Clinical Quality Consultant

As the Clinical Quality Specialist at Tri Health collaboratively with Medical Staff Department/Section Chairs, Service Line System Chiefs, physician/practitioner teams, and Nursing leadership to develop and support quality improvement (QI) initiatives aimed at improving patient outcomes and care delivery. The role collects and analyzes clinical data, identifies and evaluates patient care issues, and leads or supports QI projects across areas including the NICU
, Labor & Delivery
, AOC
, and MBU
. It facilitates peer review of clinical performance through QA Committees and supports Professional Practice Evaluation activities to meet Joint Commission accreditation requirements. The position also partners with CCHMC and OB physician teams on quality improvement initiatives, presents QI findings and updates at staff meetings, and supports root cause analyses, apparent cause analyses, and other patient safety activities.

Tri Health offers a comprehensive benefits suite including medical, dental, vision, retirement contributions, paid time off, tuition assistance, and wellness resources.

Learn more:

• Bachelor's Degree in Nursing or Bachelor's Degree in Health Administration, other related field (Required)
• 3 - 4 years experience Clinical in Nursing in specialty area of patient care relevant to the assignment and other extensive clinical, medical/surgical, or critical care experience (Required)
• 3 - 4 years experience Nursing in Quality Improvement and Medical Peer Review in a Healthcare setting (Required)
• Knowledge in field of specialty
• Knowledge of quality assessment, quality improvement techniques, i.e., medical chart review
• Excellent communication and customer service skills Experience in Data Analysis and Statistical Reporting
• Registered Nurse

• Organizes and staffs all assigned clinical quality meetings and demonstrates knowledge of and assists with implementation of policies and procedures for quality assurance and improvement of Tri Health to assure compliance with requirements of The Joint Commission (TJC), other accrediting agencies and regulatory bodies. Facilitates organization-wide quality structure and strategies including process improvement, development, data analysis, and report preparation from the following databases: TJC, Centers for Medicaid and Medicare Services (CMS), Core Measures, American College of Cardiology (ACC), Society of Thoracic Surgeons (STS), Health Data Management (HDM), and Vizient.
• Assumes an active role for the dissemination of legal guidance and directives for system-wide alignment relative to peer review activities. Incorporates changes as needed to workflow designs, reducing system vulnerability through deliberate communication cascades and implementation of processes / practices throughout local department / section levels, including QA Committees.
• Collaborates with Medical Staff to perform physician peer review including FPPE and OPPE reviews in strict accordance with the established guidelines (TH and Joint Commission). Identifies trends and utilizes a proactive approach in notifying all Chairs for further follow-up and direction. Provides a summary incorporating assessment and analysis of FPPE findings and initiates appropriate corrective action. Reviews and evaluates patients' medical records and applies quality measures/criteria and utilizes hospital approved tools.
  
  Screens cases using clinical expertise and recommends referral for organized physician peer review. Provides necessary and appropriate follow through.
• Formally prepares and presents quality narrative and statistical reports in a clear and objective format for the Medical and Administrative Staff (as required). Analyzes and validates quality outcome data and reports trends by practitioner, service line, or procedure. Proficiantly uses data systems, and skills with applications such as Excel, Word, and PowerPoint, and effective report development.
• Acts as staff and/or participating member of various Specialty Quality Committees; responsibilities may include agenda planning/meeting organization, coordinating follow-up as directed, and assisting in the development of methods/tools and/or process for implementing projects/programs that have the potential to positively impact the quality of patient care.
• Works collaboratively with other healthcare providers and ancillary services as part of the Healthcare Team to provide the necessary effective measurement and analysis of…