Quality Management Coordinator (Registered Nurse) - Cath Lab - CORPORATE

Facilitates and
participates-in the implementation of the multidisciplinary hospital-wide
Quality Assurance (QM)/Performance Improvement (PI) program. Promotes
collaborative practice among departments/services for improved clinical
outcomes and processes of care.  Plans
and implements a systemic process to monitor the quality and appropriateness of
patient care

1.    
Supports an information system for Quality Management
data aggregation.

·     
Maintains
Quality Management and NYPORTS database.

·     
Provides
Department Chairman and Quality Management/ Performance Improvement Committees
with data analysis of trends, including high-risk patients/ procedures.

·     
Coordinates
Root Cause Analysis and reports results to appropriate departments and
regulatory agencies.

·     
Evaluates
risk management activities including monitoring of appropriate corrective
actions/ improvements to render quality health care in all related phases.

·     
Monitors
statistical data from Quality Management reports and evaluations.

2.    
Develops systems and procedures to carry out QM/PI
functions.

·     
Assists in the implementation of the philosophy,
goals, and objectives of the Hospital.

·     
Participates
in departmental/service Quality Improvement committees, task forces and
organizational performance improvement teams as appropriate.

·     
Participates
in program planning and development.

3.    
Collaborates
with the multidisciplinary health care team regarding development and
implementation of QM/PI program.

·     
Serves
as a consultant to the multidisciplinary department/service Quality Improvement
Committees.

·     
Participates as a member of the institutional Quality
Management/ Performance Improvement committees in planning, reviewing, and
implementing activities related to the organizational goals and objectives.

·     
Recommends
topics for review, including but not limited to, high risk, high volume, or
problem prone activities.

4.    
Assists in the preparation process for accreditation and
regulatory surveys.

·     
Uses
knowledge of standards of accreditation and regulatory agencies to advise and
assists with assessment of adherence.

·     
Maintains an effective reporting system (i.e. QM
database and NYPORTS database) to communicate and document findings, action and
follow-up resulting from systematic monitoring and evaluation criteria.

5.    
Performs
related duties, as required.

*ADA
Essential Functions

·         
Graduate
from an accredited School
of Nursing.  Bachelor’s Degree in Nursing, required.  Master’s Degree, preferred.

·         
Current
license to practice as a Registered Professional Nurse in New York State.

·         
Cath
Lab/Cardiology experience highly preferred

·         
Minimum
of (5) five years clinical experience including general knowledge of QM
principles, NYPORTS and JCAHO requirements.

Maintains current knowledge
of Quality Management, NYPORTS and JCAHO requirements and supporting
information system applications.