Clinical Quality Data Coordinator - Marshall Medical Centers

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

The Clinical Quality Data Coordinator reports to the Director of Quality and Performance Improvement.

Under general supervision, is responsible for ensuring all data requirements for CMS, Joint Commission and other state and regulatory bodies is completed and submitted.

• Must stay current with all pay for performance programs, government regulations, and key health care system initiatives.
• Responsible for the dissemination of new guidelines/metrics to appropriate departments and educate staff to ensure that goals are established, measured and met.
• Assists multidisciplinary teams and departments system wide in meeting quality related goals.
• Prepares reports and communicates quality data and other quality related information to appropriate committees, leadership and quality initiative teams.
• Provides training and information sessions on quality management topics as needed
• Responsible for the data file builds within the EMR as well as the submission of these files to multiple vendors and healthcare entities.
• Effectively communicates and coordinates with the IT department as the representative for Quality’s technical interests and reporting requirements.
• Responsible for the technical attestation and submission process of electronic quality data to include but not limited to electronic quality measures (eCQMs ) and the state-mandated discharge database.
• Responsible for abstraction, input and reporting of system-wide quality data as well as improvement activities related to identified quality of care and organizational issues.
• Serves as administrator for CMS correspondence and is responsible for review and distribution of reports.
• Facilitates/assists with PI projects for quality department and serves as a resource for quality department and other departments with quality related data functions/activities as needed.
• Facilitates/assists with organizational PI projects as requested, assist in staff development and play a key role in influencing change within and across various hospital departments.
• Provides assistance with tasks related to improvement in quality of care and safety of patients focusing on data collection, analysis and improvement activities.

Provides assistance to other staff with tasks related to overall operation of the Quality Department and the Medical Center.

Education/Licensure/Certification/Experience/Skills Requirements

Requirement:

• BA or MBA in Healthcare Administration or business field

OR

Applicant with clinical experience and current licensure such as RN, LPN or paramedic and a minimum of four years previous work in Quality and/or Process Improvement.

• Experience in healthcare performance improvement and/or LEAN methodologies.
• Ability to conduct analysis of data related to quality of care and healthcare organizational issues
• Possess strong skills in computer software programs
• Proficient in advanced use of Microsoft Office applications including Word, Excel, Power Point
• Excellent organizational, analytical and problem-solving skills
• Ability to implement LEAN healthcare strategies to obtain improvement goals.
• Ability to coach frontline teams to achieve and maintain successful changes.
• Possess strong interview, critical thinking, negotiation, collaboration and written and verbal communication skills

Additional consideration:

Project management certification

LEAN certification

PI249101458