RN Clinical Integration Specialist

Position Overview

The purpose of the Clinical Integration Specialist is to assist and support the Director in quality and safety strategies, plans, and regulatory requirements that improve outcomes and reduce harm to patients. The specialist works closely with ministry colleagues, providers, and leaders in implementing, monitoring, and evaluating quality and safety programs, structures and requirements that culminate in high reliability.

Full time

Day Shift

The specialist reports directly to the Regional Director of Quality, Access and Growth for the Medical Group and:

• Knows, understands, incorporates, and demonstrates the Mercy One (Trinity Health) Mission, Vision, Core Values, Actions and Promise in behaviors, practices, and decisions.
• Assists the manager in areas of oversight of quality, patient safety (inclusive of the culture of safety (Together Safe) work) and infection prevention across the ministry.
• Supports the work of quality and safety related to the quality assurance and performance improvement plan, local/region/system strategies, regulatory and accrediting body requirements (i.e., Centers for Medicare and Medicaid Services ("CMS"), Iowa Department of Inspections and Appeals ("IDIA"), The Joint Commission (TJC), etc.) in conjunction with the hospital’s leaders, colleagues and providers.
• Identifies problem areas in need of focused attention and supports the manager to implement actions to drive improved outcomes.
• Assists the manager in achieving the best outcomes aligned to "CMS", pay for performance programs (including those aligned to commercial carriers) and TJC in areas of quality measures and regulatory requirements.
• Promotes continuous improvement toward achieving excellent outcomes and recognition in regards to outside “rating” organizations, including (not all inclusive) "CMS", Leapfrog, Health grades, and Blue Distinction etc.
• Collaborates with Medical Group executive leadership, providers, and leaders in meeting/exceeding standards of excellence and achieving national designations, certifications, and awards.
• Collaborates with colleagues in areas of accreditation, risk management, patient experience, clinical practice and performance excellence to provide identified and needed support for improvement.
• Serves as a resource for Clinic Operations and Clinical Leaders in the development, implementation, and evaluation of patient care programs and clinic practice standards, including policies, guidelines, procedures and professional practice models.
• Facilitates and supports the local market Medical Practice Committees.
• Assists with implementation of quality excellence systems that integrate LEAN and other methodologies as appropriate to create a data-driven quality improvement programming.
• Provides appropriate support, and/or consultative services (project design, selection of data required, development of documentation tools, etc.) to quality improvement teams.
• Works closely with colleagues in improving the organization’s culture of safety - including the concept of a “Just Culture” and “Together Safe”. Supports opportunities for improvement on Cause Analyses (apparent cause, root cause, common cause), Healthcare Failure Modes and Effects Analysis (HFMEA), and Patient Safety Organization (PSO) initiatives.
• Assists the manager in ensuring accuracy of data in regulatory and accrediting quality databases (i.e., "CMS" HARP, TJC), registries, and dashboards/scorecards for internal and external customers.
• Promotes an environment of shared leadership, decision-making and accountability.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Supports organizational evidence-based practice, innovation and research. Assists the manager in the clinical contracting process, consistent with legal and regulatory requirements.
• Contributes to the quality process in evaluating provider performance, inclusive of the focused and…