Clinical Quality Specialist

• Ensures and maintains patient and family confidentiality at all times.
• Provides oversight of Event Reporting System to ensure review and follow-up to promote clinical quality and patient safety.
• Assists with the development, optimization and implementation of informatics systems as they relate to clinical documentation standards.
• Completes chart review and audits and reports findings into NSQIP database.
• Network with peers on data collection, management and analysis techniques. Relay new information to hospital employees.
• Participates in professional activities to keep abreast of technical developments in the professional field.
• Assumes an appropriate professional demeanor. Acts as a role model.
• Participate in committees as appropriate.Participate/act as a facilitator in PI Teams. Cultivate and develop PI skills of team leaders.
• Follow CMS requirements for QIO Core measurement collection, reporting, analysis, and education.
• Medical Staff Quality Improvement Support: Manage specified aspects of the Medical Staff chart review process. Disseminate physician-related QA information to appropriate parties.
• Maintains clinical expertise through formal and informal education.
• Identifies opportunities to improve practices. Supports QI efforts to improve those practices.
• Maintains flexibility with regard to hours in order to provide for all and as unusual needs are identified.
• Assumes special projects as directed.Recognizes opportunities for projects to benefit the hospital.
• Collects and reports external and internal indicators as specified. Ensures data integrity and adheres to reporting timelines.
• Collaborates and cooperates with federal, state and local health departments and agencies as requested or required.
• Monitors internal trends with external benchmarks and analyzes data by relevant Infection Prevention characteristics.
• Participates in the orientation for new hires and annual nursing education series.
• Serves as a professional resource person in areas of specialty and provides advice and guidance necessary to resolve complex patient care problems.
• Participates in departmental and hospital efforts to continually improve systems.
• Promotes critical thinking and problem-solving skills for the staff.

• Excellent verbal and written skills, detail-oriented and self-directed.
• Skilled in investigation, statistical and analytical methods, interpretation and analysis of data, with ability to present data and its interpretation in comprehensive report formats.
• Ability to work as an analytical problem solver who can make high quality judgements and recommendations.
• Strong organizational and interpersonal skills with the ability to work independently and as a member of a diverse team.
• Ability to communicate effectively with patients and other members of the health-care team.
• Ability to function as internal consultant to senior leaders, clinicians, managers, and staff.

• Project management, team training, familiarity with CMS and other regulatory standards.

• Bachelors degree in Nursing or clinical specialty

• Masters in Nursing or clinical specialty

• Three years of related health care experience in data management and quality improvement processes and or informatics

• Five years of related health care experience in data management and quality improvement processes and or informatics

• Current VT RN, RT, PT, or OT licensure in good standing with no restrictions or stipulations

• Certified Professional in Healthcare Quality (CPHQ) desired.

Copley Hospital