Clinical Quality Specialist - Hospice of Cincinnati

This position works collaboratively with leadership in the development and support of quality initiatives to improve patient outcomes. Facilitates peer review of clinical performance within QA Committees and initiates further activity to support Hospice staff and improve care delivery. Identifies and evaluates patient care issues using applied knowledge, clinical experience, and analytical skills. Works in collaboration with leadership to implement Professional Practice Evaluation to meet Joint Commission accreditation compliance requirements of providers. Supports root cause analysis, apparent cause analysis and other applicable Patient Safety activities. 

Job Overview:

This position works collaboratively with leadership in the development and support of quality initiatives to improve patient outcomes. Facilitates peer review of clinical performance within QA Committees and initiates further activity to support Hospice staff and improve care delivery. Identifies and evaluates patient care issues using applied knowledge, clinical experience, and analytical skills. Works in collaboration with leadership to implement Professional Practice Evaluation to meet Joint Commission accreditation compliance requirements of providers. Supports root cause analysis, apparent cause analysis and other applicable Patient Safety activities. Supports the Chief Quality and Compliance Officer in various continual readiness activities (i.e. assisting with mock surveys, unit survey preparation, performing supportive tasks related to survey readiness teams, and developing, conducting and analyzing tracer findings) and continuous Joint Commission compliance. Responsibilities would also include providing support during pre-survey preparation, on-site survey and post-survey follow up activities; assist with education of Joint Commission Standards.

Job Requirements:

Associate's Degree in Nursing (Required) 
New hire RNs required to obtain BSN within 5 years of hire (Required)
1 - 2 years of healthcare experience (Required) 
1 - 2 years of Clinical healthcare experience (Required)
Microsoft
Registered Nurse

Job Responsibilities:

Acts as staff and/or participating member of various Specialty Quality Committees; responsibilities may include agenda planning/meeting organization, coordinating follow-up as directed, and assisting in the development of methods/tools and/or process for implementing projects/programs that have the potential to positively impact the quality of patient care. 
Formally prepares and presents quality narrative and statistical reports in a clear and objective format for the Medical and Administrative Staff (as required). Analyzes and validates quality outcome data and reports trends. This requires familiarity with data systems, skill with applications such as Excel, Word, and PowerPoint, and effective report development 
Incorporates changes as needed to workflow designs, reducing system vulnerability through deliberate communication cascades and implementation of processes / practices throughout local department / section levels, including QA Committees. 
Organizes and staffs all assigned clinical quality. Demonstrates knowledge of and assists with the implementation of policies and procedures for the quality assurance and improvement function of TriHealth, to assure improved compliance with requirements of The Joint Commission, other accrediting agencies and regulatory bodies. Facilitates commitment to an organization-wide quality structure and strategies, including the PDCA plan for process improvement. This includes process development, data analysis and report preparation from the following databases: The Joint Commission (TJC)/Centers for Medicaid and Medicare Services (CMS) 
Reviews and evaluates patients' medical records, applying quality measurement criteria 
Works collaboratively with other healthcare providers and ancillary services (e.g. Risk Management, Patient Safety) as part of the Healthcare Team to provide the necessary effective measurement and analysis of the patient care services received. Effectively communicates and responds to requests in a timely manner to support efforts aimed at problem identification and effective resolution. Understands the roles and responsibilities of the key players, quality champions, and customers. Serves as a source of knowledge for area of expertise; exercises independent judgment and is self-motivated to effect change when necessary. Autonomous within the use of creativity/initiative/risk taking in

Other Related Information:

Direct Report FTEs = 0-2

Working Conditions:

Bending - 
Climbing - 
Concentrating - 
Continuous Learning - 
Hearing: Conversation - 
Hearing: Other Sounds - 
Interpersonal Communication - 
Kneeling - 
Lifting Lifting 50+ Lbs. - 
Lifting Pulling - 
Pushing - 
Reaching - 
Reading - 
Sitting - 
Standing - 
Stooping - 
Talking - 
Thinking/Reasoning - 
Use of Hands - 
Color Vision - 
Visual Acuity: Far - 
Visual Acuity: Near - 
Walking -

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS... 
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello" 
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist 
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS... 
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met 
• Offer patients and guests priority when waiting (lines, elevators) 
• Work on improving quality, safety, and service

Respect: ALWAYS... 
• Respect cultural and spiritual differences and honor individual preferences. 
• Respect everyone's opinion and contribution, regardless of title/role. 
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS... 
• Value the time of others by striving to be on time, prepared and actively participating. 
• Pick up trash, ensuring the physical environment is clean and safe. 
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS... 
• Acknowledge wins and frequently thank team members and others for contributions. 
• Show courtesy and compassion with customers, team members and the community