Sr Specialist | PI - Quality & Safety | Quality Assurance | Sharp Memorial Hospital | Full-Time | Days

About this role

Hours :

Shift Start Time: Variable Shift End Time: Variable

AWS Hours Requirement: 8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements: As Needed

On-Call Required: No

Hourly Pay Range (Minimum - Midpoint - Maximum): $53.570 - $69.120 - $77.410   The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.  

What You Will Do The purpose of the Sr. Performance Improvement Specialist is to improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback to physicians, managers, directors and executives. In collaboration with the Chief Medical Officer and appropriate Supervisory Committee Chair, facilitates evaluation of the medical staff's quality of care and leads improvement projects to decrease variation in physician practice to improve clinical outcomes and reduce cost. Assists the hospital service lines, operational areas and medical staff in identifying real and potential quality issues through measurement and analysis along with concurrent and retrospective review of performance information. Assists with operational planning and development of the hospital quality/safety plan; provides daily work direction to support staff to achieve objectives of the quality/safety plan.

Required Qualifications • Bachelor's Degree in Nursing Or

• Bachelor's Degree In an appropriate health related field. • 3 Years Experience in healthcare performance improvement/quality/patient safety.

• Experience with interacting (in both oral and written forms) with staff, leaders, physicians, patients and families.

• Experienced with designing and managing data collection as well as analyzing, interpreting and presenting clinical quality-related data.

• Previous case review experience.

Preferred Qualifications • Master's Degree In related field. • 5 Years Clinical experience as a licensed professional. • Certified Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality -PREFERRED

• Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association -PREFERRED

• Certified Professional in Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety -PREFERRED

• California Registered Nurse (RN) - CA Board of Registered Nursing -PREFERRED

Other Qualification Requirements • Current unencumbered CA license appropriate to requirements of position. Six Sigma Green Belt Certification is preferred. The department is responsible for tracking and maintaining this certification.

Essential Functions • Department performance improvement Department and Division Performance Improvement Takes initiative to identify opportunities and improve department effectiveness, including work flow redesign, workload distribution and prioritization; and improvements in data systems and processes. Works collaboratively and effectively with team members to establish and achieve goals. Actively participates in system and departmental meetings as well as interdisciplinary collaborative work efforts. Assists other department staff with prioritization of workload. Completes other assigned projects including unanticipated urgent assignments. • Leadership Demonstrates strong communication skills (verbal and written), presentation skills and patience with individuals at all levels of the organization. Shares expertise and tools with colleagues; seeks opportunities to foster success in others. Assumes responsibilities for own professional development by attending courses and at the request of leadership, seeking continuing education to enhance job function and stay abreast of industry and regulatory changes. Manages quality and patient safety issues in the absence of the director, including follow through on time critical events and requests. Provides education and technical support specifically for the development, implementation and maintenance of PI activities and Yellow Belt Workshops and other educational offerings as appropriate. Reinforces Lean Six Sigma Principles through on-going educational offerings. • Performance Improvement Medical Staff Performance Improvement Facilitates provision of provider-specific profiles to be utilized for ongoing professional practice evaluation and re-credentialing. Collaborates with physician leadership to establish meaningful peer review criteria and provider-specific performance indicators. Uses data to evaluate and refine at least annually. Coordinates the peer process in an accurate, timely and confidential manner, ensuring appropriate fact-gathering and case presentation. Optimizes use of available data sources (e.g. RCA findings, mortality reviews, code blue reviews). Coordinates the case review process, including performing case reviews and directing the assignment and completion of high quality reviews by others. Coordinates the Behavioral Variance Reporting (BVR) process in a timely and confidential manner, ensuring appropriate fact-gathering and referral to leadership. Collaborates with analytical resources and physician leadership to identify and leverage data sources for meaningful analysis to drive improvements in provider practice and reductions in practice variation. Conducts effective interviews with physicians involved in safety events to identify system failure modes. Facilitate performance improvement in response to opportunities identified. • Project management Leads Performance Improvement Projects

Identifies Opportunities for Improvement: Utilizes independent judgment, training and clinical experience to recognize practice va

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