Clinical Quality Improvement Specialist
Tennessee Hospital Association
Brentwood, TN (Nashville suburb)
Position Description / Responsibilities
The mission of the Tennessee Center for Patient Safety (TCPS) is to advance Tennessee hospitals’ adoption of proven strategies that enhance the reliability, safety and quality of care received by patients. The TCPS provides extensive education, resources and direct support to hospitals to accomplish the mission of better outcomes for patients.
The Clinical Quality Improvement Specialist (CQIS) is responsible for development of quality improvement strategies and interventions related to the Tennessee Center for Patient Safety initiatives and Hospital Improvement Innovation Network (HIIN) contract and for leading their implementation. The CQIS assists in the research and development of the HIIN management plan to meet the Centers for Medicare and Medicaid Services (CMS) harm reduction goals. The CQIS develops topic specific project plans and is responsible for the efficient and effective execution of the plan with hospitals. TCPS focuses on safety culture, leadership, work place safety, readmissions, and the following hospital-acquired conditions:
· Adverse drug events (ADE)
· Catheter-associated urinary tract infections (CAUTI)
· Central line-associated blood stream infections (CLABSI)
· Clostridium difficile (C. diff)
· Injuries from falls and immobility
· Methicillin-resistant Staphylococcus aureus (MRSA)
· Pressure injuries
· Surgical-site infections (SSI)
· Venous thromboembolism (VTE)
· Ventilator-associated events (VAE)
The Clinical Quality Improvement Specialist uses clinical judgment and leadership skills to provide direct support to hospital teams to assist with development and implementation of strategies, identify and overcome barriers to success and facilitate the capture and dissemination of best practices.
ESSENTIAL FUNCTIONS OF THE JOB: (listed in order of importance)
1. Ability to adapt to a changing work environment and meet challenges presented throughout the day.
2. Assist with the planning, development, coordination and implementation of quality improvement strategies and interventions to address the priority topics outlined in the HIIN contract and management plan.
3. Assist in the development of process and outcome measurements related to the HIIN priority areas.
4. Provide education to hospitals around the process and outcome measures.
5. Serve as team lead for specified clinical topics and tasks.
6. Work with the Health Resources Education Trust (HRET) and other organizations to supply hospitals with the tools and resources necessary to achieve quality improvement.
7. Assist in the development, implementation and evaluation of THA quality improvement initiatives and activities, including clinical databases.
8. Monitor and act on data in a timely manner.
9. Review monthly submission of each target facility’s clinical measures and facilitate identification of individual opportunities for improvement and the design and implementation of interventions to reach targeted goals.
10. Provide timely submission of project reports.
11. Provide direct assistance to hospitals with challenges and opportunities to improve.
12. Identify strategies to engage physicians in relevant safety initiatives.
13. Identify best practices and disseminate to others for education and adoption.
14. Work with other team members to ensure that all project tasks under the HIIN contract are complete and timely.
15. Communicate and work cooperatively with other team members, partner agencies, and subcontractors.
16. Foster strategic partnerships and collaborations with the Quality Improvement Network (QIN), affiliate organizations and other stakeholders.
17. Must be available for out-of-town travel, be able to drive an automobile and maintain a valid driver’s license. Regular in-state travel expected for onsite visits to hospitals at approximately 10% of time.
18. Coordinate activities with and help monitor subcontractor performance and ensure timely, complete reporting of activities from the subcontractor.
19. Must be available in the office during regular office hours, unless job responsibilities require otherwise.
20. The ability to sit for long periods of time.
MARGINAL JOB FUNCTIONS:
ORGANIZATIONAL STRUCTURE: (Positions reporting directly to you, if any, and their areas of responsibility)
THIS COMPANY RESERVES THE RIGHT TO MODIFY, INTERPRET, OR APPLY THIS JOB DESCRIPTION IN ANY WAY THE COMPANY DESIRES. THIS JOB DESCRIPTION IN NO WAY IMPLIES THAT THESE ARE THE ONLY DUTIES, INCLUDING ESSENTIAL DUTIES, TO BE PERFORMED BY THE EMPLOYEE OCCUPYING THIS POSITION. THIS JOB DESCRIPTION IS NOT AN EMPLOYMENT CONTRACT, IMPLIED OR OTHERWISE. THE EMPLOYMENT RELATIONSHIP REMAINS “AT-WILL.” THE AFOREMENTIONED JOB REQUIREMENTS ARE SUBJECT TO CHANGE TO REASONABLY ACCOMMODATE QUALIFIED DISABLED INDIVIDUALS.
Educational and Experience Requirements Needed to Perform the Duties of the Job:
1. Bachelor’s degree in a clinical or health-related program is required. Advanced degree is desirable.
2. Must have a minimum five years direct experience in patient safety, clinical performance improvement or outcomes measurement.
3. Experience working with healthcare-related data collection activities preferred.
4. Experience working with individuals and groups from diverse backgrounds preferred.
5. Experience working in multi-disciplinary team-based settings preferred.
Licensing or Other Special Certifications Required:
1. Current certification or license in professional field.
2. Certified Professional in Healthcare Quality (CPHQ) or other Clinical Quality Improvement (CQI) training is preferable.
Skills Required to Perform the Duties of the Job:
1. Clinical training and quality improvement experience in a hospital setting
2. Strong interpersonal skills
3. Strong customer-service orientation, both internally and externally
4. Ability to work in a team environment while possessing strong self-directed capabilities
5. Ability to facilitate/lead change in healthcare settings
6. Ability to work on multiple projects concurrently and to effectively handle changes in project requirements
7. Ability to maintain a highly detail-oriented approach along with an understanding of the long-term goals and objectives of the program
8. Strong team leadership and project management skills
9. Ability to develop a framework for management and coordination of quality improvement and clinical interventions
10. Ability to plan and organize improvement efforts and programs and roll them out to a broad and varied audience
11. Strong written and oral communication skills
12. Ability to learn new subject areas quickly
13. Ability to research and identify best practices for quality improvement to accomplish requisite goals and objectives
14. Strong critical-thinking and decision-making skills
15. Ability to objectively analyze and act on data
16. Advanced proficiency in Microsoft applications
Please email your resume along with a cover letter to firstname.lastname@example.org or fax it to 615-242-8327.