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Clinical Quality Improvement Specialist

Clinical Quality Improvement Specialist

STIIndianapolis, IN, United States
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Clinical Quality Improvement Specialist

Indianapolis, IN

2+ Months

Description :

BS in Nursing (BSN), or other similar cert. combined with Hospital experience, prefer Bachelor's degree, supplemented with 3-5 years of previous hospital and quality improvement job-related exp. Ideal candidate also has either CPHQ or Lean Six Sigma.

Job description

Clinical Quality Improvement Specialist

Job Summary This position serves in a dual role involvingdirect in person

coordination with hospital facilities to enhance bothNational

Healthcare Safety Network (NHSN) automated hospitalreporting

along with pediatric readiness capabilities withinhospital networks

and facilities located in Indiana. This position promotesbest practices

and quality improvement processes in both hospitalreporting

importance for the automation transition and pediatricpreparedness

programs / initiatives. The position serves in coordinatingthe

development of statewide guidelines, aiding hospitalsinto an

automated platform for hospital reporting, educationalmodules, and

quality improvement resources / tools utilizing federal andnational

recommendations / guidance, evidence-based guidelines andbest

practices specific to the delivery of hospital facilitykey elements

reporting along with pediatric emergency care. Theposition also

serves as a resource and technical advisor to,pre-hospital agencies,

hospitals, other healthcare practitioners as well asnon-health care

entities within our state to ensure hospital facilityneeds are

adequately addressed.

Education and / or Work Experience

Registered Nurse (RN), Bachelor of Science in Nursing(BSN), or other

similar certification combined with Hospital experience,preferred

Bachelor's degree, supplemented with 3-5 years ofprevious hospital

and quality improvement job-related experience. Idealcandidate also

has either CPHQ or Lean Six Sigma

Duties and Responsibilities

  • Assist with development and launching of astate / jurisdiction

capacity system that includes near-time bed capacitycounts

for the state's / jurisdiction's acute care hospitals,including

critical access hospitals.

  • Must be able to manage user account and securityparameters
  • for access to the web-based dashboard to coordinatedaily,

    surge, and crisis needs.

  • Help coordinate emergency department data, organizedper
  • NHSN definitions to Hospital Capacity Data Store at leasttwice

    per day on an ongoing basis. Data would include emergency

    department (ED) census, ED Admitted census (boarding) and

    ED pressure indicator by count of all patients in the EDthat

    have a physician assigned.

  • Create possible items listed below to support the
  • states' / jurisdiction's ongoing participation in the NHSN

    Connectivity Initiative, such as :

  • Develop communications and training materials for
  • onboarding identified stakeholders and hospital users.

  • Provide training and onboarding services toparticipating
  • hospitals and stakeholders.

  • Work with the state's / jurisdiction's hospitals tocollect
  • necessary information for dashboard development and

    implementation.

  • Provide a common framework of data elements to includeon
  • the dashboard and in the data feed.

  • Facilitate the gathering and engagement of hospitals'technical
  • staff to work on automated and secured data feeds per

    specifications supported by the web-based application.

  • Assist the state / jurisdiction to advise on sharedgovernance
  • model(s) for discussions and decision-making to supportthis

    work.

  • Testing and validation of data feeds; and draftprogress
  • milestone for inclusion in progress report / lessonslearned.

  • Manages the participation and permissionprocess / clearances
  • (to send data to NHSN) of participating hospitals. Also

    provides permission to allow for use ofstate's / jurisdiction's

    data in conjunction with other participating entities for

    research and emergency planning by the state and federal

    health partners.

  • Obtain signed commitment from acute care hospitals inthe
  • state / jurisdiction to participate in the project throughan

    established participation agreement.

  • Provide ongoing instructions and serve as key resourceto
  • assist with the scaling of the CDC NHSN ConnectivityInitiative

    to other states / jurisdictions; and help to ensure thatall terms

    of the CDC funding agreement are met.

  • Facilitates efforts to improve clinical and serviceoutcomes
  • throughout the state as related to pediatric emergencycare,

    utilizing federal / national guidance (including but notlimited to

    the American Academy of Pediatrics, Assistant Secretaryfor

    Preparedness & Response, Centers for Disease Control,

    Emergency Medical Services for Children, FederalEmergency

    Management Agency, Institute of Medicine, JointCommission).

  • Works with Indiana Emergency Departments to assessareas of
  • need, conduct gap analyses, communicate pediatricstandards

    and disseminate resources as appropriate.

  • Develops and facilitates bi-monthly State PediatricEmergency
  • Care Workgroup meetings and actively assumes project

    leadership responsibilities through planning,coordination of

    workgroup activities and development of tools,educational

    modules, and resources for workgroup review.

  • Participates as a team member on hospital site visitsconducted
  • throughout the state, to assess compliance with pediatric

    emergency care requirements and regulations using defined

    checklists; provides verbal and written assessment ofhospital

    strengths / weaknesses; outlines recommendations and other key subject matter expertise as appropriate; sharesapplicable resources and technical guidance with hospitals asneeded.

  • Develops documents annually to promote qualityimprovement practices as related to pediatric emergency caredocuments,
  • and development of a quality improvement plan.

  • Engages in and demonstrates self-development inclinical and professional knowledge base in the areas of pediatric emergency management, quality improvement processes, communication, and awareness of trends in the healthcare environment.
  • Utilizes data to identify trends, draw appropriateconclusions and make recommendations; develops data reports for decisionmakers to support conclusions and recommendations; reports should communicate anylimitations of the analyses.
  • Facilitates efforts to improve clinical and serviceoutcomes throughout the state as related to pediatric emergencycare, utilizing federal / national guidance (including but notlimited to the American Academy of Pediatrics, Assistant Secretaryfor
  • Preparedness & Response, Centers for Disease Control,

    Emergency Medical Services for Children, FederalEmergency

    Management Agency, Institute of Medicine, JointCommission).

  • Works with Indiana Emergency Departments to assessareas of need, conduct gap analyses, communicate pediatricstandards and disseminate resources as appropriate.
  • Develops and facilitates bi-monthly State PediatricEmergency
  • Care Workgroup meetings and actively assumes project leadership responsibilities through planning,coordination of workgroup activities and development of tools,educational modules, and resources for workgroup review.

  • Participates as a team member on hospital site visitsconducted throughout the state, to assess compliance with pediatric emergency care requirements and regulations using defined checklists; provides verbal and written assessment ofhospital strengths / weaknesses; outlines recommendations and other
  • key subject matter expertise as appropriate; sharesapplicable resources and technical guidance with hospitals asneeded.

  • Develops documents annually to promote qualityimprovement practices as related to pediatric emergency caredocuments,
  • and development of a quality improvement plan.

  • Engages in and demonstrates self-development inclinical and professional knowledge base in the areas of pediatric
  • emergency management, quality improvement processes, communication, and awareness of trends in the healthcare environment.

  • Utilizes data to identify trends, draw appropriateconclusions,and make recommendations; develops data reports for decision-makers to support conclusions andrecommendations; reports should communicate any limitations of theanalyses.
  • Other duties as required.
  • Computer Skills

    Microsoft Teams, Power BI, Microsoft Outlook, MicrosoftWord,

    Microsoft PowerPoint, Microsoft Excel, Basic KeyboardingSkills, Web[1]basedmeeting and learning management systems, REDCap

    Computation Ability

    Ability to solvepractical problems and deal with a variety of concrete

    variables in situations where only limitedstandardization exists. Ability

    to interpret a variety of instructions furnished inwritten, oral, diagram, or schedule form.

    Qualifications

  • Ability to maintain accuracy and consistency
  • Ability to finish tasks in a timely manner
  • Ability to function independently, manage own time / worktasks
  • Ability to maintain confidentiality
  • Ability to interact with internal and externalconstituents
  • Ability to work as an effective team member
  • Ability to organize workflow
  • Ability to plan, coordinate, and develop multipleprojects
  • Ability to analyze and interpret data
  • Ability to compile complex reports and developpresentations
  • Ability to compose letters and memorandums
  • Ability to negotiate, persuade and establish direction
  • Skilled job requiring high level of adaptability andinterpersonal
  • skills

  • Must be able to work in a fast-paced, dynamic environment, and adapt to changing priorities
  • Travel

  • In-state travel will be required as needed and out ofstate overnight may be necessary.
  • Expect ~85% of work week traveling around state ofIndiana
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