Quality & Safety Improvement Consultant IV, Clinical Quality Consulting

Overview

Job Summary

In addition to the responsibilities listed above, this position is responsible for providing consultation and education related to clinical quality and patient safety, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control; contributing to the evaluation, design, and development of evidence-based guidelines, principles, and/or programs related to area of work; facilitating implementation efforts to reduce variation in clinical practice and optimize patient outcomes;

assisting with the collection, analysis, report development, and presentation of clinical data for a variety of users including state, federal, and local agencies; helping to provide education regarding the interpretation of compliance methods when preparing for regulatory reviews and regional project goals; monitoring, reporting, and developing mitigation plans for all occurrences which may lead to medical center liability; supporting the medical center s continuous survey readiness program to maintain compliance with regulatory standards;

and serving as a liaison with applicable government agencies, regulatory agencies, and other organizations.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations.
  
  Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines;
  
  identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Conducts data extraction, analyses, and presentations to support quality improvement efforts by: conducting statistical analysis to determine reliability and confidence intervals for quality improvement evaluations and special projects; creating charts, graphs, and narrative summaries of improvements utilizing multiple data reporting systems; presenting quality improvement metric reports at the individual and team level to demonstrate improvements and effectiveness of quality improvement programs in specified formats;
  
  and documenting and analyzing trends, potential errors, and other analysis and reporting findings to the supervisors.
• Facilitates quality improvement and improvement risk management by: assisting with the development of corrective action plans for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring process improvements are compliant with established internal and external regulation requirements at the local level; conducting root cause analysis, failure mode and effects analysis, and other assessments in response to significant events, near misses, and good catches in order to identify areas of improvement;
  
  and exercising independent judgment to escalate high-risk issues and trends to appropriate entity for resolutions.
• Develops and utilizes quality improvement performance metrics by: developing performance metrics, standards, and methods to establish improvement success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure development of cohesive and reachable metrics that are practical and approved for assigned departments; and facilitating the collection of metric data from workflows and projects by utilizing sound methodology.
• Facilitates the development of quality improvement initiatives by: implementing methods and tools to develop stakeholders  capabilities for process improvements; integrating data-driven improvement principles, tools, and problem-solving methods, including Lean/Six-Sigma concepts and techniques using quality improvement metrics; and…