Healthcare Data Analyst II

Essential Job Functions

• Serves as a subject matter expert and source of analytical expertise in clinical quality, patient safety, and healthcare-associated infection data management and reporting of outcomes of care.
• Manipulates datasets, conducts statistical analysis, and performs quality checks on analytic deliverables and assures accuracy in data provided for decision making.
• Assists the director in the development of organization-wide policies and procedures, implementation of projects and materials.
• Participates in both short and long-term planning for the department.
• Identifies needs and sets goals for own growth and development in collaboration with department coordinator and director (Quality Resources, Patient Safety, Infection Control).
• Meets all mandatory organizational and departmental requirements.
• Maintains competency in all organizational, departmental, outside agency, and employee safety standards relevant to job performance.
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct, and service expectations.
• Performs all other duties as assigned or as needed to meet the needs of the department and organization.
• Validates data elements used for public reporting and assures alignment with data specifications for public reporting.
• Organizes, prioritizes, and performs data management project work to support the organizational strategic initiatives for quality improvement, patient safety, and infection control.

Works in concert with leaders across the organization in explaining, accessing, extracting, synthesizing, validating, trending, and analyzing clinical information.

Works directly with multidisciplinary teams to design report formats that effectively report data to support identified operational priorities and initiatives.

Identifies the data required and internal / external means to gather that data; prepares quantitative and qualitative analysis within required deadlines.

• Serves as a resource for the data collection processes related to publicly reported data.
• Required skills include problem identification and resolution.
• Performs complex, in-depth analysis individually or as part of a team.
• Advanced in-depth organizational skills and analytical skills requiring creativity, logic, and the ability to conceptualize as well as break down concepts into detailed components.
• Analysis requires the use of information structures, information processes, and information technologies.
• Interpretation of complex regulatory algorithms and data schema.
• Responsible for establishing, validating, and maintaining the integrity of quality monitoring tools, data collection methods, case definitions, databases, or models to support analysis and improvement processes.
• Performs chart abstractions and / or develops and validates interfaces for data to comply with regulatory reporting standards and quality measures.

Facilitates data management within required timelines for the organization’s accreditation and regulatory processes, compliance, and site visits for federal, state, medical society, and commercial programs such as :

• o CMS (Centers for Medicare and Medicaid Services)
• o DNV (Det Norske Veritas) Accreditation
• o (HHS) Health and Human Services
• o NCQA (National Committee for Quality Assurance)
• o STS (Society of Thoracic Surgeons)
• o HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
• o Magnet Designation ANCC
• o MCCN Mayo Clinic Care Network
• o NSQIP (National Surgical Quality Improvement Program)
• o NHSN (National Healthcare Safety Network)
• o ACO (Accountable Care Organizations)
• o The Leapfrog Group
• o Patient Safety Culture Assessments and survey instruments
• o PSO (Patient Safety Organization)
• o Voluntary Patient Safety Event Reporting
• o Others as assigned
• Serves as a data and information resource for process improvement methodologies to fulfill the organization’s strategic initiatives for quality measurement, management, and improvement.
• Acts as a liaison and expert resource for various quality reporting programs to identify problems and concerns regarding the overall performance of the system.
• Provides technical support and acts as a resource responding to procedural questions regarding quality reporting system functionality and technical interaction with other Billings Clinic system applications.
• Assists with dissemination of infection prevention, and healthcare personnel vaccination information.
• In consultation with Information Technology staff and vendors, may install software upgrades, troubleshoot software related anomalies and coordinate information sharing between information systems and databases, and end users (i.

e., Cerner, RL Datix, WHO Net, TheraDoc, Phillips)

Participates in systems testing and validation. Participates in the evaluation of information systems, vendor proposals, etc.

that pertain to the quality resources department.

Knowledge and in-depth understanding of program and report writing logic including healthcare information management and database extractions (i.

e., Cerner fields for report writing and data extractions).

• Identifies the data required and the internal / external means to gather the data. Prepares quantitative and qualitative analyses within required deadlines for internal and external reporting needs.
• Gather, validate, analyze, compile, and present credible information to diverse groups and audiences.
• Serves as a subject matter expert for leadership, department management and appropriate staff regarding the interrelationships of data.
• Collaborates effectively with multidisciplinary team members to achieve analytical and programmatic goals.
• Takes a proactive approach to identifying problems and opportunities and recommending solutions that support the strategic direction of the department and organization utilizing Billings Clinic Operational Excellence methodology based on level of training.
• Researches, evaluates, and makes recommendations and / or initiates corrective action to resolve problems with the internal functionality of various quality, patient safety, and infection control reporting systems and / or integration of information between systems.
• Complex analysis of financial and utilization information leading to the identification and development of improvement recommendations.
• Acts as security administrator for various internal and external quality reporting programs / applications including access management, management of data submission, report analysis, dissemination of information.
• Supports quality activities and practices through utilizing the knowledge of clinical quality outcomes data, prevention and control science, process improvement principles, high reliability organizing, behavioral sciences, and quality standards for improving patient care and services.
• Effectively builds and maintains relationships with colleagues from key departments, including quality, infection prevention and patient safety, pharmacy, nursing, nursing quality, nursing leadership, surgery leadership, sterile processing, medical staff, risk management, materials management, volunteer services, human resources, organizational development, occupational / employee health, professional development, operational leaders, executive management, and other stakeholders through positive interaction, problem identification, and resolution.
• Reviews, analyzes, and applies existing regulations, standards, guidelines of applicable professional organizations and governmental agencies.

Integrates regulatory requirements and current clinical quality data into organizational standards and practices.

• Reviews, applies pertinent information from current scientific literature and publications. Integrates relevant public health issues into practice.
• Assists in the development of methodologies to fulfill the organization’s strategic initiatives for clinical quality outcomes improvement and required regulatory reporting.
• Educates and assists medical, nursing, and other clinical staff, management, and senior executive leadership, in identifying and capitalizing on opportunities for improvement and facilitates cross-functional team development, when appropriate.
• Standardizes processes to optimize learning from clinical outcomes data and clinical quality, patient safety, and infection control risk assessments.
• Maintains knowledge of regulatory, accreditation and reporting requirements at the state and federal levels.
• Monitors and analyzes process and outcome measure to evaluate effectiveness and sustainability of practices.
• Assists in the development of clinical quality, patient safety, and infection prevention education for in-service programs to departments.
• Assists with goal setting to improve performance in clinical quality outcome measures.
• Participates in performance improvement groups and activities as indicated.
• Performs other duties as assigned or needed to meet the needs of the department / organization.
• MANAGEMENT OF CRITICAL DATA, INFORMATION, AND REPORTING
• Manages clinical quality data and reporting for hospital acquired conditions, patient safety indicators, patient safety event reporting, healthcare-associated infections, clinical quality measures, clinical quality outcomes, patient experience, and surgical improvement programs.
• Responsible for collecting, extracting, and aggregating information from various systems, data repositories and performing analysis to provide meaningful information to stakeholders.
• Performs analysis of data and disseminates key findings to key stakeholders to improve outcomes of care quality and patient safety.
• Initiates investigations when unusual clinical quality outcomes are observed. Summarizes findings, reports findings to healthcare personnel, leadership for corrective action.

Conducts investigations when indicated and assists in designing and promoting interventions targeted at improving clinical quality outcomes.

• Maintains accurate record of patient experience, hospital acquired conditions, healthcare-associated infection, serious safety and sentinel event, patient safety indicators, patient safety event reports, surgical improvement registries, and clinical quality measures data within software systems.
• In conjunction with Billings Clinic leadership, responsible for the development of various quality and patient safety dashboards / huddle boards as well as assumes primary responsibility to maintain, validate, and disseminate information within the required deadlines.
• Maintains accurate records of healthcare-associated infections following CDC’s National Healthcare Safety Network (NHSN) specifications for surgical site infections, central line-associated infections, catheter-associated urinary tract infections, MRSA bacteremia and C.

difficile following LabID Event, and ventilator-associated infections.

• Maintains accurate records of required communicable disease reporting as required by local and state healthcare departments.
• Assures accuracy of patient experience, hospital acquired conditions, healthcare-associated infections, patient safety indicators, serious safety / sentinel events, surgical improvement registries, and clinical quality measures data entry into program software and meets deadlines for reporting.
• Prepares reports appropriate to the recipients. Responsible for the distribution of defined monthly, quarterly, and annual reports and scorecards.
• Provides routine and custom reports to nursing, medical staff, oversight committees, operational leaders, executive leaders, and governing board.
• Works with team members, end users and others to refine requirements, new or re-design and deploys high-quality data queries / reports.
• Assists in preparing annual program reports (i.e., Annual Quality Resources Report, Annual Infection Prevention and Control report, and Annual Patient Safety Systems report.
• POLICIES, PROCEDURES, AND STANDARDS
• Assists with development and revisions of system-wide quality policies and procedures.
• Demonstrates understanding of regulatory and advisory guidelines through application.
• Reviews, analyzes, and implements regulations, standards, or guidelines of applicable governmental agencies, accreditation bodies, and professional organizations.
• Conducts activities to maintain continuous preparedness for periodic and annual accreditation surveys.
• Provides feedback to regulatory, advisory, and accrediting agencies regarding opportunities for improvement in standards and regulations.
• Resolves errors resulting in the rejection of records from data entry systems (i.e., NHSN).
• Conducts data quality checks and assures data accuracy and consistency.
• RISK MANAGEMENT
• Cooperates and collaborates with Risk Management for risk prevention.
• Provides support to Risk Management for resolution of issues related to the quality of patient care and services.
• HIGH RELIABILITY ORGANIZING
• Demonstrates understanding of high reliability organizing (HRO) principles through use of Universal Skills and behaviors that promote quality and safety for both patients and employees.
• Utilizes HRO Universal Skills in daily work.

Minimum Qualifications

Education

Bachelors Degree in health care administration, public health, business, computer science, and / or related field.

Experience

Minimum of 2-3 years of experience with the ability to demonstrate appropriate understanding of healthcare quality, patient safety, and infection control initiatives.

Certifications and Licenses

• Lean Six Sigma experience preferred or to obtain Yellow Belt Certification within one (1) year of employment Within 1 year of hire
• Certifications if applicable and meets eligibility requirements (e.g., CPHQ) Attain within 3-5 years of hire.

Other Minimum Qualifications

• Strong demonstrated experience working with Microsoft Office programs and database management
• Or an equivalent combination of education and experience will be considered as it relates to the above tasks, knowledge, skills, and abilities

Employee Benefits

Billings Clinic Employees

Billings Clinic is a best place to work because if its people. The collegial atmosphere, teamwork, pride in care, and numerous opportunities to grow both personally and professionally help keep our amazing employees here caring for patients.

State of the art facilities and advanced technology gives the health care professionals the tools to provide advanced health care in a healing environment.

• 2019 Billings Chamber of Commerce Employer of the Year
• 2019 Becker’s 50 Best U.S. Companies to work For
• 2019 Women’s Choice Award for America’s Best Hospitals for Patient Experience
• LivAbility One of the Top 25 Best Places to Live in America
• 2016 Outside Magazine’s America’s Best Town

Employees have the opportunity to make a difference in the lives of each other and our patients, making this a truly meaningful place to work.

The organization also offers employees the opportunity to engage in numerous councils and educational opportunities leading to career growth and involvement in decision making and important initiatives.

Beyond giving great care, employees’ ideas and insights are valued at every level of the organization.

At Billings Clinic, it is important to celebrate milestones and ensure that employees feel valued. Recognitions such as the DAISY or BEE Awards, Years of Service and the employee recognition program give everyone the opportunity to show encouragement toward team members who go the extra mile.

Billings Clinic offers excellent benefits and salaries, education assistance, paid time off, and learning plans for career growth.

The combination of excellent benefits, strength of the organization and meaningful work make Billings Clinic one of the best places to spend a career in health care.

Billings, Montana is a friendly college community located near the magnificent Rocky Mountains with great exciting outdoor recreation just minutes from home.

Billings has great parks, trails, public lands, thriving restaurants, excellent schools, safe neighborhoods, and abundant events and family activities.

Explore some of the Billings Clinic employee benefits

Health

BeWell -An employee wellness program with initiatives and resources around Health, Finance, Personal Growth, and Community.

Programs include free blood screenings, flu shots, biometric screenings, health assessment, incentives such as insurance premium discounts for participation.

Medical -Billings Clinic offers a comprehensive self-insured health plan, including a traditional PPO plan and an HSA plan.

The benefit is available to full or part time employees.

• Pharmacy- Our medical plan includes prescription benefit coverage and prescriptions can be filled at the Atrium Pharmacy on our campus with a mailing service available to employees who reside outside of Billings.
• Dental- Preventive and Comprehensive plans include preventive and major dental services such as fillings, extractions, bridgework, dentures and crowns.
• Vision- A vision plan is available; which covers a routine eye exam and provides an allowance for the purchase of frames, lenses or contact lenses.
• Flexible Spending Accounts- We offer two types of spending accounts : health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
• HSA Savings Accounts- We offer an HSA savings accounts and an employer contribution for full time employees.

Short Term Disability / Medical Leave -Billings Clinic provides a short term disability medical plan which provides employees with days to use in the event of an extended illness or injury.

Financial

• Paid Time Off -Billings Clinic recognizes an employee's need to balance work and family life. Billings Clinic provides a paid time off benefit which affords employees the opportunity to have time off with pay.
• Retirement Plans -Billings Clinic provides a defined contribution pension plan and a 403(b) tax deferred savings plan with matching contributions.

These plans offer employees the opportunity to save for their retirement years with a variety of investment options available.

• Flexible Spending Accounts- We offer two types of spending accounts : health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
• HSA Savings Accounts- We offer an HSA savings accounts and an employer contribution for full time employees.

Tuition reimbursement and / or assistance programs are available for certain positions.

Employee Crisis Fund -Provides limited financial assistance to Billings Clinic employees who need immediate aid.

Growth & Community

• Employee Assistance Program (EAP)- Billings Clinic recognizes that mental well-being is connected to physical health. We offer employees and their eligible dependents, at no cost, four sessions of mental health related services through our confidential EAP program.
• Billings Clinic Parent Network (BCPN) -A unique group to support the employees who also wear the hat of parent . The group meets monthly to discuss the challenges of being a working parent and provides encouragement and support.
• Cafeteria and Commons Café- meal subsidies
• Bicycle-friendly business- Bronze award winner by the League of American Bicyclists
• Tuition reimbursement and / or assistance programs are available for certain positions.
• Leadership training
• Employee recognition programs such as the Bee Award for outstanding team members, Daisy Award for nursing excellence, Great-Catch Award (safety), Years of Service award, YAG awards.

Several employee recognition events throughout the year such as the food truck outdoor event, hot cocoa bar event, etc. to promote fun and employee recognition.

• Free or discounted tickets to local entertainment and sporting events
• Club Billings Clinic offers employees discounts at numerous local businesses and service providers
• Lactation facilities for new mothers.
• 360-degree performance reviews
• Our organization promotes sustainable or green practices.
• Identity Theft Protection and Emergency Travel Assistance
• Business education, continuing education credit assistance
• Formal career development and job advancement programs
• Actively supports community service initiatives, e.g. United Day of Caring, Saturday Live, etc.
• Flexible scheduling and telecommuting options for certain positions to accommodate work / life balance

Casual Fridays"-ability to wear work appropriate jeans to work (for non-clinical employees)

• Workplace facilities to promote exercise
• Promotes walking trails both inside and around the campus
30+ days ago