LVN QI Coordinator Quality

LVN QI Coordinator - FT
- Days
- Quality - 19952

US:

TX:

Edinburg | QUALITY & COMPLIANCE | Full Time

Posted 9 days ago

DHR Health - US:

TX:

Edinburg
- Days

Summary:

Responsible for assisting the medical and hospital patient care staff in ensuring quality patient care and compliance with Texas law, CMS and The Joint Commission requirements through quality program design, and data collection, analysis and presentation.

• LVN license required
• Minimum of five (5) years of hospital experience in a progressively responsible position requiring contact with various departments is preferred.
• Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
• Demonstrated leadership experience
• Core Measures abstraction experience preferred
• Ability to read, write and speak English
• Ability to lead disease specific certifications

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Must have the attitude that building the center of excellence (COE) culture is paramount, and the foundation upon which clinical operations are based. Such a culture takes time to build, and requires constant nurturing and reinforcement to maintain.
• The LVN Quality Coordinator is responsible for assisting the Quality Management leadership and Administration in the planning and execution of the Performance Improvement Program for the hospital.
• Responsible for data collection and analysis, which drive the organization's Performance Improvement Program
• Responsible for planning, organizing, developing, managing, and evaluating DHR accreditation/certification process. These duties require the ability to apply the specialized principles and practices of health care management in leading the accreditation/certification program.
• Develops and updates policies required for accreditation compliance.
• Compiles evidence and reports of compliance with established standards of quality patient care.
• Keeps informed of statutory and voluntary standards/regulations and requirements.
• Promotes collaborative working relationships, creative problem solving, and flexibility.
• Ability to use sound judgement in decision-making that focuses on meeting and improving quality customer service and the delivery of patient focused outcome orientated health care.
• Reviews quality and performance measures for process improvement. Implements, evaluates, and monitors these activities.
• Responsible for translating the policies, theories, and strategies into action within the complex interrelationships of the three care lines and Quality Management.
• Performs duties directly contributing to the administrative management of the facility health care delivery system
• Develops background and management options available to deal with complex medical center planning and implementation problems related to the facility's accreditation readiness
• Plays a critical support role in developing and coordinating internal review systems to assure that both clinical and administrative staff are in compliance with agency and accrediting standards and regulatory requirements
• Performs TJC readiness tracers
• Assists with disease specific certification survey readiness/tracers/preparedness
• Prepares and analyzes data and makes recommendations for improvement. Immediately addresses any discrepancies. Analyzes complex and critical data, recommends remedial action.
• Performs staff support work in short and long-range planning efforts, and complies with directives and national guidelines in preparing required accreditation/certification documents.
• Monitors and analyzes changes in the different accreditation and certification programs too assess the impact of these changes on local work methods/procedures and to develop new systems which will address these changes.
• Performs other similar or related duties as assigned.

Other information:

(Chain-of-command)

1. Director of Quality → 2. Vice President of Quality, Safety and Accreditation Readiness

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including:
Commitment, Accountability, Respect, Excellence and Service.

Employees must be able to demonstrate the knowledge and skills…