint Commission, Healthcare Facilities Accreditation Program).
Collaborates with clinical and service line leadership and colleagues in identifying quality of care improvement opportunities.
Analyzes and displays data using common PI tools (e.g. run charts, histograms). Maintains trended reports and summaries of key findings of PI activities.
Maintains knowledge of current trends and developments in PI as it relates to regulatory and accreditation requirements.
Participates in health system committees, task forces, and teams working to improve clinical quality and patient safety.
May design and teach PI educational programs. Assists with orientation and education of new physicians, managers, and caregivers.
Provides clinical data as needed to fulfill OPPE & FPPE profiles on physicians.
Healthcare professions requiring licensure in the State of Michigan, must have and maintain current licensure. Certified Professional Healthcare Quality (CPHQ); if not CPHQ certified, must obtain within 3 years of employment.
3+ years experience in a healthcare related field PI/Quality experience, preferred
Bachelor's Degree in Nursing or healthcare related profession (i.e. Healthcare Informatics, Healthcare Administration).
Specialized Knowledge and Skills
Knowledge and experience with database, spreadsheet, word processing and presentation software. Experience in presentations to internal and external diverse populations. Interpretation skills to effectively communicate complex theoretical and technical concepts with a wide variety of resources. Demonstrate ability to manage multiple tasks in a timely, organized and confident manner. Demonstrate ability and experience in PI and facilitating PI teams. Ability to sort, prioritize, analyze, and disseminate data and information. Ability to apply statistical analysis tools and software to PI reports and projects Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job
Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.