Primary Location: Bremerton, WA - Harrison Medical Center
This job is responsible for planning, implementing and evaluating evidence-based clinical quality management/improvement plans/programs/initiatives for the assigned CHI Franciscan Health (CHI-FH) facility or regional program (e.g. Leapfrog) designed to achieve measurable improvements in patient perception/safety, utilization of clinical resources and sustained achievement of desired clinical outcomes. Work focuses on all aspects of quality process improvement and is conducted in accordance with professional standards, organizational objectives and applicable regulatory/accreditation requirements. An incumbent collaborates with physicians, management/staff and clinical service lines in carrying out performance improvement projects/initiatives relating specifically to quality management/reporting, and monitors quality indicators/results to identify/address weaknesses and recurring variances from established standards.
Work also includes overseeing various multi-disciplinary teams, providing support, expertise and guidance in: 1) the application of accepted clinical quality improvement methodologies/tools; 2) data collection and statistical/operational analysis; 3) risk assessment and outcomes measurement; 4) evidence-based best practices research; 5) documenting and implementing process improvements; and 6) evaluating desired vs. actual clinical effectiveness of performance improvement efforts.
Work requires considerable knowledge of quality objectives/indicators and related quality improvement concepts, methodologies and tools. Considerable understanding of the importance of data to performance improvement processes (e.g. establishing baseline, providing objective measurement, determining the degree of the problem, showing variation/causes of variation, identifying root causes, developing appropriate solutions, etc.) is also required. Duties performed involve weighing and evaluating many factors requiring judgment, analytical ability and problem-solving in dealing with complex data and situations.
ESSENTIAL JOB FUNCTIONS:
Manages, implements and evaluates approved quality-related programs/initiatives for an assigned facility or regional quality-related program (e.g. Leapfrog) to ensure that all activities are conducted in a timely and cost-effective manner, and in accordance with organizational values, professional standards, internal policies and procedures and applicable legal/regulatory requirements.
Monitors and assesses current standards, procedures and outcomes to identify opportunities and provide recommendations for quality-related performance/process improvement initiatives.
Serves as the primary quality contact for the assigned facility or regional quality program for regulatory site-visits (e.g. TJC) or audits (e.g. Leapfrog); supports compliance with applicable legal and regulatory agreements, standards and requirements.
Provides professional consultation and/or manages/facilitates site-based performance improvement teams convened to address and develop solutions to clinical or operational quality-related objectives, challenges and new regulatory requirements.
Performs related duties as required.
MINIMUM JOB QUALIFICATIONS:
Education/Work Experience Requirements
Bachelor’s degree in healthcare administration, nursing or other healthcare-related field, and five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge.
A minimum of three years in a lead or management role is strongly preferred.
Master’s degree in a healthcare discipline is strongly preferred.
Current licensure as a Registered Nurse by the Washington State Board of Nursing.
Certification as a Certified Professional in Healthcare Quality (CPHQ) is strongly preferred.
Internal Number: 2019-R0226455
About CHI Franciscan Health
The seeds for CHI Franciscan were planted in 1891, when the Sisters of St. Francis of Philadelphia established St. Joseph Hospital, now known as St. Joseph Medical Center, in Tacoma. Over the years, our health care ministry has grown with the enduring goal of fulfilling the spiritual, emotional and physical needs of the people we serve.