Quality Control Data Auditor

Quality Improvement Analyst (Full-time) page is loaded Quality Improvement Analyst (Full-time)
Apply locations Bend, OR time type Full time posted on Posted 30+ Days Ago job requisition id R1016605 Typical pay range: $13 per hour, based on experience.
This exempt position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan and a generous Earned Time Off program. TITLE: Quality Improvement Analyst
Manager, Quality Management
Quality Management
Creating America’s healthiest community, together
In the spirit of love and compassion, better health, better care, better value
The Quality Management (QM) department provides essential services to St. Charles Health System (SCHS) including: quality improvement expertise and support; data analysis; regulatory affairs, accreditation and licensing expertise and support; policy and document library management and support; data abstraction; and risk management and patient safety program.
The Quality Improvement Analyst (QIA) at St. Charles Health System (SCHS) provides analytics to drive key success metrics and facilitates quality improvement initiatives within their assigned service lines and committees in alignment with the organization’s True North objectives. This position works collaboratively with a diverse array of stakeholders to assist with data analysis, goal selection, process improvement, and the development of sustainment plans. This position is responsible for sourcing, collating, analyzing and validating quality data, preparing reports for internal purposes and external reporting which includes technical support for and oversight over routine statistical reports and ad hoc analyses. The QIA works in close partnership with the Quality Management and Safety teams to meet regulatory and accreditation requirements, as well as the Lean Improvement Office to ensure that all work is approached with a Lean mindset. Utilizes quality improvement principles, such as PDSA and A3 thinking, to design, develop, implement, and sustain True North initiatives for their respective service lines and committees.
Provides support in the development and maintenance of guidelines, standards, methodologies, and conventions for Quality Improvement reporting deliverables. Ensures complete and accurate logical definition of Quality Improvement data. Responsible for validation, maintenance of data integrity and the ongoing quality control of Quality Improvement deliverables.
Works collaboratively with a diverse array of caregivers, leadership, and support services to assist with data collection, analysis, goal selection and the development of various auditing tools, such as: standard work, Epic bundles, and performance scorecards.
Ensures Quality Improvement data is valid and accurate while providing documentation and training materials to transfer knowledge of operational support workflow to others upon request.
Participates in development and maintenance of numerous quality and safety dashboards and scorecards for their respective service lines and committees. Queries, cleans, and aggregates data from a variety of internal and external sources using SQL and/or other query languages and methods.
Retrieves and analyzes data from NHSN (National Healthcare Safety Network) and reporting platforms such as PowerBI, Crystal Reports, Epic Cogito reporting tools, CMS Core Measures, nursing and surgical databases such as NDNQI (National Database of Quality Indicators) and NSQIP (National Surgical Quality Improvement Program) and Value-Based Care contracts and incentive programs. Creates reports and dashboards to share data and analyses to with the organization.
Assess the reporting needs of various stakeholders through investigation, analysis, and evaluation to generate reporting specifications. Analyzes data for trends and facilitates notification to appropriate individuals as warranted. Applies complex mathematical concepts and statistical methods to plan and design deliverables, as wells as interpret data.
Coordinates and supports department level Safety and Quality Committee (SQC) meetings and the reports to hospital level SSQC.
Supports continuous survey readiness in coordination with Accreditation Manager including regular rounding, mock (and actual) survey participation, CAREboard support, and auditing.
Supports our Patient and Safety Risk Management team with data analysis and projects that align to goals of our patient safety and risk program.
Completes quality and patient safety reports as needed, including analysis of data, identification of trends, and recommendations for improvement.
Partners with the Lean Improvement Office on a variety of process improvement initiatives as indicated by project type and scope.
Supports the Lean Improvement Office by functioning as a “champion of change” and consistently leading with humble inquiry to unearth quality gaps, lead improvement initiatives, create sustainment plans and monitor for variation.
Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Bachelor’s degree, or Associate’s degree plus two (2) years’ experience in healthcare field, data analytics, public health, or other closely related field.
Master’s degree in public health, healthcare management, data analytics, statistics.
Required : Minimum of one Epic Data Model Certification or ability to gain certification within 6 months of hire. Certified Professional of Healthcare Quality (CPHQ) within 1 year of hire. Ability to travel to business functions/trainings/meetings and all SCHS worksites.
Preferred : Lean, Six Sigma, CQIA, CQE, or other industry-recognized quality certification.
Three (3) years experience in health care, public health, or a related field. Advanced proficiency in Microsoft applications (Word, Excel and Access), database management, document preparation and other visual forms of data analysis required. Ability to create simple to complex data exhibits using a variety of analytical tools. Applied statistics skills such as distributions, statistical testing, regression, etc. Preferred : Five (5) years’ experience in Healthcare, facilitating quality improvement initiatives using Lean or other process improvement framework. Experience in statistical analysis environments such as R, MATLAB, SPSS, Insight SAS or related product. Experience working with medical staff on performance improvement.
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
No Risk for Exposure to BBP
Regular Shift:
Monday-Friday Shift Start & End Time:
With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle.
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