Quality Improvement Specialist - OC Hospital

City of Hope•Irvine, CA

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. We are seeking an experienced Quality Improvement Specialist to support our Orange County Cancer Specialty Hospital. This role serves as a consultant and trusted resource, empowering leaders, departments, and teams with the information, tools, and improvement support needed to advance quality outcomes across the inpatient setting. The Quality Improvement Specialist partners with the organization, medical departments, and the Performance Excellence Program to support quality improvement initiatives, peer review activities, and performance measurement. This position plays a key role in helping the organization define, measure, analyze, and apply data to drive continuous improvement in clinical and operational performance. As a subject matter expert, the Quality Improvement Specialist provides guidance in process and outcome measurement, data analysis, performance improvement methodologies, evidence-based practices, relevant legislation, accreditation standards, medical staff bylaws, rules and regulations, and organizational policies and procedures. The role also requires expertise in Lean and Six Sigma process improvement tools, facilitative leadership, change management, and regulatory and licensing standards.

Requirements

Master’s degree in nursing or BSN with masters in related/complementary field required. Experience may substitute for educational requirements with VP approval.
Three years’ experience in clinical nursing and/or quality, risk and regulatory compliance.
Current Registered Nurse license in California

Nice To Haves

Specialty certification (CPHQ) and experience with HCAP
CPHQ, HACP certifications highly preferred
Data Management Systems
Project Management
Lean/Six Sigma Training
Change Management
Accreditation and Regulatory Compliance
Knowledge of Joint Commission, Title 22, CMS

Responsibilities

Coordinates and leads discrete quality improvement teams in collaboration with each team’s physician liaison.
Collaborates with administrators and/or the physician liaison for each team in the development of the agendas; tracks the actions and assures timely follow up on actions.
Supports event reporting and peer review for campus and external community clinics.
Facilitates root cause analyses and other deep dive activities needed to refine and modify policies and procedures and/or processes to improve the quality of patient care.
Follows-up on quality activities such as case/sentinel event reviews to make sure appropriate changes have taken place.
Develops NDNQI and nursing data quality for inpatient services.
Obtains, reviews and analyzes clinical data through review of the in-patient and out-patient medical record and data reports from numerous sources to gather data for OPPE, peer review, other case review, quarterly quality reports, special projects, performance improvement and other quality metrics chosen by the organization or mandated by external agencies; Participates in observational activities (e.g. nursing studies, policy adherence) to collect needed data.
Collaborate with inpatient units, perioperative services, and Interventional Radiology to ensure accurate, timely, and consistent access to relevant data.
Presents data in a meaningful and useful manner.
Attends the applicable medical staff committees for quality report and event review and is an active participant at QA&I