Job Description

St. Luke's University Health Network

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Coordinator, Clinical Quality Improvement plays a key role in the coordination of organizational performance improvement activities. Maintains a thorough working knowledge of the continuous improvement process, including CMS, Joint Commission, and IHI requirements relating to performance improvement. This position interacts with all levels of the organization. Consults with data, clinical, financial, and operational leaders to identify performance improvement opportunities related to quality, people, service, finance, and growth as well as areas of clinical care, patient safety, customer service and workforce vitality. Utilizes critical thinking and decisive judgment to enhance clinical processes and patient outcomes.

Job Duties And Responsibilities:

• Works in a collaborative manner with physicians, administrators, department managers and others to identify and meet the continuous performance improvement requirements of the organization.
• Provides education, consultative services and/or technical assistance to hospital departments, Performance Improvement Committees, Service Lines and Performance Improvement Teams.
• Facilitates/leads organizational improvement activities utilizing the PDCA improvement methodology. Recommends tools and assists teams throughout the improvement process.
• Conducts concurrent review of the literature and websites to provide teams and Service Lines with up to date evidence and best practice recommendations.
• Conducts Failure Mode Effects and Criticality Analysis (FMECA).
• Works with Analytics and Business Intelligence (ABI) staff to determine performance metrics for key process and performance improvement initiatives.
• Provides support to Medical Staff and Service Line Performance Improvement Committees.
• Analyzes data reports and implements process to achieve improved performance.
• Assists in the development of storyboards. Prepares graphics for presentation format.
• Develops criteria/outcome measures necessary for disease management studies.
• Conducts chart review for mortality and morbidity review.
• Conducts Root Cause/Intense Analysis of adverse events.
• Supports the vision of the Quality Resources Department by establishing performance improvement initiatives that meet the scope, depth and timeline requirements of the requestor.

Physical And Sensory Requirements:

Sitting for up to 7 hours per day, 2 hours at a time. Frequently uses fingers for typing, data entry, etc. Frequent use of hands. Extensively uses mouse as a computer entry device. Uses upper extremities to lift up to 10 pounds. Rarely stoops, bends, or reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, peripheral vision and near vision.

Education:

Bachelor's Degree in Nursing or healthcare related field is required

Master's Degree in progress with identified date of completion required

Training And Experience:

Minimum 3 yrs. experience in clinical care of patients required. Experience in Quality/Performance Improvement preferred. Excellent project management skills. Knowledge of personal computers and software.

CPHQ or CPHRM as appropriate within 2 years of hire required

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!

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