Quality Specialist, Accreditation

Lawrence Memorial Hospital•Lawrence, KS

About The Position

Something special starts here. You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you’re looking for at LMH Health. You'll find everything you’re looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We’re looking for you. Job Description I. JOB SUMMARY This position has primary responsibility of one or more disease-specific and patient safety team by acting as facilitator (in a triad leadership model) to drive success to establish and/or manage maintenance of certification by The Joint Commission. This position is responsible for abstraction of quality measures, performing interrater reliability on abstracted measures and evaluating any data outliers. Duties also include monitoring compliance and providing real-time coaching to providers and staff on data-driven improvements. The position is responsible for continuous collaborative learning, including (but not limited to): identifying and supporting performance improvement projects and activities throughout the organization through education, planning and project oversight. II. ESSENTIAL JOB RESPONSIBILITIES Implementation, evaluation and continuous improvement of regulatory and contracted value related clinical outcomes, such as, CMS quality reporting programs (Inpatient, Outpatient, and Clinics), CMS incentive/penalty programs, and third party payers. Perform an analysis of clinical outcomes to understand root cause when results are less than expected. Using Lean Six Sigma tools facilitate performance improvement projects. Actively engage in the culture of quality, safety, high reliability, patient and staff engagement, and performance excellence. Participate and/or support quality metrics as needed, such as, alignment of metrics across the continuum, abstraction and/or validation. Develop, implement and evaluate regulatory survey readiness activities. Participates in all educational opportunities identified as important to this position. Data interrater reliability and analysis of outliers (potential and actual). Analyze data and provide recommendations for performance improvement projects or actions.’ Facilitate performance improvement projects Performs other duties as needed or assigned. Regular and reliable attendance is an essential function of this position III. JOB QUALIFICATIONS Required : Current applicable licensure (may consider working experience in clinical/healthcare setting in lieu of licensure) Minimum 3 years of working experience in a clinical/healthcare setting Bachelor’s Degree Preferred : Master’s degree Clinical licensure (RN, Med Tech, etc.) Experience in process improvement Yellow Belt in Lean Six Sigma Detail oriented and organized approach to problem solving and PI initiatives. Advanced knowledge of computer spreadsheets and databases (including Microsoft Excel, Word and preferably Access). Basic knowledge of statistics and statistical methods of analysis. Good organizational skills; ability to prioritize, use good time management and adhere to deadlines as directed. Strong and collaborative team player; works well in a continuous learning environment. Our Cultural Beliefs People First Integrity Matters Better Together At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Requirements

Current applicable licensure (may consider working experience in clinical/healthcare setting in lieu of licensure)
Minimum 3 years of working experience in a clinical/healthcare setting
Bachelor’s Degree

Nice To Haves

Master’s degree
Clinical licensure (RN, Med Tech, etc.)
Experience in process improvement
Yellow Belt in Lean Six Sigma
Detail oriented and organized approach to problem solving and PI initiatives.
Advanced knowledge of computer spreadsheets and databases (including Microsoft Excel, Word and preferably Access).
Basic knowledge of statistics and statistical methods of analysis.
Good organizational skills; ability to prioritize, use good time management and adhere to deadlines as directed.
Strong and collaborative team player; works well in a continuous learning environment.

Responsibilities

Implementation, evaluation and continuous improvement of regulatory and contracted value related clinical outcomes, such as, CMS quality reporting programs (Inpatient, Outpatient, and Clinics), CMS incentive/penalty programs, and third party payers.
Perform an analysis of clinical outcomes to understand root cause when results are less than expected.
Using Lean Six Sigma tools facilitate performance improvement projects.
Actively engage in the culture of quality, safety, high reliability, patient and staff engagement, and performance excellence.
Participate and/or support quality metrics as needed, such as, alignment of metrics across the continuum, abstraction and/or validation.
Develop, implement and evaluate regulatory survey readiness activities.
Participates in all educational opportunities identified as important to this position.
Data interrater reliability and analysis of outliers (potential and actual).
Analyze data and provide recommendations for performance improvement projects or actions.’
Facilitate performance improvement projects
Performs other duties as needed or assigned.
Regular and reliable attendance is an essential function of this position