Position Summary: This position provides ongoing assessment of performance, facilitates prioritization of improvement activities, oversees performance improvement projects and ensures successful clinical project implementation throughout the organization. Plans, organizes, develops and maintains a comprehensive performance improvement program to ensure compliance with all state, federal and accreditation standards. Collects, compiles and analyzes data and prepares summaries of outcomes and compliance.
Qualifications: EDUCATIONAL REQUIREMENTS Requires Bachelor's degree or equivalent in nursing or other healthcare related field. Master's degree preferred.
CERTIFICATION & LICENSURE REQUIREMENTS Lean Healthcare Management Certification Preferred. Six Sigma Greenbelt Certification Preferred. Certified Professional in Healthcare Quality (CPHQ) within 1 year of employment.
EXPERIENCE REQUIREMENTS Five years of experience in the healthcare industry required with significant experience in clinical operations and/or process improvement leadership. Formal training in Performance Improvement tools (examples include Lean certified, Green Belt certified).
OTHER REQUIREMENTS Knowledge of lean principles and performance improvement methodology. Advanced computer skills, including Windows-based applications. Advanced knowledge of Excel, including, pivot tables, formulas, tables, and formatting. Advanced analytical, critical thinking, and problem solving skills to interpret data, identify trends, and anomalies. Excellent verbal and written communication skills. Ability to learn and adapt to change in order to further department and organizational goals. Proficient ability to plan, prioritize, coordinate, and complete projects by specified deadlines with high level of quality, accuracy, and clarity. Must be self-motivated and able to work independently. Must be detail oriented.
Supports implementation of clinical practices. May support and facilitate implementation and performance improvement activities related to or resulting from patient safety, harm reduction, clinical performance and compliance with the requirements of regulatory and accrediting agencies such as DNV, CMS, IDPH, and Quality Improvement Organization.
Translates quality metric data into meaningful configurations to enhance transparency.
Interprets quality data to participate and lead performance improvement efforts.
Facilitate and lead performance improvement education and training throughout the system.
Work in collaboration with the team to ensure performance improvement methodologies (PDSA) and lean principles are integrated into the culture for improving outcomes.
Maintains patient harm event databases and performs data trending analysis.
Participates or facilitates in performance improvement teams.
Facilitates implementation of evidence-based practices.
Track progress for process improvement events to ensure completed and documented improvements are realized and sustained.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Internal Number: 6362
About Carle Foundation Hospital
Based in Urbana, IL, The Carle Foundation is a vertically integrated health system with more than 7,000 employees in its hospitals, physician group, health plan and associated healthcare operations. Serving a population of over 1.4 million people across 41 counties in Illinois and five in Indiana, Carle provides patient-focused, world-class care with a dedication to research and education. The 413-bed Carle Foundation Hospital is the region’s only Level I Trauma Center and offers Level III perinatal services. Carle ranked in 2018 as one of America’s 50 Best Hospitals by Healthgrades, a Best Hospital by U.S. News and World Report and has achieved Magnet® designation, the nation’s highest honor for nursing care. In addition, Carle secured Great Places to Work in Healthcare honors in 2018. The system also includes the 24-bed critical-access Carle Hoopeston Regional Health Center, the 134-bed Carle Richland Memorial Hospital, and Carle Physician Group with more than 500 doctors. Carle’s Centers for Excellence include Mills Breast Cancer Institute, Carle Cancer Center, Carle Spine Institute, Carle Neuroscience Institute, Carle Digestive Health Institute and Carle Heart and Vascular Inst...itute. Carle Illinois College of Medicine is the world’s first engineering-based college of medicine. And the Stephens Family Clinical Research Institute enables clinicians and scientists to partner in solving some of today’s most pressing health issues. Part of the Carle system, Health Alliance is a leading provider-driven health plan serving nearly a quarter-million members in Illinois, Iowa, Indiana, Ohio and Washington. In 2017, Health Alliance was awarded by J.D. Power for highest member satisfaction among commercial health plans in the Illinois and Indiana Region.