Improvement Coordinator

Performance Improvement Coordinator

Req #:

Category:
Quality / Patient Safety

Status:
Full-Time

Shift: Day

Facility: RWJ Somerset

Department:
Performance Improvement

Pay Range: $ - $ per year

Location:

110 Rehill Ave, Somerville, NJ 08876

Job Title:

Performance Improvement Coord

Location:

RWJUH Somerset

Department Name:
Performance Improvement

Req #:

Status:
Salaried

Shift: Day

Pay Range: $ - $ per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

RWJBarnabas Health is looking to add a qualified Coordinator within the Performance Improvement Department. The PI Coordinator helps coordinate the development, implementation, and evaluation of Robert Wood Johnson University Hospital's overall performance improvement program. This includes but is not limited to the following: supporting the performance improvement process, identifying performance trends, as well as prioritizing, and recommending improvements. The PI Coordinator also plays a supportive role in ensuring compliance with all Regulatory standards.

The PI Coordinator reports directly to the Director, Quality/Safety/Regulatory.

Qualifications:

Required:

• RN License in New Jersey
• Minimum of five years' experience in clinical practice
• Knowledgeable about state, federal, and regulatory agency requirements

Preferred:

• Professional Certification CPHQ Certified Professional in Healthcare Quality and/or Certified Professional in Patient Safety
• Prior experience with performance improvement initiatives desirable,
• Prior leadership experience

Certifications and Licenses

Required:

• NJ RN License

Scheduling Requirements:

• Day Shift, 40 hours/week
• Full-Time Schedule

Essential Functions:

• Coordinates hospital wide Performance Improvement activities related to strategic initiatives, Operation Excellence, and departmental goals
• Assists departments with development of performance improvement indicators and analyzes the data collected
• Responsible for general oversight and maintenance of the organization s generic and variance screening, mortality reviews quality reviews and indicators, surgical and invasive procedure monitoring, etc; as well as scorecards dashboards
• Maintains copies of minutes and related documents in Performance Improvement
• Coordinates with the departments to develop the annual performance improvement appraisal
• Assures that meetings are scheduled, agendas are prepared, and minutes are completed in a timely way
• Responsible for providing consultative services for RWJ staff & physicians toward meeting standards of accreditation, performance improvement, and organizational compliance:
• This includes, but is not limited to providing education to self and others on current Joint Commission standards and other accreditation standards, as well as the latest quality indicators in health care
• Provides ongoing education regarding quality, regulatory and performance improvement initiatives in relevant forums such as department meetings or individual meetings
• Coordinates designated Performance Improvement meetings involving Medical Staff as evidenced by the following performance standards
• Reviews new Medical Staff Quality Indicators with physicians and other staff as appropriate
• Coordinates appropriate Quality reviews and prepares reports prior to meetings
• Coordinates quality data needed for physicians for re appointment process and as requested for performance improvement initiatives
• Meets with physician /staff as necessary prior to meetings and on an ad hoc basis to assure effective communication of quality metrics and case review outcomes
• Is knowledgeable of the requirements of the current CMS and Joint Commission quality initiatives, including the current Leapfrog and Hospital Safety Grade metrics
• Assists the qualiabstractors, both local and corporate, in ensuring accurate data abstraction
• Maintains ongoing communication with abstractors to help identify issues and trends for improvement opportunities
• Presents core measure data to the applicable hospital department leaders and physician service lines leaders, and assists in implementation of performance improvement initiatives to improve care
• Incident Reporting System and follow-up activities
• Reviews all events reported within the their departmental responsibilities
• Utilizes the hospital s safety event…