Coordinator, Quality Management

Location

Whittier, CA | United States

Job description

Facilitates, in collaboration with the Director of Quality & Risk Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx}, and CMS. Reviewing paper and electronic medical records, interpreting, analyzing medical record documentation, and extrapolating pertinent health information needed for determining clinical quality and core measures required by The Joint Commission, CMS and other clinical reporting programs. Accurately entering the data directly into our electronic data collection database. Researching all available resources on missing, conflicting or ambiguous information in the medical record. Applying skilled judgment in determining that deviations from these guidelines may indicate an omission or inaccuracy within the patient's medical record. This position requires the full understanding and active participation in fulfilling the Mission of Whittier Hospital Medical Center. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Whittier Hospital Medical Center's strategic plan and the goals and direction of the Performance Improvement Plan (PIP).

• Performs review , investigation and analysis of occurrences and cases identified through occurrence and cases identified through occurrence reporting, generic screens, etc , meeting criteria for peer review.
• Coordination of in ternal departments and external entities to ensure compliance with company policies , and State/Federal Regulatory and Accreditation standards .
• Ability to formulate professional data reports and presentations for hospital committees and physician specialty groups .
• Understands abstraction components , both inclusion and exclusion criteria, specific to measurements.
• Adheres to established guidelines for criteria abstractions .
• Completes patient data entry accurately and within established timeframes .
• Analyzes data, both on aggregate and patient level as needed, to identify trends as well quality improvement.
• Understands the Department goals of strong results in the following programs/initiatives: Truven Top 100 hospital recognition, Leap Frog B Rating, CMS 4 star rating, VBP F F Y 2018 and 2019 performance payment percentage greater than 100%, no penalties with HAC program.
• Maintains regular updates of policies and procedures.
• Performs medical record reviews associated with QI ; analyzes data collected for QI projects; tracks, trends and prepares information to submit to appropriate committees
• Involvement in the daily operations of the department to include: Pl database management ; case review involving Patient Safety and Core Measures .
• Generate ongoing physic i an specific quality reports including tracking and trending of peer reviews and for OPPE, PPE purposes.
• Performs other duties as assigned or required.

• Licensed Vocational Nurse, or Two (2) to three (3) years experience in Quality and Performance Improvement
• Core Measure Abstraction experience preferred
• Strong clinical background and broad knowledge base preferred
• Excellent verbal and written communication skills
• Strong analytical and problem solving skills
• Knowledge of quality improvement processes and techniques Bilingual (English/Spanish) preferred

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