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Hackensack Meridian Health · 1 month ago

Quality Improvement Specialist

Brick, NJ

Full-time

Onsite

Senior Level

5+ years exp

Hackensack Meridian Health is dedicated to improving the health and lives of their patients and community. The Quality Improvement Specialist will lead quality and safety improvement initiatives, collaborating with various teams to enhance patient safety and quality outcomes through data-driven strategies and project management.

Assisted LivingHealth CareHealth DiagnosticsHospitalMedical

Responsibilities

Facilitate and lead highly functioning teams organized around quality & safety initiatives. Develop methods of engaging and developing team members in the work of quality & safety initiatives and improvement measures

Identify improvement priorities specific to each HMH initiative-focused improvement work, clinical transformation service, or quality council based on evidence based practice, taking into consideration regulatory requirements and accrediting agencies such as CMS, Pay for Performance, The State of New Jersey Department of Health, and The Joint Commission

Bring safety and quality events, concerns and needs to local morning safety huddle

Encourage event reporting and transparency related to events, concerns, needs, processes to identify precursor and safety events

Identify & implement data driven strategies to ensure team's success

Utilize the Quality Scorecard to drive improvements by the HMH initiative-focused improvement work, clinical transformation service, or quality council

Provide expert knowledge, leadership and mentoring in patient safety & quality initiatives utilizing safety and high reliability science

Strategize with personnel at all levels to develop and coordinate patient safety programs. Provide coaching and hands-on support of quality and safety strategies

Create and maintain timely and thorough progress reports that include key driver diagrams, run charts and PDSA testing documentation

Develop metrics and report key quality & safety metrics to accurately demonstrate improvement in safety & quality across the medical center and network

Provide timely, actionable feedback and reports to clinical, administrative and support staff on all safety & quality initiatives

Analyze and investigate event reports related to assigned clinical area

Ensure appropriate referral and follow up for events including escalation for regulatory reporting

Increase transparency, reinforce high reliability and advance the safety culture by participating in and facilitating safety huddles, patient safety activities, just culture reinforcement and shared learning

Facilitate the NPSF RCA-2 process as needed. Provide leadership, guidance, support and direction resulting shared learning within designated clinical areas and across the institution and network

Advance the science of safety and quality improvement through dissemination of methods, results and lessons learned from improvement projects

Present improvement methods and results at local, national and international forums

Monitor standards of practice to ensure compliance with codes of internal and external regulatory and accrediting agencies including: a. The Joint Commission b. NJS and Federal Codes (i.e.: DOH, OSHA) c. Professional review organizations

Effective trend analysis of performance data with comparison over time to internal and external benchmarks to identify improvement opportunities, and progress

Coordinate and mentor team members in quality projects. Coordinate and assist the performance improvement work of the unit councils

Attend root cause analysis meetings as specific to HMH initiative-focused group, clinical transformation service, or quality council focus area

Direct patient and team member safety by identification of actual or potential safety issues

Advance & enhance professional growth and development through seminars, workshops and professional networking opportunities to maintain and extend expertise

Adhere to the standards identified in the Hackensack Meridian Health's organizational competencies

Qualification

Quality improvement strategiesPatient safety programsData analysisHealthcare experienceStatistical analysisProject managementRegulatory knowledgeComputer proficiencyProfessional networkingRoot cause analysisPerformance improvementClinical researchSafety cultureKey performance metricsCommunication skillsTeam leadershipMentoringPresentation skills