At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you’re part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!
FTE: 0.800000
Shift: Days
Location: RIVERSIDE MEDICAL CENTER
Summary:
The QI Coordinator provides expertise and support for Quality Management functions, including abstracting, data aggregation and analysis, and medical record review for quality assessment. This individual will demonstrate their expertise in quality management and performance improvement through coordination and maintenance of quality clinical initiatives to support performance improvement programs. Analyze and trends data for opportunities for improvement/process improvement.
This role is expected to apply clinical knowledge and analytical skills to assist the Director of QM and leadership in implementing quality improvement strategies and change with a strong focus on improving quality outcomes and results. The Quality Improvement Coordinator also provides support to medical staff peer review activities. Coordinates and facilitates medical staff Peer Review activities and physician review of cases involving potential quality issues. Actively participates in various multi-disciplinary committees and task forces.
Required Qualifications:
· Bachelor's degree in Nursing or healthcare related field, Healthcare Management, or Quality Management.
· Relevant certifications, such as Certified Quality Improvement Associate (CQIA) or Certified Quality Improvement Professional (CQIP), Certified Professional in Healthcare Quality (CPHQ) preferred. Obtain certification within 2-3 years of employment.
· Proven experience in quality improvement, preferably in a healthcare or service-oriented industry.
· Knowledge of regulatory requirements and accreditation standards, such as ISO 9001 or DNV, is highly desirable.
· Familiarity with data management systems and quality improvement tools, such as process mapping, root cause analysis, and performance dashboards.
· Strong understanding of quality improvement principles, methodologies, and best practices.
· Excellent problem-solving and critical thinking abilities.
· Ability to work independently and as a part of a team, with strong collaboration skills.
· Strong project management skills, with the ability to prioritize tasks and meet deadlines.
Responsibilities:
· Utilize electronic Peer Review module in documenting peer review cases and lead Medical Staff the integration of system approach for peer reviews.
· Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements.
· Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities.
· Direct activities that support compliance with organization wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement.
· Ensure High-Reliability Principles and PDSA methodology are utilized in leading committee’s continuous improvement projects.
· Collaborate with cross-functional teams to develop action plans and implement process improvements.
· Analyze data and key performance indicators to identify trends, areas for improvement, and opportunities for cost reduction.
· Ensure compliance with regulatory requirements and accreditation standards.
· Develop and maintain documentation related to quality improvement activities, including policies, procedures, and reports.
· Stay updated on industry best practices and emerging trends in quality management.
· Identify training needs and develop training materials to enhance employee understanding and adherence to quality standards.
· Other duties as assigned.
In addition to the above responsibilities, the QI Coordinator is also responsible for:
· Attending webinars and conferences in relation to core measures (AMI, Heart Failure, Sepsis and Stroke).
· Collects core measure (AMI, Heart Failure, Sepsis and Stroke) data concurrently and retrospectively and keeps statistics on concurrent data collection.
· Oversees data abstraction for third party vendor for core measures (AMI, Heart Failure, Sepsis and Stroke).
· Prepares reports for the multi-disciplinary committees related to quality metrics in core measures (AMI, Heart Failure, Sepsis and Stroke).
· Provides concurrent nursing and medical staff education for all the core measures (AMI, Heart Failure, Sepsis and Stroke).
· Serves as the QI Coordinator for the Medical Center and facilitates core measure programs (AMI, Heart Failure, Sepsis and Stroke) in conjunction with the Medical Director and committee teams with the responsibilities for ensuring that the requirements of the Accrediting Bodies are implemented and maintained.
Credentials:
Essential:
* Registered Nurse
Education:
Nonessential:
* BACHELOR SCIENCE NURSING
Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.
Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.
Other information:
Exposure/Sensory Requirements:
Exposure to:
Chemicals: White out for correction of typing/writing corrections.
Video Display Terminals: Extreme
Blood and Body Fluids: Minimal risk - very restricted direct patient contact with this type of patient. This is reduced by following universal precautions.
TB or Airborne Pathogens: Minimal risk - very restricted direct patient contact with this type of patient. This is reduced by following universal precautions.
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Required to communicate with physicians, hospital staff, and others.
Vision: Needed to perform chart review data, computer screen work.
Smell: NA
Hearing: Needed for telephone , physician, hospital personnel and other communication.
Touch: to manipulate tools, equipment.
Activity/Lifting Requirements:
Average Hours per Week: 28
Shift: Days
Percentage of time during the normal workday the employee is required to:
Sit: 75%
Twist: 0%
Stand: 2%
Crawl: 0%
Walk: 10%
Kneel: 1%
Lift: 10%
Drive: 0%
Squat: 2%
Climb: 0%
Bend: 2%
Reach above shoulders: .5%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Frequently
Up to 20 lbs: Occasionally
Up to 35 lbs: Not Required
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Chart reviews will be done retrospectively. Charts need to be lifted from Medical Records box and placed in a cart and wheeled to office for review. Charts are wheeled or carried to department chairman's office or meeting place for peer review.
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 240
Twist: 0
Stand: 5
Crawl: 0
Walk: 15
Kneel: 5
Lift: 5
Drive: 0
Squat: 5
Climb: 0
Bend: 2
Reach above shoulders: 1
Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: often
Pushing & pulling Normal weight: often
Fine Manipulation: Turning pages of a chart, weight varies with size of chart. Enter data into the computer frequently.
Repetitive use of foot or feet in operating machine control: None
Environmental Factors & Special Hazards:
Environmental Factors (Time Spent):
Inside hours: 6-8
Outside hours : 0
Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere: Odors, Dust
Special Hazards: NA
Protective Clothing Required: None