Clinical Quality Assurance Coordinator; Sepsis Coordinator WMCG

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Work Shift

Day (United States of America)

The Sepsis Coordinator is a registered professional nurse who functions under the Manager of Quality and Patient Safety and is responsible for providing leadership and assistance in facilitating activities/services for the sepsis program. Key responsibilities of the Sepsis Coordinator include appropriate chart/data abstraction, analyzing and reporting, coordination of related departmental / service line functions, process improvement, physician and staff education. The Sepsis Coordinator will assess and recommend modifications to workflows, using their clinical expertise and knowledge of operations to improve compliance with SEP‑1 guidelines and help team members and providers to have greater customer focus.

The coordinator will facilitate the Sepsis PI Committee and bring greater systems/analytic thinking to the team. The Sepsis Coordinator must combine the roles of clinician, leader, liaison, educator, researcher, consultant and quality improvement specialist to drive improvements in sepsis outcomes. They have shared responsibility for supporting adherence to standards of practices, system, and department policies and procedures, and ensuring quality patient care.

Other responsibilities include assisting with ensuring compliance with regulatory and legal requirements by all team members, visitors and providers.

Promotes and actively participates in performance improvement initiatives designed to enhance quality patient care and improve work processes and efficiencies for sepsis.

Collaborative Partnerships:

• Partners with physicians, managers and staff to ensure maximum quality and value of sepsis clinical care through individual accountability, identification, and implementation of process improvement efforts.
• Empowers shared decision by fostering teamwork, open communication, and inclusion of diverse thought.
• Researches and presents ideas on improvements in the areas of sepsis care, reporting and clinical services.
• Uses problem solving and communication skills to bring forth performance improvement ideas and opportunities.
• Uses established Performance Improvement criteria when addressing issues or recommending changes in practice, policies and procedures.
• Serves as the Subject Matter Expert and facilitator for the Sepsis Performance Improvement Committee.

Sepsis Data Review:

• Completes daily review of all sepsis cases and sepsis deaths.
• Reviews all sepsis, HAI and relevant Patient Safety Indicators for opportunities for improvement.
• Reviews the daily event reporting summary to identify medical care concerns related to sepsis.
• Assists in the completion of timelines for precursor, serious safety, and sentinel events related to sepsis.
• Completes chart reviews for regulatory and accreditation audits as directed.

Sepsis Patient Care Effectiveness:

• Provides clinical expertise to nursing staff as well as patients and their families.
• Coordinates sepsis care for various patient populations, including geriatric or pediatric patients, and ensures that protocols are age‑appropriate.
• Develops clinical tools like standing orders, bundles, nurse‑driven interventions, clinical decision support apps, etc. to ensure continuity and quality of care.
• Evaluates the feasibility of sepsis early warning and response systems.
• Creates nursing documentation standards and ensures compatibility with the existing EMR.

Resources and Support:

• Engages leaders in decision‑making and partners with others to promote patient centered care and service excellence while effectively providing leadership and management skills; possesses strong and effective negotiation and mediation skills.
• S…