Quality Specialist

POSITION DETAILS

Part-time with benefits; 40 hours per two week pay period, Monday through Friday day shift.

JOB SUMMARY

The Quality Specialist under the direction of the Quality Director is responsible for assisting in the collection and analysis of data for the hospital's Quality programs as well as providing data collection for various departments.

MAJOR JOB FUNCTION

• Reviews, communicates and ensures compliance with accreditation standards.
• Reviews and abstracts data from medical records for the purpose of monitoring the quality of patient care.
• Communicates data regarding hospital related quality issues with appropriate department heads and works collaboratively with other departments to seek solutions to problems.
• Collaborates with all disciplines and departments in the facility to incorporate quality principles in policies and procedures in order to provide a safe environment for hospital patients and personnel.
• Educates self and hospital staff on current performance improvement concepts and accreditation standards.
• Collects and analyzes data related to patient satisfaction surveys, incident reports, core measure, national patient safety goals, checkpoint, leapfrog, general hospital safety measures and trauma.
• Organizes, complies and reports QI data for both the hospital and medical staff to identify trends and establish priorities and recommend improvement activities.
• Maintains working knowledge of the Joint Commission standards, State and Federal requirements, bylaws, rules, regulations and quality improvement standards.
• Assists with Joint Commission accreditation and/or federal and state certification preparation.
• Handles confidential information in a discreet manner and files said confidential information appropriately.
• Maintains established hospital and departmental policies and guidelines, objectives, quality improvement program, safety, environmental and infection control standards.
• Coordinates special projects as directed and prepares reports and records as directed.
• Promotes and contributes to a positive, problem-solving environment and is able to complete projects in a timely and dependable manner.
• Responds to the changing priorities of the workload in a flexible manner.
• Performs other related duties as assigned or requested. Reviews and abstracts data from medical records for the purpose of monitoring the quality of patient care.
• Continues self-education by reviewing current literature and attending workshops and formal courses.
• Responds to the changing priorities of the workload in a flexible manner.
• Performs other related duties as assigned or requested.

STANDARDS OF BEHAVIOR

• WORK ETHICS STANDARD: Affirm a commitment to making the Tomah Health work environment better through: patient advocacy, continuing education, and valuation of each individual person.
• COMMUNICATION STANDARD: Affirm a commitment to use open and honest communication with all Tomah Health customers (in-house & community-wide) through: basic customer courtesy (phone, written, face to face) and active listening.
• TEAMWORK STANDARD: Affirm a commitment to be a proud, dependable Tomah Health TEAM member through: basic customer courtesy, patient advocacy, flexibility, and valuation of each individual person.
• QUALITY STANDARD: Affirm a commitment to provide respectful, compassionate, quality care with integrity to all Tomah Health customers (in-house & community-wide) through: job excellence, patient advocacy, and self-dignity.
• PROFESSIONALISM STANDARD: Affirm a commitment to professional conduct towards all Tomah Health customers (in-house & community-wide) through: collaboration, teamwork, appearance, environment, and valuation of each individual person.
• ATTITUDE STANDARD: Affirm a commitment to maintain a positive, professional perspective towards all Tomah Health customers (in-house & community-wide) through: honest feedback, confidentiality, basic customer courtesy, and valuation of each individual person.

EDUCATIONAL REQUIREMENTS

• Experience as an RN, LPN, MT, RHIT or equivalent education and/or training which provide the applicant with the knowledge, skills and ability to perform the job required.
• Extensive background in medical terminology, basic anatomy and physiology, surgical terminology and pharmacology required.
• Prior experience with data abstraction, statistical reporting, Microsoft Word and Excel required.
• Knowledge of Microsoft PowerPoint and Microsoft Access preferred.
• Minimum of 3-5 years experience in a healthcare setting required.

SKILLS

• Quality improvement and risk management mindset/knowledge.
• Knowledge of Joint Commission and state accreditation standards
• Knowledge in data retrieval, statistics, forms design and quality improvement techniques.
• Excellent verbal and written communication skills.
• Excellent human relation skills as demonstrated by the ability to interface positively with all customers and employees.
• Must have the ability to work with frequent interruptions, under stress, with minimal supervision, and to exercise initiative and judgment in analyzing, organizing, planning, prioritizing, scheduling and coordinating work with others.
• Needs to possess as high level of intelligence, integrity, sense of responsibility and ability to comprehend and analyze details.
• Ability to operate and handle some complex equipment.

JOB REQUIREMENTS

• Manual dexterity required for high computer use.
• Duties require normal vision and hearing for both telephone/customer service work as well as computer work.
• Frequently required to stand, walk and reach with hands and arms and occasionally required to sit, climb or balance, stoop, kneel or crouch.
• Must occasionally lift and/or move up to 25 pounds.