Provides comprehensive review of patient care issues. Assists with the implementation of the hospital and medical staff performance improvement program. Collects and organizes data to support hospital quality initiatives. Serves as member of appropriate committees/teams.
Essential Functions / Major Responsibilities:
Performs accurate and thorough chart audits for care issues, complaints, and abstractions (HSAG, IHI, Qnet).
Conducts investigations related to patient complaints and incident reports in Quantros.
Participates in implementation of evidence-based practices for the facility.
Performs data collection for trending physician activity and quarterly reports.
Monitors feedback reports (i.e. Patient Satisfaction vendor to create scorecards/dashboards demonstrating the perceived quality of care and satisfaction).
Coordinates Peer Review process.
Communicates information and follow-up work; assists managers within the service lines.
Facilitates and participates in designated meetings; types agenda and minutes.
Performs all functions according to established policies, regulatory and accreditation requirements, and professional service standards.
Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards.
Promotes the Patient Safety Standards as a core value of the organization.Secondary Functions:
Posts the PI bulletin board.
Implements new processes and educates staff hospitalwide.
Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars.
Reviews department and hospitalwide policies and procedures annually.
All other duties as assigned.Additional / Seasonal Responsibilities:
Conducts various surveys, CMS and HSAG chart reviews, monthly physician department meetings.Job Scope:
This job involves:
Frequent new and varied work situations.
A moderate to high level of complexity.
Typical determination of own practices and procedures. Contributes to the development of new services, programs, or processes.
Performance under independently-minimal supervision.Supervisory Responsibility:
Are normally made with others within the hospital.
Are made with own department as well as other departments or locations.
Frequently contain confidential/sensitive information necessitating discretion at all times.
Are made via telephone, e-mail, and face-to-face interaction.
Are made with staff and physicians, with some patient contact.Specific Job Skills:This position requires operational knowledge of all equipment in the Performance Improvement department, including: fax, printers, copy machine, phone systems, and commonly used computer programs in the hospital (including MS Office, e-mail, internet, and the Hospital Information Systems). This employee must be service oriented and have excellent customer service skills, computer skills, organizational skills, multitasking skills, professional interpersonal skills, time management skills, the ability to prioritize work, and telephone etiquette. Must be able to read, write, speak, and understand English.
Education and/or Experience:
Associate’s degree (required).
OB Experience HIGHLY PREFERRED
BLS/CPR (required within 30 days of hire date).
Current AZ RN license (required).
Basic computer skills (required).
Ability to type 50+ wpm (required).
Five years experience as an RN (required).Physical Demands & Job Conditions:Light
Exert up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects. Physical demands are in excess of those of Sedentary work. Light work usually requires walking or standing to a significant degree. Worker is subject to extensive computer work.
Physical motions include finger dexterity, standing, walking, talking, reaching, feeling, sitting, bending, grasping, listening/hearing, handling, lifting up to 20 pounds, and repetitive motions of the hands, wrists, and feet.
OSHA Exposure Category:
OSHA Exposure Category 3
Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment.
Additional Salary Information: $5,000 Sign on Bonus plus Relocation Assistance offered!
Internal Number: 1
About Summit Healthcare Regional Medical Center
Summit Healthcare is a private, not-for-profit organization that has provided medical services to White Mountain residents and visitors. As a regional medical center with 89 licensed beds , we respond to the healthcare needs of more that 90,000 permanent residents and seasonal visitors living in a 3,000 square mile area. Summit Healthcare's goal is to provide patients with state-of-the-art healthcare close to home. Every year we take critical steps to ensure we are meeting this goal by investing in state-of-the-art equipment and technology and by attracting outstanding physicians representing a variety of medical specialties. Summit Healthcare is located in the beautiful white mountains of Northeastern Arizona. The White Mountain area is a friendly, rural community with affordable housing, excellent schools and year round outdoor activities. It is the perfect place to fish, hike, ride horseback, mountain bike, ski, golf, hunt and have countless other sports and outdoor adventures! To learn more about Show Low, AZ and Summit Healthcare Regional Medical Center refer to these websites: