Job Description

POSITION SUMMARY:

This position is a remote role with the requirement of coming onsite as needed. Must live in Florida.

This role serves as the primary liaison to Quality, Clinical Leaders, and Hospital Operation leaders to facilitate continuous performance improvement in adherence with required Heart and Vascular Clinical Registries (CathPCI, STS Adult Cardiac Surgery, STS/ACC TVT, LAAO/Watchman and Vascular Quality Initiative). 

The Performance Improvement Analyst will research best practices, procedures, and guidelines to improve the Hospital Division Heart and Vascular Registry performance compared to registry benchmarks.  The PI Analyst will collaborate with registry abstractors to develop full knowledge of requirements to facilitate ongoing communications on performance to clinical and operational leadership.  This role utilizes registry data to identify performance opportunities and actively participate in meetings, action plans, and process improvement development.

PRIMARY ACCOUNTABILITIES:

QUALITY/NO HARM:

Proactively seeks opportunities to identify and reduce risk to the safety of patients.

Presents accurate and timely clinical data collection reports to appropriate QI committees or groups and facilitate opportunities for improvements

• Collect data or oversee processes
• Aggregate actionable data in executive summary format
• Provide Benchmarks
• Verify Statistical measures
• Oversee the development of action plans

Serves as IDN expert in one or more regulatory programs or service line quality performance; conducting data visualization and analysis to meet TJC, CMS or other regulatory requirements.

Provide necessary data for clinical leadership achieve and maintain applicable Joint Commission Certifications.

Perform enhanced applicable Joint Commission tracers through the IDN, with timely feedback to leadership for successful surveys.

Maintains advanced quality database competency to facilitate continuous process improvement through documentation review.

Perform detailed monthly monitoring of Program or service line Key Performance Indicators (KPI)

Collaborates in developing studies aimed at evaluating organizational programs. Collaborates in designing outcome measures

• Assists in designing mechanisms for data collection and entry
• Develops reports based on findings

STEWARDSHIP:

Collaborates with clinical teams to identify opportunities for resource optimization; applies proficient LEAN methodology

Support the achievement of regulatory timeliness to avoid payment penalties and progression of quality-of-care goals to achieve Health First IDN Corporate Quality initiatives around top performance.

Proactively identifies opportunities in maximization of Midas+ Care Management system utilization and other quality data repositories or registries.

Demonstrates a thorough understanding of the end-user environment and systems and proactively seeks methods of improvement.

CUSTOMER EXPERIENCE:

Serve as a resource in system-wide efforts to advance quality outcomes and best practice care.

Supports decisions through advanced analytics with a statistical, quality, and clinical outcomes emphasis

Proactively validates information to optimize data accessibility, improving timeliness and accuracy of decision-making; provides training and assistance as needed.

Maintain customer focus and commitment to high customer satisfaction.

Consistently practices excellent verbal and written communication; ability to convey complex or technical information in an understandable and compelling manner.

Qualifications

QUALIFICATIONS REQUIRED:

• Bachelor’s degree in healthcare or business-related field and minimal 3-5 years working in healthcare quality improvement and patient safety, required
• Current clinical license: RN strongly preferred
• Proficient in multiple clinical information systems; Allscripts, Midas, Centricity
• 3+ Midas+ Care Management experience preferred
• Experience with Clinical Data Analysis
• Excellent analytical, Clinical research and problem-solving skills experience
• Knowledge of Healthcare Regulations (TJC, CMS etc.) minimal 3 –5 years’ experience
• Proficiency with data visualization and analytics tools
• Excellent verbal and written communication skills with all levels of associates.
• Ability to continually master new technology, applications, and methodologies
• Strong interpersonal, communication, organizational skills
• Intermediate experience with Microsoft Office such as Excel, Word and PowerPoint
• Ability to maintain positive working relationships with all levels within the organization
• Analytical abilities required to recognize and resolve problems requiring technical or clinical interventions
• Ability to work independently with minimal supervision
• Ability to work flexible hours to meet deadlines or attend early or late meetings

PHYSICAL DEMANDS:

Ability to sit for extended periods of time at a computer and perform typing skills using hand dexterity up to two hours at a time, 6 -8 hours per day

Ability to work flexible and/or long hours to see issues through to resolution

Ability to effectively communicate in person, via telephone, and using written methods

Must be able to bend and reach at all times

MENTAL DEMANDS:

Ability to coordinate multiple projects and demands on an ongoing basis

Ability to organize and prioritize work for optimal effectiveness

Ability to adapt to changing organizational requirements and business applications

Ability to maintain professionalism in the face of adversity

Ability to maintain confidentiality in all pertinent matters

Additional Information All your information will be kept confidential according to EEO guidelines.