Performance Improvement Coordinator

Overview

Responsible for supporting day to day quality management and performance improvement activities for assigned facilities and collaborates with leadership to promote continuous survey readiness.

Major Responsibilities

Proficiently facilitates performance improvement efforts and coaches' others in the development of performance improvement capabilities.

Maintains competence in applicable licensure, certification, accreditation and other regulatory body requirements.

Coordinates department and facility Performance Improvement meetings, analyzes trends of performance metrics/business unit level dashboards, identifies opportunities for improvement, develops and maintains management action plans, measures success of these action plans and creates the records and follow-up metrics for each meeting and activity; reassesses approach to maximize success.

Provides consultation to teammates and leadership in areas of quality, compliance, accreditation, and safety.

Facilitates assessments, develops, implements and evaluates corrective action plans based on past surveys and preparatory tracer activities.

Develops strategies for improvement that include considerations for leading practice research and shares implementation results across the system.

Utilizes facilitation skills, data analysis and statistical process control to effect improvement in quality and clinical outcome.

Consults with and trains staff to implement monitoring and measurement tools, and data analysis techniques.

Provides education and training on accreditation compliance and accreditation matters.

Demonstrates knowledge of the principles of growth and development and possesses the ability to respond to age specific issues and data reflective of the patient's status.

Minimum Job Requirements

Education

Bachelor's degree required.

High School Diploma or GED from an accredited institute required.

Certification / License

Certification in health care quality, patient safety or related accreditation entity required within 2 years of employment.

Work Experience

Four to six years' experience in healthcare setting, such as a physician's office, hospital department, or provider relations and familiarity with standard quality measures.

Experience with computer systems, including web-based applications such as Microsoft Office applications.

Certification in health care quality, patient safety, or related accreditation entity preferred, required within 2 years of employment.

Knowledge / Skills / Abilities

Experience with computer systems, including web-based applications such as Microsoft 365 applications.

Verbal and written communication skills

Physical Requirements and Working Conditions

Must have the ability to clearly communicate verbally, in person, and in writing with patients, families, agencies, and the health care team. Works in an office environment. Requires long periods of sitting and computer use. Does require travel to assigned medical practice locations and facilities.

Preferred Job Requirements

Education

Master's degree preferred

Certification / License

RN or another clinical licensure.

Experience

Two to four years of leadership experience.

Knowledge / Skills / Abilities

Knowledge of Lean concepts.

Intermediate to advanced computer skills with demonstration of skill and competence in use of all Microsoft Office applications.

Previous experience or knowledge of The Joint Commission.