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Clinical Quality Analyst FT Days

AdventHealth Hendersonville

This is a Full-time position in Hendersonville, NC posted October 25, 2021.

Description

CLINICAL QUALILTY ANALYST                                                                                                                                    ADVENTHEALTH  HENDERSONVILLE                                                                                                                                      100 Hospital Drive Hendersonville NC  28792

Top Reasons To Work At AdventHealth Hendersonville

  • Immediate Benefits 
  • Join a family of caregivers who provide whole person care; body – mind – spirit, to people living in communities accross Western North Carolina.
  • AdventHealth Hendersonville offers the uncommon compassion of a hometown community hospital powered by the support of a national health care system enabling it to provide services, technologies, and facilities to meet the whole health needs of our communities.
  • Faith based organization that extends Christ’s healing ministry to every person, every time.
  • Co-workers who feel like family and together deliver on our Service Standards of Keep Me Safe, Love Me, Make it Easy and Own It.
  • As a part of the more than 1,100 team members who make up AdventHealth Hendersonville, you will enjoy competitive salaries, exceptional benefits and opportunities for growth and leadership development. 

Work Hours/Shift

Mon thru Fri 8 to 5 (flexible)   After training, this position will be Remote

You Will Be Responsible For

1. Policy Governance

1.1   Serves as administrator for local policy management software
1.2  Monitors and oversees timely policy updates, user support, training, communications, etc.

2. Patient Safety/Infection Prevention Program Support

2.1    Assists with monthly review and coding of Origami safety events to ensure the most  appropriate event category, indicator and outcome assignments.
2.2    Provides data and reports for safety teams and projects as deemed necessary.
2.3 Assists with generates, disseminating, and tracking infection prevention data, including hand hygiene observations and surgical site infection monitoring.
2.4   Conducts audits as necessary to assess and meet Leapfrog Safety Survey measure compliance.

3. Quality Assessment/Performance Improvement Program Support

3.1 Provides data and reports for quality improvement teams and projects to facilitate improvement, as deemed appropriate.
3.2 Develops and prepares timely data reports for home department and other facility departments (i.e., Huddle Boards, LENS Board, NDNQI, etc.)
3.3  Acts as a data resource for department directors and data report owners as needed for QAPI/MRS data components.

4. Medical Staff Quality Monitoring Program Support

4.1 Generates reports and populates practitioner-related data from multiple databases in support of Ongoing Professional Practice Evaluation (OPPE) for all privileged practitioners.
4.2 Prepares and analyzes data sets (reports and graphs) for physician quality trending (peer review).
4.3 Audits Moderate Sedation privilege compliance.

5. General Responsibilities:

5.1 Supports organizational goals to use data for improvement.
5.2 Attends educational offerings as needed to gain knowledge about data structure and reporting functionality of all medical records and quality/safety-related databases, dashboards, and business intelligence tools for the extraction of key clinical data.
5.3 Prepares accurate reports for all areas of responsibility.
5.4 Utilizes statistical approaches, measurement techniques, and benchmark comparative data to develop quality reports 
5.5 Assists in efforts to improve and streamline the process and workflow of the department
5.6 Promotes organizational compliance with hospital policies, Joint Commission standards, HFAP standards, and state and federal regulations through performance measurement activities.
5.7 Performs duties in a timely manner and provides updates if delays occur.
5.8 Demonstrates effective, courteous, and respectful communication skill with all team members, patients and families.
5.9 Maintains satisfactory participation and attendance at required and non-required meetings and staff development programs.
5.10 Demonstrates cooperation, teamwork, and cultural sensitivity when working with others.
5.11 Upholds the mission, vision, and values of the department and the organization.
5.12 Demonstrates the ability to set appropriate priorities. 
5.13 Recognizes how absence impacts the functioning of the healthcare team and strives to minimize this effect.

Qualifications

What You Will Need

  • Active North Carolina RN license required
  • Bachelor of Science Degree in Nursing required
  • Minimum of 3 years clinical experience in a health care environment required
  • Microsoft Excel, PowerPoint, Visio, and Word proficiency required
  • Able to perform basic tadks for database management and reporting required.
  • Skilled in creating graps, tables and charts required.
  • Able to analyse data for statistical significance and produce presentations explaining the results required.

Job Summary

The Clinical Quality Analyst is responsible for the production of clinical data reports and analyses as required for performance improvement teams, clinical standards compliance, evidence-based teams and other clinical projects.  The Clinical Quality Analylst assists with the maintenance of ongoing, routine, scheduled data reports and dashboards, participates in planning and data collection tools for clinical projects and effectively communicates relevant data reports and information to supervisors.  The Clinical quality Anallyst will be able to navigate the medical record expertly and extract clinical information effectively.  The Clinical Quality Anallyst will analyze data for statistical significance and produce reports independently.  The Clinical Quality Analyst will provide administrative support as appropriate to meet the changing needs and requirements.    

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.