The Clinical Quality Leader I reflect the mission, vision, and values of NM, adheres to the organization鈥檚 Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Participates with interdisciplinary clinical groups to define, measure and analyze quality and patient safety issues and practice concerns on behalf of quality committees. Defines, collects, analyzes and presents data cogently to identify trends. Masters relevant evidence and literature in relevant clinical area, discipline, and improvement science. Participates in and may lead improvement activities utilizing DMAIC, Lean, and other performance improvement tools as appropriate. Applies knowledge of professional standards, current research, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. Participates in developing policies, procedures and standards advancing clinical quality measurement.
RESPONSIBILITIES:
- Collaborate with operational and medical leadership to identify, develop and implement successful communication, education, and process solutions to engage staff and produce improved processes and outcomes.
- Partner with medical staff leadership to select measures for Ongoing and Focused Professional Practice Evaluation (OPPE/FPPE), as assigned.
- Coordinate peer review cases for individual department meetings and quality committees, and assist department leadership with the completion of peer review minutes/forms, as assigned.
- Perform medical record reviews and data analysis that assist in identifying potential quality issues and opportunities for improvement in patient care services.
- Lead or participate in local, regional and/or system committees, multidisciplinary improvement projects, and RCAs/FMEAs with measurable results.
- Facilitate committee meetings, including development of committee structure, meeting minutes, reports, dashboards, and related correspondence.
- Research and develop quality measurement, evaluation and improvement approaches with support from manager/mentor/peers.
- Develop skills to contribute to organizational learning and dissemination through publication, presentation, collaboration with clinical colleagues on these efforts.
- Apply professional clinical knowledge and other clinical standards, best practices, and interdisciplinary collaboration, relevant to assigned clinical area, to advance problem analysis and resolution and creative process redesign.
- Assist clinical teams and leadership to respond to quality-related queries from external constituencies: patients, families, payers, media, researchers, etc.
- Assure compliance with relevant quality / process improvement regulatory and accreditation requirements.
- Knowledgeable in quality and patient safety, quality measures and measurement, relevant statistical tools, and associated methodologies (e.g., RCA, FMEA, DMAIC, and NM Toolkit). Familiarity with major sources of measures, literature, and quality- and patient-safety-related federal and state policy.