University of Maryland Medical System · 23 hours ago
Quality Improvement & Outcomes Coordinator
University of Maryland Medical System is a leading provider of inpatient rehabilitation services in Maryland, specializing in orthopedics and neurological disorders. The Quality Improvement & Outcomes Coordinator oversees quality reporting and outcomes management for rehabilitation patients, coordinating departmental quality improvement activities to enhance patient care and ensure compliance with organizational policies.
Hospital & Health Care
Responsibilities
Plans, organizes, and directs departmental quality improvement activities. Conducts departmental studies of identified problem areas in accordance with the Quality and Performance Improvement Plan
Provides staff support to quality management committees by assembling data for review. Handles correspondence to/from committees by writing letters/memos to the appropriate person, department or committee informing them of the recommendation or actions to be taken. Receives correspondence from departments or committees and shares information with the Committee/department quality management physician
Reviews data related to clinical care, in conjunction with the quality management committee, to determine committee agenda and identify areas requiring further information
Prepare reports as required for medical staff, quality management committees and quality task forces to identify trends or patterns that present an opportunity to improve the quality of patient care provided
Shares trends, patterns or issues identified during concurrent reviews, providing explanation and details regarding monthly quality assurance reports, and/or obtains medical records or additional information to be discussed
Facilitates clinical review and problem-solving processes through the use of quality improvement methodology and tools
Coordinates special quality improvement projects and studies. Identifies resources needed, persons to be involved and the logistics of accomplishing the project. Participates in State and Federal Quality projects to obtain comparative data on quality indicators, to use in assessing how well the institution is doing in relation to others and compliance with The Joint Commission standards
Analyzes and assesses the important aspects of care (such as appropriateness of diagnosis, blood transfusions, indication for surgery, clinical pertinence of medical record documentation, complications, anesthesia care, infections, utilization issues, etc.) for specific patient populations which represent important clinical issues and reflect the strategic clinical direction of the organization. Identifies areas for improvement
Works with the healthcare team to determine the quality of care provided to support compliance with The Joint Commission standard of multidisciplinary approach to quality improvement
Works with the healthcare team to determine the quality of care provided to support compliance with the Commission on Accreditation of Rehabilitation Facilities, of multidisciplinary approach to quality improvement
Identifies opportunities for improvement in the care provided
Facilitate the development of strategies and action plans to correct the improvement areas. Facilitates multidisciplinary teams to achieve improved quality care
Collects quality and risk management data on an ongoing basis such as unplanned readmissions, deaths, unplanned returns to the operating room, Maryland Hospital Association Quality Indicator Project Indicators, Clinical Quality Indicators for Board Report, occurrence screens
Measures and assesses data using pre-determined, medical staff approved criteria to identify cases requiring peer review, identify causes for indicator rate outliers and to document trends or patterns that identify opportunities for improvement in the quality of care provided
Provides feedback to multidisciplinary teams regarding patient outcomes and processes of care
Develops effective working relationships with Risk Managers, Case Managers, and Department managers to assure cooperation and data sharing which results in improved patient care
Provides consultation to ancillary support and clinical departments within the Medical System to establish quality indicators, analyze quality and utilization data, identify trends/patterns and formulate plans for resolving issues/problems
Staffs organization-wide quality improvement committees and participates on process management teams
Qualification
Required
Bachelor's degree in Nursing or in Physical Therapy, Occupational Therapy, Speech Language Pathology or an equivalent combination of education and experience
Current healthcare licensure in the State of Maryland
Knowledge about The Joint Commission and Commission on Accreditation of Rehabilitation Facilities is required
Knowledge of quality improvement and risk management is required
Highly effective verbal and written communication skills are necessary to work with medical, nursing staff and external review agencies in monitoring and evaluating the quality of patient care
Ability to learn facilitation of clinical quality improvement and the problem-solving process in a clinical setting
Ability to learn quality improvement tools and methodology
Ability to assess utilization and quality management problems, recommend solutions, and resolve issues in a timely, efficient and effective manner
Preferred
For Nursing, CRRN
Company
University of Maryland Medical System
The University of Maryland Medical System (UMMS) was created in 1984 when the state-owned University Hospital became a private, nonprofit organization.
H1B Sponsorship
University of Maryland Medical System has a track record of offering H1B sponsorships. Please note that this does not
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2025 (11)
2024 (15)
2023 (18)
2022 (9)
2021 (5)
2020 (1)
Funding
Current Stage
Late StageRecent News
2023-06-30
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