Quality and Safety Specialist II

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.

Under the direction of the Quality & Safety department leadership, the Quality & Safety Specialist II is responsible and accountable for facilitating improvements in clinical and operational performance in delivery network and system-wide patient safety and clinical quality. Collaborating with frontline management, staff, and clinicians, the team uses safety science and performance improvement methodologies to evaluate and improve clinical processes of care by reducing variation and driving standardization according to best practices.

EEO/AA/Disability/Veteran

• 1. Works closely with executive leadership and other quality, safety, and infection prevention team members to plan, design, develop, implement, and test data collection and monitoring systems to improve data quality and access.
• 2. Leads the development of dashboards and scorecards to monitor the progress of critical quality and patient safety metrics and reporting to clinical and operational stakeholders.
• 3. Participates in strategic planning of system objectives by forming and providing benchmarks and KPI proposals.
• 4. Develops communication tools/reports to assist internal and external customers in interpreting new/updated clinical data measure guidelines and their impact on clinical data results, workflows, or data input methods.
• 5. Consults on new data project requests or changes/updates to current builds to identify the impact on existing workflows and data products.
• 6. Works regularly with publicly reported measures including, but not limited to, Centers for Medicare Services (CMS) and Quality Net, Vizient, Agency for Healthcare Quality (AHRQ), Leap Frog, US News & World Report, and clinical registries and can translate the impact of changes to these programs through data.
• 7. Provides consultation related to mandated data collection, submission, and presentation to NHSN, CMS, DPH, and other entities. As well as coordinate/assist with internal and external audits.
• 8. Serves as a Vizient resource on Vizient data and reporting methods.
• 9. Extracts and performs analysis of data in various formats from various sources and benchmarking platforms (i.e., Vizient, Press Ganey, Redcap, ICON, EPIC, NHSN, CMS, Tableau, Chime, Registries, HDI)
• 10. Actively seeks to understand and bridge gaps in methodologies between different systems; can identify variation across data sets and works to resolve data quality concerns in collaboration with the Joint Data Analytics Team.
• 11. Provides expertise in data collection methods, including the content and format of standard and computerized data collection forms.
• 12. Executes standard and complex statistical analysis and independently chooses statistical methods to provide the appropriate decision-making information to stakeholders.
• 13. Uses parametric and non-parametric models, regression analysis, variance analysis, sequential analysis, statistical inference, and other statistical tests as appropriate to analyze data and provide performance projections and models.
• 14. Serves as a resource to others using Excel, SharePoint, SPSS, Visio, and statistical, SQL, and CQL software programs.

Bachelors degree required. Masters degree preferred.

Three (3) to five (5) years of experience in project management in a healthcare setting or (1) to (2) years as a Quality and Safety Specialist I within the department. Understand how systems of safety, safety culture, reliability, and continuous learning create safe patient care. Knowledge of patient safety and quality resources available through various channels and utilizes evidence-based research. Has an understanding of and assists with ensuring compliance with mandated state, federal, and regulatory agencies, rules, codes, laws, and standards that impact patient safety and quality.

Familiarity with federal and state quality and safety programs that impact hospitals' public performance and reputation. Demonstrated history of leading successful improvement work. Efficiency with Excel and PowerPoint. Patient-oriented team player with the flexibility to adapt to evolving priorities with the ability to prioritize…