Job description
GENERAL DUTIES:
Under the direction of the Director Clinical Quality Improvement (DCQI), the Clinical Quality Coordinator (CQC) is responsible for the organization of services and systems necessary for the multidisciplinary approach to the care of the cardiac patient population in support of the Chest Pain Accreditation program, as well as process improvement measures related to the National Cardiovascular Data Registry (NCDR) programs. The NCDR programs include CATH-PCI and Chest Pain-MI. The CQC collaborates with the Directors of nursing in carrying out the educational, clinical, research, administrative, and outreach activities of the associated cardiac programs. Demographic information limited. Patient Health Information as related to job function.
DEPARTMENT SPECIFIC DUTIES:
- Leads the ongoing maintenance of the Chest Pain Accreditation Program, and CATH-PCI and Chest Pain-MI NCDR registries.
- Ensures hospital is in compliance of REMSA STEMI Program Requirements.
- Actively reviews data related to cardiac programs and works with DCQI to develop process improvement strategies.
- Informs administrators, medical directors and hospital department leaders regarding any regulatory changes or data trends.
- Demonstrates ability to problem solve and be supportive of innovation and creativity of others related to changes in processes.
- Possesses human relations skills with an ability to handle difficult/sensitive issues with regard to associate and patient privacy.
- Excellent written/oral communication skills, including group dynamics and conflict resolution.
- Demonstrate leadership in identifying opportunities for improvement in all work processes both clinical and non-clinical with the disease specific programs.
- Provides essential leadership and coordination of services related to the identified disease specific program.
- Leads and participates in data collection, health outcomes reporting, clinical audits, and evaluations related to ensure the objectives of the program are being met.
- Participation in Disease Specific Care committee meetings is mandatory to ensure the program goals are met in a timely fashion.
- Disease Specific Care meeting duties include but are not limited to taking minutes, evaluation of data, chart audits, collaboration with hospital departments involved in the care of the programs patient population and development of tools to assist in the evaluation and communication of the program.
- Maintain open and effective communication with the Medical Director of the disease programs to ensure physician engagement and approval of changes.
- Maintain open and effective communication with the Chief Nursing Officer of the disease programs to ensure nursing engagement and approval of changes.
- Follow proper processes for gaining approval of changes to program elements (i.e. changes in program description, order sets, performance improvement plans, etc.).
- Initiate and participate in an annual document review to ensure the standardization of disease specific care based upon current and accepted Clinical Practice Guidelines, in accordance with the requirements as outline by the accrediting body.
- Facilitate education to medical center staff regarding new procedures and or techniques that physicians perform, ensuring that the staff would be better able to articulate to patients about the care they may receive.
- Collaborate with leadership to produce marketing items, patient testimonials and website enhancements relevant to the disease specific program.
- Participate in marketing and community events that promote the disease specific program.
- Facilitate continuing education for nursing staff who provide care to the program�s target population. (i.e. annual symposiums and/or summits).
Additional Responsibilities
- Telephone skills � must demonstrate hospital telephone etiquette by answering phones promptly, courteously and by identifying department and self.
- Policy/procedures � is aware of and follows all hospital and department policies and procedures.
- Teamwork � promotes positive co-worker relationships through teamwork and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with co-workers, physicians, and students in a non-threatening manner. Offers assistance and promptly responds to requests.
- Productivity � maintains high productivity and performs efficiently, regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.
- Possess the ability to assess data reflective of the patient�s status and interpret the appropriate information needed to identify each patient�s requirements relative to his/her age-specific needs.
- Acts as a role model demonstrating the behaviors expected of staff relative to attendance, work quality, and productivity.
- Acts as a patient advocate.
- Facilitates the development and/or evaluation of standards of care, clinical protocols, teaching protocols and procedures, and documentation guidelines.
- Reviews medical records and records/abstracts data as required.
- Continually assess, analyze, and lead improvement of the quality of care and service provided related to cardiology. Monitor care and report to appropriate committees.
- Collaborates with other healthcare professionals in the delivery of health care to facilitate problem resolution and expand resources to patients and families. Works with Medical Staff to initiate and maintain protocols for patient care.
- Maintains department compliance with applicable law, and regulating/accrediting agencies.
- Problem solves through collaborative approach with physicians, patients, families, staff, and directors.
- Identifies and researches key issues affecting the delivery of patient care.
- Identifies, plans, and implements strategies which resolve identified problems.
- Accepts responsibility for decisions made.
- Participates in hospital-wide committees as assigned.
- Disseminates information to staff via approved systems.
- Performs other duties as assigned.
Customer Service:
- Takes personal responsibility for providing quality services every day.
- Displays outstanding customer service skills.
- Looks for opportunities daily to �Go the Extra Mile� in not only meeting customer needs, but exceeding expectations.
- Sensitive to an individual�s race, color, religion, sex, sexual orientation, national origin, age, disability or any characteristic protected by law. Respects, accepts, and anticipates spiritual and personal needs.
Key Success Factors:
- Attendance � reports to work each regularly scheduled workday. Accurately records all work time including meal periods.
- Punctuality � is ready for work at precise starting time and continues working until scheduled departure time. Returns on time from all meal periods.
- General Work Habits � readily accepts work assignments in a positive manner. Performs work that is accurate, neat, and consistent. Documentation is legible.
- Safety � keeps work area neat and maintains equipment in accordance with health and safety codes. Reports safety issues and equipment failures appropriately.
- Appearance � projects a professional image, follows the hospital dress code policy and/or department requirements. Wears hospital ID badge at all times on duty.
- Confidentiality � sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.
- Annual Requirements � completes annual requirements (PPD requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time.
Performance/Process Improvement:
- Is knowledgeable of performance/process improvement (PI) methodology.
- Can verbalize knowledge of hospital-wide performance/process improvement activity.
- Offers suggestions for departmental and/or hospital-wide performance/process improvement.
Knowledge of and participation in the performance/process improvement is a condition of employment
POSITION QUALIFICATIONS:
- Current California Nursing License (RN, LVN) or appropriate equivalent experience
- 2 years of relevant clinical experience required; 1 year of program management preferred
- Current American Heart Association BLS Certification for Healthcare Providers (maintain current at all times)
- Bachelor�s degree in healthcare or related field preferred Demonstrated clinical competence and leadership skills
- Demonstrated ability to present self in positive and professional manner
PHYSICAL REQUIREMENTS:
- Must be able to sit, stand, and/or walk for long periods of time
- Must be able to sit and perform desk/computer work for long periods of time
- Must have dexterity, coordination, visual and auditory acuity to perform nursing procedures
Pay Range: $47.33 - $73.34
Individual wages are determined based upon a number of factors including, but not limited to, an employee’s qualifications and experience.
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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