Quality Improvement Specialist

Key responsibilities include: · Assists with data abstraction of all Stroke cases and compilation of reports using Get with the Guidelines Stroke Database. Facilitates the Stroke Committee performance improvement initiatives and facilitates ongoing compliance with New York State and Joint Commission Stroke requirements. Attend Code Gray events and assist in debriefing post event as required.· Facilitates and conducts monthly pressure injury and restraint prevalence studies in accordance with the National Database of Nursing Quality Indicators methodology. Analyzes prevalence study results and identify improvement opportunities.· Conducts focused audits as directed which may include direct observation of clinical staff, review of medical record information, or patient interview.· Facilitate and meet analytic needs for improvement projects/initiatives. Supports the department in development of problem charter and selection of the best tools for data analysis. Working knowledge of basic statistical concepts and improvement tools and techniques.· Lead and/or facilitate complex multidisciplinary improvement teams as needed to achieve quality and performance improvement goals.· Responsible for data collection, measurement, and analysis for organizational, federal and state quality metrics.· Conduct focused audits of compliance with regulatory standards (CMS, TJC, and NYS) as directed.· Create and present data needed for evaluation and appropriate action by committees, leadership, and quality improvement teams.· Represents the organization within and external to the community when required.· Assist in improving patient experience through analysis of data and implementation of initiatives to improve performance.

Requirements: · Bachelor’s Degree or commensurate experience required.· Registered Nurse in New York State required· Master’s Degree in Healthcare specialty preferred· Current certification as CPHQ preferred.· Expertise in Microsoft office products including Power Point and Microsoft Excel.· Familiarity with health care clinical operations and processes in an acute care hospital setting.· Familiarity with regulatory requirements as related to hospital setting.