Quality and Safety Specialist II (L+M)

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Under the direction of the Quality & Safety department leadership, the Quality & Safety Specialist is responsible and accountable for facilitating improvements in clinical and operational performance in delivery network and system-wide patient safety and clinical quality. Collaborating with frontline management, staff, and clinicians, the team uses safety science and performance improvement methodologies to evaluate and improve clinical processes of care by reducing variation and driving standardization according to best practices.

EEO/AA/Disability/Veteran

• 1. Works closely with executive leadership and other quality, safety, and infection prevention team members to plan, design, develop, implement, and test data collection and monitoring systems to improve data quality and access.
• 2. Leads the development of dashboards and scorecards to monitor the progress of critical quality and patient safety metrics and reporting to clinical and operational stakeholders.
• 3. Participates in strategic planning of system objectives by forming and providing benchmarks and KPI proposals.
• 4. Develops communication tools/reports to assist internal and external customers in interpreting new/updated clinical data measure guidelines and their impact on clinical data results, workflows, or data input methods.
• 5. Consults on new data project requests or changes/updates to current builds to identify the impact on existing workflows and data products.
• 6. Works regularly with publicly reported measures including, but not limited to, Centers for Medicare Services (CMS) and QualityNet, Vizient, Agency for Healthcare Quality (AHRQ), LeapFrog, US News & World Report, and clinical registries and can translate the impact of changes to these programs through data.
• 7. Provides consultation related to mandated data collection, submission, and presentation to NHSN, CMS, DPH, and other entities. As well as coordinate/assist with internal and external audits.
• 8. Serves as a Vizient resource on Vizient data and reporting methods.
• 9. Extracts and performs analysis of data in various formats from various sources and benchmarking platforms (i.e., Vizient, Press Ganey, Redcap, ICON, EPIC, NHSN, CMS, Tableau, Chime, Registries, HDI)
• 10. Actively seeks to understand and bridge gaps in methodologies between different systems; can identify variation across data sets and works to resolve data quality concerns in collaboration with the Joint Data Analytics Team.
• 11. Provides expertise in data collection methods, including the content and format of standard and computerized data collection forms.
• 12. Executes standard and complex statistical analysis and independently chooses statistical methods to provide the appropriate decision-making information to stakeholders.
• 13. Uses parametric and nonparametric models, regression analysis, variance analysis, sequential analysis, statistical inference, and other statistical tests as appropriate to analyze data and provide performance projections and models.
• 14. Serves as a resource to others using Excel, SharePoint, SPSS, Visio, and statistical, SQL, and CQL software programs.

EDUCATION

Bachelor's Degree Required. Master's Degree preferred.

EXPERIENCE

Three (3) to five (5) years of experience in project management in a healthcare setting or (1) to (2) years as a Quality and Safety Specialist I within the department. Understand how systems of safety, safety culture, reliability, and continuous learning create safe patient care. Knowledge of patient safety and quality resources available through various channels and utilizes evidence -based research. Has an understanding of and assists with ensuring compliance with mandated state, federal, and regulatory agencies, rules, codes, laws, and standards that impact patient safety and quality. Familiarity with federal and state quality and safety programs that impact hospitals' public performance and reputation. Demonstrated history of leading successful improvement work. Efficiency with Excel and PowerPoint. Patient-oriented team player with the flexibility to adapt to evolving priorities with the ability to prioritize multiple tasks.

LICENSURE

Valid RN license or related healthcare professional license preferred but not required.

Certified Professional in Healthcare Quality (CPHQ) OR Certified Professional in Patient Safety (CPPS) is preferred; it is required to become certified within two years of hire.

SPECIAL SKILLS

Decision Making: Ability to make decisions guided by precedents, policies, and objectives. Problem Solving: Ability to address problems that are highly varied, complex, and often non-recurring, requiring staff input and innovative, creative, and Lean diagnostic techniques to resolve issues. Independence of Action: Ability to set goals and determine how to accomplish defined results with some guidelines. The Manager/Director provides broad guidance and overall direction. Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers. Oral Communications: Ability to communicate effectively with medical center staff, patients, families, and external customers. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices, and policies and use them in complex, varied situations. Teamwork: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Customer Service: Ability to provide an elevated level of customer service to patients, visitors, staff, and internal and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem-solving. Ability to remain calm in stressful situations.