Description:

BS in Nursing (BSN), or other similar cert. combined with Hospital experience, prefer Bachelor’s degree, supplemented with 3-5 years of previous hospital and quality improvement job-related exp. Ideal candidate also has either CPHQ or Lean Six Sigma.

Job description

Clinical Quality Improvement Specialist

Job Summary This position serves in a dual role involvingdirect in person

coordination with hospital facilities to enhance bothNational

Healthcare Safety Network (NHSN) automated hospitalreporting

along with pediatric readiness capabilities withinhospital networks

and facilities located in Indiana. This position promotesbest practices

and quality improvement processes in both hospitalreporting

importance for the automation transition and pediatricpreparedness

programs/initiatives. The position serves in coordinatingthe

development of statewide guidelines, aiding hospitalsinto an

automated platform for hospital reporting, educationalmodules, and

quality improvement resources/tools utilizing federal andnational

recommendations/guidance, evidence-based guidelines andbest

practices specific to the delivery of hospital facilitykey elements

reporting along with pediatric emergency care. Theposition also

serves as a resource and technical advisor to,pre-hospital agencies,

hospitals, other healthcare practitioners as well asnon-health care

entities within our state to ensure hospital facilityneeds are

adequately addressed.

 

Education and/or Work Experience

Registered Nurse (RN), Bachelor of Science in Nursing(BSN), or other

similar certification combined with Hospital experience,preferred

Bachelor’s degree, supplemented with 3-5 years ofprevious hospital

and quality improvement job-related experience. Idealcandidate also

has either CPHQ or Lean Six Sigma

 

Duties and Responsibilities

• Assist with development and launching of astate/jurisdiction

capacity system that includes near-time bed capacitycounts

for the state’s/jurisdiction’s acute care hospitals,including

critical access hospitals.

• Must be able to manage user account and securityparameters

for access to the web-based dashboard to coordinatedaily,

surge, and crisis needs.

• Help coordinate emergency department data, organizedper

NHSN definitions to Hospital Capacity Data Store at leasttwice

per day on an ongoing basis. Data would include emergency

department (ED) census, ED Admitted census (boarding) and

ED pressure indicator by count of all patients in the EDthat

have a physician assigned.

• Create possible items listed below to support the

states'/jurisdiction’s ongoing participation in the NHSN

Connectivity Initiative, such as:

• Develop communications and training materials for

onboarding identified stakeholders and hospital users.

• Provide training and onboarding services toparticipating

hospitals and stakeholders.

• Work with the state’s/jurisdiction's hospitals tocollect

necessary information for dashboard development and

implementation.

• Provide a common framework of data elements to includeon

the dashboard and in the data feed.

• Facilitate the gathering and engagement of hospitals’technical

staff to work on automated and secured data feeds per

specifications supported by the web-based application.

• Assist the state/jurisdiction to advise on sharedgovernance

model(s) for discussions and decision-making to supportthis

work.

• Testing and validation of data feeds; and draftprogress

milestone for inclusion in progress report/lessonslearned.

• Manages the participation and permissionprocess/clearances

(to send data to NHSN) of participating hospitals. Also

provides permission to allow for use ofstate’s/jurisdiction’s

data in conjunction with other participating entities for

research and emergency planning by the state and federal

health partners.

• Obtain signed commitment from acute care hospitals inthe

state/jurisdiction to participate in the project throughan

established participation agreement.

• Provide ongoing instructions and serve as key resourceto

assist with the scaling of the CDC NHSN ConnectivityInitiative

to other states/jurisdictions; and help to ensure thatall terms

of the CDC funding agreement are met.

• Facilitates efforts to improve clinical and serviceoutcomes

throughout the state as related to pediatric emergencycare,

utilizing federal/national guidance (including but notlimited to

the American Academy of Pediatrics, Assistant Secretaryfor

Preparedness & Response, Centers for Disease Control,

Emergency Medical Services for Children, FederalEmergency

Management Agency, Institute of Medicine, JointCommission).

• Works with Indiana Emergency Departments to assessareas of

need, conduct gap analyses, communicate pediatricstandards

and disseminate resources as appropriate.

• Develops and facilitates bi-monthly State PediatricEmergency

Care Workgroup meetings and actively assumes project

leadership responsibilities through planning,coordination of

workgroup activities and development of tools,educational

modules, and resources for workgroup review.

• Participates as a team member on hospital site visitsconducted

throughout the state, to assess compliance with pediatric

emergency care requirements and regulations using defined

checklists; provides verbal and written assessment ofhospital

strengths/weaknesses; outlines recommendations and other

key subject matter expertise as appropriate; sharesapplicable

resources and technical guidance with hospitals asneeded.

• Develops documents annually to promote qualityimprovement

practices as related to pediatric emergency caredocuments,

and development of a quality improvement plan.

• Engages in and demonstrates self-development inclinical and

professional knowledge base in the areas of pediatric

emergency management, quality improvement processes,

communication, and awareness of trends in the healthcare

environment.

• Utilizes data to identify trends, draw appropriateconclusions

and make recommendations; develops data reports for

decision-makers to support conclusions and

recommendations; reports should communicate anylimitations

of the analyses.

• Facilitates efforts to improve clinical and serviceoutcomes

throughout the state as related to pediatric emergencycare,

utilizing federal/national guidance (including but notlimited to

the American Academy of Pediatrics, Assistant Secretaryfor

Preparedness & Response, Centers for Disease Control,

Emergency Medical Services for Children, FederalEmergency

Management Agency, Institute of Medicine, JointCommission).

• Works with Indiana Emergency Departments to assessareas of

need, conduct gap analyses, communicate pediatricstandards

and disseminate resources as appropriate.

• Develops and facilitates bi-monthly State PediatricEmergency

Care Workgroup meetings and actively assumes project

leadership responsibilities through planning,coordination of

workgroup activities and development of tools,educational

modules, and resources for workgroup review.

• Participates as a team member on hospital site visitsconducted

throughout the state, to assess compliance with pediatric

emergency care requirements and regulations using defined

checklists; provides verbal and written assessment ofhospital

strengths/weaknesses; outlines recommendations and other

key subject matter expertise as appropriate; sharesapplicable

resources and technical guidance with hospitals asneeded.

• Develops documents annually to promote qualityimprovement

practices as related to pediatric emergency caredocuments,

and development of a quality improvement plan.

• Engages in and demonstrates self-development inclinical and

professional knowledge base in the areas of pediatric

emergency management, quality improvement processes,

communication, and awareness of trends in the healthcare

environment.

• Utilizes data to identify trends, draw appropriateconclusions,

and make recommendations; develops data reports for

decision-makers to support conclusions andrecommendations;

reports should communicate any limitations of theanalyses.

• Other duties as required.

 

Computer Skills

Microsoft Teams, Power BI, Microsoft Outlook, MicrosoftWord,

Microsoft PowerPoint, Microsoft Excel, Basic KeyboardingSkills, Web[1]basedmeeting and learning management systems, REDCap

 

Computation Ability

 Ability to solvepractical problems and deal with a variety of concrete

variables in situations where only limitedstandardization exists. Ability

to interpret a variety of instructions furnished inwritten, oral, diagram,

or schedule form.

 

Qualifications

▪ Ability to maintain accuracy and consistency

▪ Ability to finish tasks in a timely manner

▪ Ability to function independently, manage own time/worktasks

▪ Ability to maintain confidentiality

▪ Ability to interact with internal and externalconstituents

▪ Ability to work as an effective team member

▪ Ability to organize workflow

▪ Ability to plan, coordinate, and develop multipleprojects

▪ Ability to analyze and interpret data

▪ Ability to compile complex reports and developpresentations

▪ Ability to compose letters and memorandums

▪ Ability to negotiate, persuade and establish direction

▪ Skilled job requiring high level of adaptability andinterpersonal

skills

▪ Must be able to work in a fast-paced, dynamicenvironment, and

adapt to changing priorities

 

Travel

▪ In-state travel will be required as needed and out ofstate

overnight may be necessary.

▪ Expect ~85% of work week traveling around state ofIndiana