Quality Improvement Coordinator Resume Sample
Andres Marvin
21531 Nyah Parkway,
Philadelphia,
PA
+1 (555) 493 2822
Work Experience
Lead Quality Improvement Coordinator
07/2016
-
PRESENT
New York, NY
- Lead performance improvement (PI) initiatives consistent with organizational priorities and goals
- Demonstrate knowledge about pay for performance and quality transparency
- Coordinates clinical collaborative efforts to drive change in clinical practice and outcomes
- Maintain knowledge of current and future trends in quality, safety, performance improvement, accreditation and healthcare economics while being attuned to the needs of patients, team members, physician, payers and regulatory bodies
- Support the Safety first work and developing a Culture of Quality and Safety
- Participate in implementation of patient safety initiatives and promote National Patient Safety Goals either separately or concurrently with other projects
- Partner with Risk Management to perform failure mode effects analyses in identifying high risk processes and systems to proactively promote safe care
Quality Improvement Coordinator
11/2010
-
02/2016
Los Angeles, CA
- Partner with Risk Management to participate in the review / investigation and analysis of occurrence reports, causal factor data and determine action plans
- Integrate knowledge of external standards, including the Joint Commission and other state and federal regulations pertaining to quality
- Develop relationships with medical staff, clinical staff and leadership of clinical / non-clinical areas to improve core measure, associated outcomes and quality indicator performance
- In accordance with all applicable regulatory standards and in cooperation with the hospital’s Education Plan assists
- Work with Medical Directors and Operations on projects impacting operational and clinical excellence at individual health centers, as well as corporate-wide
- Work with health centers to implement patient care projects, and conduct patient outreach via telephone to improve screening rates for designated HEDIS and STARS measures
- Calls all new admissions the day after services and completes the new client survey and develops PI plans
- Calls all new clients after 7 days of service and completes the one week survey and develops PI plans
- Perform a monthly call to all active Nurse Next Door clients to ensure quality care is being delivered and develops PI plans
RN Quality Improvement Coordinator
06/2003
-
05/2010
New York, NY
- Calls Discharged Clients to perform QA survey and develop PI plans
- Send out weekly Discharge report to all assigned branches on findings
- Coordinate QA and PI written and verbal communication with patients through letters, surveys and phone calls
- Develop action plans with department Managers and Supervisors to correct identified problems
- Functions as a project manager for every action plan ensuring that it gets completed timely and according to plan
- Monitor and track client retention and LOS on a quarterly basis
- Review operational processes and suggest changes to increase Quality of Care Delivery across NND branches
- Send out new client welcome cards and employee welcome cards weekly
- Work with the Director of Strategy and Business Development and the NND staff to increase NPS scores across all branch locations
Education
Vincennes University - Jasper Campus
1999 - 2003
Bachelor's Degree in Nursing
Professional Skills
- Excellent computer skills with a demonstrated background of expertise in Word, Excel, and PowerPoint. Working knowledge of Access is helpful, but not required
- SKILLS: Effective verbal and written communication skills. Ability to follow verbal and written instructions
- Demonstrated ability in written and verbal communication skills
- Proficiency Demonstrated written communication skills Advanced
- Demonstrated interpersonal verbal communication skills Advanced
- Project management and/or proven leadership skills
- Experience working with SQL Experience in quality improvement, systems design, or project management in a healthcare setting
How to write Quality Improvement Coordinator Resume
Quality Improvement Coordinator role is responsible for clinical, travel, education, access, leadership, research, training, database, purchasing, reporting.
To write great resume for quality improvement coordinator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Quality Improvement Coordinator Resume
The section contact information is important in your quality improvement coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Quality Improvement Coordinator Resume
The section work experience is an essential part of your quality improvement coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous quality improvement coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular quality improvement coordinator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Quality Improvement Coordinator resume experience can include:
- Strong leadership skills, attention to detail and excellent communication skills. Experience with database/spreadsheets
- Strong analytical, problem solving, and report writing skills
- Strong clinical analytical thinking skills
- Knowledge of group process and team leading skills
- Skills: Knowledge of quality improvement principals
- Exceptional written, telephonic, and oral communication skills
Education on a Quality Improvement Coordinator Resume
Make sure to make education a priority on your quality improvement coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your quality improvement coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Quality Improvement Coordinator Resume
When listing skills on your quality improvement coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical quality improvement coordinator skills:
- Excellent data collection skills with ability to utilize audit tools
- Strong experience in Excel functions, PowerPoint presentation developing, including graph/chart functions within these programs
- Communicate effectively, orally and in writing; with all levels of professional and non-professional staff, and executive management
- Two+ years’ experience in Clinical Nursing and 1+ year of experience in Quality, Managed Care or Healthcare Administration required
- Proficient computer skills: MS Office applications: Word, Excel, PowerPoint, Access and Outlook
- Deal effectively with a variety of people and perform in a team environment
List of Typical Experience For a Quality Improvement Coordinator Resume
1
Experience For Clinical Competency & Quality Improvement Coordinator Resume
- Experience in working with multiple departments in coordination of quality improvement
- Able to establish and maintain effective working relationships with physicians, senior management, and staff
- Coordinating working meetings including taking meeting minutes and tracking of deliverables
- Documenting Patient Care
- Assists with planning and implementing staff training activities
2
Experience For RN Quality Improvement Coordinator Resume
- Implements internal review practices to ensure areas of clinical risk are assessed using the OIG work plan as a reference for focusing review efforts
- Provide training and support to the facility staff on the use of the Event Reporting System
- Assists with planning and implementing staff development activities
- History of progressively increasing responsibility/decision making ability
- Hold annual quality meeting with each NND branch to focus on PI and QA goals
- Coordinates the design, editing and publication of Safety Net and other Network publications
- Liaison with IT in maintaining the Network Performance Audit and CANS database on Salesforce
- Partners with the QI group in the research and development of resource and training materials
- Works closely with the IT team and QI Network on data review, report development and systems testing
3
Experience For RN, Quality Improvement Coordinator Resume
- Provides timely education for clinical and medical staff regarding changes quality based payment reform documentation requirements
- Performs data collection, aggregation and analysis to support external data reporting requirements
- Standards, policies, procedures, and medical protocols in a healthcare setting
- Methods, regulations, and procedures for research within a healthcare setting
- Leads projects to develop, maintain or improve opportunities for performance improvement arising from peer review, mortality, Core Measures, and patient safety
- Leads clinical teams through education & training related to core measure, eCQM and Meaningful Use activities and quality improvement activities
- Responsible for handling multiple projects and tasks at once
- Provides information and referral services to treatment providers regarding available community services for clients, provider evaluation results
4
Experience For Lead Quality Improvement Coordinator Resume
- Attends all required internal and external training's to enhance knowledge base
- Educate clinical staff, students, residents, and faculty regarding national clinical quality measures and CHC’s performance on these measures
- Perform the role of Document Controller ensuring all documentation conforms to management system requirements
- Develop and implement the Site Training Plan
- Tertiary qualifications, ideally in Safety, Engineering, Health Science background or Environment
- Investigation Training, ICAM desirable
- Provide oversight of the Patient Safety Event Reporting System (RL6) to include review, analysis and follow-up of resident safety events
- Collaborate with supervisor and other disciplines regarding quality improvement projects/initiatives
- Coordinates the mid-level credentialing process for clinical staff
5
Experience For Performance & Quality Improvement Coordinator Resume
- Collaborates with hospital administrative support officer regarding organizational standards, policies and procedures
- Interprets policies and regulations to medical, nursing, and professional support staff
- Collaborates with Risk Management regarding risk/quality issues
- Demonstarted ability to work independently while maintaining a high level of detail
- Handles all NPS functions and Employee Engagement surveys
6
Experience For Rn-quality Improvement Coordinator Resume
- Participate in staff meetings and assist in other Performance Improvement initiatives
- Provides support to field auditors (NPA) and end users (CANS)
- Administrates the QI portion of Epicenter
- Coordinates QI projects, as assigned
- Coordinates, evaluates, and monitors the implementation of the company’s continuous Performance Improvement Plan utilizing accepted PI principles, tools and measurement techniques
- Prepares and/or coordinates statistical reports on the results of utilization reviews, clinical record audits, Medicare claim denials, customer satisfaction surveys, and the Quality Improvement Plan
- Directs utilization review and client medical record audits according to the company’s policies. Prepares and/or coordinates statistical reports on the results of utilization reviews, client medical record audits, Medicare claim denials, customer satisfaction surveys, and the Performance Improvement Plan
7
Experience For Quality Improvement Coordinator Vascular Surgery Resume
- Monitors and coordinates the implementation of corrective action plan for deficiencies identified through utilization review, clinical record audit, Medicare claim denials, client satisfaction surveys, accrediting body and/or State surveys, and the Performance Improvement Plan
- Serves as a resource on regulations for certification, licensure, accrediting body standards and Medicare eligibility requirements
- Evaluates the need for and plans special classes, conferences, and meetings to improve level of staff performance and quality of care
- Is responsible for the oversight of the clinical compliance review activities to assure the organization is operating within state and federal regulations. Coordinates internal clinical audits and reports on audit results
- Participates in the development and implementation of standardized policies and operating procedures
- Coordinates yearly external compliance reviews, as directed by the corporate compliance officer/President or Board of Directors
- Under the direction of the Quality director, concurrently monitors documentation of care provided to patients included in quality based payment reform programs (value based purchasing/core measures, hospital-acquired conditions reduction program and hospital readmission reduction)
8
Experience For Clinical Quality Improvement Coordinator Resume
- Provides timely feedback to clinical and medical staff to facilitate accurate data capture of patient care provided in the electronic medical record
- Collaborates with clinical and medical staff leaders to develop, implement and evaluate process improvements to improve organizational performance and patient outcomes
- Performs data abstraction, validation and submission processes as assigned to meet externally reported data requirements, including quality-based payment reform programs, registries, third-party payor quality programs, and KYOne, CHI, and national quality initiatives
- Serves as a member of the SafetyFirst Core Team to review and classify IRIS reports utilizing the Healthcare Performance Improvement (HPI) classification system
- Participates in root cause and common cause analyses as assigned
- Serves on performance improvement and patient safety committees or teams as assigned
9
Experience For Rn-quality Improvement Coordinator Days CHI Health Nebraska Heart Resume
- Assists with efforts to ensure continuous organizational compliance with regulatory requirements and accreditation standards
- Hospital organization, operation and procedures
- Federal and State health care laws and regulations common to the operation of hospitals in California
- Quality improvement and risk management standards, policy, procedures and protocols
- Current trends, issues, research in Quality Improvement in a large medical services system
- Joint Commission Accreditation standards and Title XXII requirements and Federal regulations
- Regulatory requirements for acute care hospital and ambulatory care settings
- Medical terminology and related levels of care and treatment
- Evaluation and assessment techniques
10
Experience For Quality Improvement Coordinator Days Resume
- Supports quality improvement program studies with work that ranges from accessing and analyzing provider records, maintaining databases, and researching to identify members’ encounter history
- Take a leadership role in the Agency’s External Quality Review process. Document processes and provide appropriate data to the EQRO
- Reviews OASIS assessment and OASIS coding for accuracy. Ensures the plan of care on the 485 reflects the accuracy of the OASIS assessment and primary focus. Ensures correlation between the patient’s needs as identified in the clinical documentation and the resources allocated as indicated in the plan of care
- Support Quality Assurance Performance Improvement work plan/initiatives
- Schedule and assist with committee and sub-committee preparation
- Assist in investigation and resolution of member quality of care complaints
- Audit medical records and monitor performance measures for health care risk management, sentinel events and trends
List of Typical Skills For a Quality Improvement Coordinator Resume
1
Skills For Clinical Competency & Quality Improvement Coordinator Resume
- Years of Experience: 3-5 years’ experience in health care and quality Improvement initiatives
- BS or BA required, or RN with at least 3 years clinical experience, or Allied Health Professional with at least 5 years clinical experience required
- Effective problem-solving, communication, negotiating and influencing abilities
- Experience managing an electronic event reporting system such as RL6
- Experience with presenting presentations and public speaking
- Experience with project management, data capture, data mining and analysis, team facilitation, lean principals and change management
- At least one year of experience in quality function in a healthcare setting
2
Skills For RN Quality Improvement Coordinator Resume
- Experience in quality improvement, systems design, or project management in a healthcare setting
- Experience working with an electronic medical record, preferably the EPIC system
- Experience in a Medical Office and/or Hospital environment
- Establish and maintain program objectives, priorities and policies
- Knowledge of QA principles, experience with data analysis and use of QA tools
3
Skills For RN, Quality Improvement Coordinator Resume
- Work experience in Quality Assurance/Performance Improvement/Patient Safety
- Experience in quality improvement, and/or data analysis
- Demonstrated ability to work with customer/patient groups
- Multi‐task, prioritize and work under deadlines
- Clinical, quality management or healthcare related experience
4
Skills For Lead Quality Improvement Coordinator Resume
- Experience in process improvement initiatives and customer service surveys
- Other Experience with medical terminology Required
- 5 continuous years of experience in healthcare or health plan quality management, quality improvement or project management
- Experience in project coordination/management
- Clinical or field-related experience
- Experience in quality improvement or a related field such as Six Sigma
- Experience in quality improvement and/or data analysis
- Training and development of staff and/or providers
5
Skills For Performance & Quality Improvement Coordinator Resume
- Training or certification in one or more Quality Improvement programs (LEAN, The Dartmouth Institute Microsystems Academy, or similar program)
- Participates in a hospital-wide approach to designing, measuring, assessing and improving performance under the direction of the RN-Quality Program Manager
- Techniques of organizing and motivating groups. Ability to
- Techniques of organizing and motivating groups
- Current drivers license, car registration and auto insurance if providing transportation for individuals receiving service
- Contract preparation, negotiation and administration including the development of procedures to assure compliance and conformity with the terms of the contract
- Methods of administrative and/or clinical problem solving
6
Skills For Rn-quality Improvement Coordinator Resume
- Evaluate and interpret complex medical regimens pertaining to quality of care standards
- Plan and implement quality improvement educational activities for medical, nursing, and professional support staff
- Proficiency using Microsoft Office programs, especially Excel, Word, Power Point, and Access
- Advanced knowledge of the Microsoft Office package including Word, Excel, PowerPoint, Access, and Outlook
- Basic understanding of statistical and data analysis
- Theory and practice of community mental health, alcohol and substance abuse interventions
- PI Project Liaison is limited to PHI information necessary to perform their function. Access to PHI shall only be available when the staff is on duty and working
- Mental health laws and regulations
7
Skills For Quality Improvement Coordinator Vascular Surgery Resume
- Needs and problems of mental health clients
- Theory and practice of community mental health interventions
- Community organizations and resources for mental health services
- Community and agency consultation methods and procedures
- Current research, trends, and issues in mental health treatment
- Social aspects of mental and emotional disturbances
- Types and functions of residential and outpatient agencies and clients
- Program development and evaluation
8
Skills For Clinical Quality Improvement Coordinator Resume
- Principles of organization and administration, fiscal and program management
- Develop and implement clinical and business management systems to promote adherence to applicable legal requirements, standards, policies, and procedures as well as interdisciplinary approach to holistic care
- Monitor OBQ/OBQM status of agencies as reported in CMS/SHP postings and implement strategies for performance improvement; recommend new or improved organizational systems with a quality improvement approach
- Maintain a commitment to the values and mission of AccentCare
- Perform additional responsibilities as assigned by one’s supervisor or other manager related to the position/department
- 1801 S. Excise Ave. Suite 105
- Participates in all aspects of quality improvement initiatives/projects, including defining/measuring the problem, and developing/controlling outcomes-based process improvement and implementation work plans
9
Skills For Rn-quality Improvement Coordinator Days CHI Health Nebraska Heart Resume
- Provides ongoing consultation and education with respect to the application of continuous quality improvement principles/practices and identified quality indicators and priorities
- Participates in a comprehensive and cohesive division-wide approach to designing, measuring, assessing and improving quality patient care and related performance metrics
- Establish and maintain effective, cooperative working relationships with administrators, managers, clinical staff
- Work independently and establish work priorities
- Demonstrate leadership ability and act as facilitator when necessary in various group settings
- Maintain a professional attitude with clients and staff
- Plan, organize, direct, and coordinate individuals and functions
- Identify the need for changes in program policies and practices and develop proposals for appropriate changes
- Gather, analyze and interpret a wide variety of information
10
Skills For Quality Improvement Coordinator Days Resume
- Analyze data, write reports, and evaluate improvement programs and activities
- Plan, develop, and organize work
- Develop personal and professional quality improvement goals
- Facilitate Quality Improvement teams to implement quality improvement goals and standards
- Maintain current knowledge of trends/practices in Quality Management
- Knowledge of homecare services, homecare payers and customer service
- Designs and coordinates quality assurance and quality improvement activities to positively impact measures identified in the ODM provider contract, as STAR ratings measures by CMS and as required by NCQA for prevention and wellness
- Analyzes outcomes of quality improvement activities, identifying barrier to success and ways to mitigate those barriers. Documents planned activities and outcomes in the annual QI Program Work Plan and QI Evaluation
- Performs HEDIS data collection to support CMS, ODJFS compliance and NCQA accreditation
List of Typical Responsibilities For a Quality Improvement Coordinator Resume
1
Responsibilities For Clinical Competency & Quality Improvement Coordinator Resume
- Develop and implement the quality program description, work plan goals including applicable Healthcare Effectiveness Data and Information Set (HEDIS) measures and program evaluation (trilogy documents) for behavioral health
- Seeks and provides peer consultation regarding client presenting problems related to specialty area
- Participates in staff meetings to provide information regarding documentation and pertinent case management/quality issues
- Lead Behavioral Health Performance Improvement Projects (PIPS)
- Review clinical information for appeals to determine medical necessity
2
Responsibilities For RN Quality Improvement Coordinator Resume
- Prepare cases for appeals that do not meet medical necessity
- Maintain files, logs, documentation including communication in accordance with National Committee for Quality Assurance (NCQA) and State standards and regulations including timelines
- Investigate and resolve behavioral health quality of care complaints and grievances
- Analyze, develop and monitor clinical QI activities to ensure compliance with customer expectations and lead clinical quality initiatives
- Review clinical information for appeals to determine medical necessity of services, prepare reviews for cases, and act as the liaison for appeals and fair hearings
- Works closely with internal subject matter experts in the development of clinical support tools in the electronic medical record system which support quality initiatives
- Collaborates with system leaders across the health system in programs and projects related to quality improvement activities
- Assists in the development of metric reports to aid leaders and subject matter experts in measuring quality outcomes associated with ongoing performance improvement activities
- Contributes in the development of policies related to quality measures, decisions support tools within the electronic medical record which advance the successful compliance with quality metrics
3
Responsibilities For RN, Quality Improvement Coordinator Resume
- Serves as a quality-patient safety liaison to clinical informatics and IT
- Does related work as assigned
- In health care environment
- Knowledge of computers, micro-soft office, access, and practice management software
- Develop action plans and execute to completion
- Data Reports. Develops and maintains competency in state and federal health care regulations and JCAHO accreditation standards; Performs chart audits, evaluates hospital activities and identifies risk through the analysis of quality referrals and complaints to identify trends and opportunities for improvement
- Coordinates client services for the Drug and Alcohol Department Services Managed Care system by identifying potential candidates who might benefit from care coordinator services utilizing diagnosis lists and referrals from the managed care provider system
4
Responsibilities For Lead Quality Improvement Coordinator Resume
- Conducts interviews with clients, client representatives, family, providers, and support system to determine client needs and identifies resources necessary to accomplish treatment goals
- Provides on-going assessments and evaluates needs and interventions based on the current status adjusting the care plan as required assuring compliance and understanding of the long term plan
- Maintains a clinical case load and serves as a consultant to providers, family,clients, staff and community in areas of clinical expertise
- Maintains client records on active and inactive clients
- Performs retrospective, concurrent and prospective reviews to evaluate the level of care and continued stay reviews
- Develops a knowledge of resources within the managed care system and the community at large
5
Responsibilities For Performance & Quality Improvement Coordinator Resume
- Gathers data and assists in program evaluation and research; tracks variances daily and compiles them on a monthly basis as to identify trends to be used as indicators for quality care
- Participates in provider case conferences with primary counselor and all other team members specific to the case to recommend and develop appropriate treatment
- Updates, disseminates and trains provider staff on new policies and procedures in the Department of Alcohol and Drug Services Managed Care System
- Compiles and analyzes data related to managed care coordinator activities and functions
- Researches and reviews pertinent literature in specialty area and share with peers
- Provide support to BHN Executive Director, Medical Director and Informatics Director in the development, implementation and evaluation of quality initiatives
- Collect, maintain, mine, and build reports of patient, administrative and financial data systems
6
Responsibilities For Rn-quality Improvement Coordinator Resume
- Participate in the selection and implementation of data collection and quality improvement strategies
- Work effectively with colleagues in BMC and BHN CHCs to ensure adequate ongoing data collection to meet HCCN grant deliverables, and other project deliverables as assigned
- Actively participate on multidisciplinary quality improvement teams to meet BHN and HCCN grant goals
- Develop, foster and maintain positive, collaborative, supportive working relationships with the medical staff, nurses, administration, department management and staff
- Plan, organize, and prioritize work in order to meet organizational goals, objectives and deadlines
- Use various process improvement system redesign tools and strategies
7
Responsibilities For Quality Improvement Coordinator Vascular Surgery Resume
- Ensure that activities conducted support requirements of grant funders, as well as key external agencies such as CMS and the State of Massachusetts to whom data is reported
- Actively network internally and externally to develop skills, knowledge base, and opportunities to promote the quality initiatives of BHN. Participate in pertinent professional education to maintain current knowledge of best improvement practices for select patient populations
- Maintain the site management system in accordance to certification, statutory and business requirements
- Record non-conformances within the UGL CAPA database and implement corrective and preventive actions
- Develop the Site Audit Schedule in accordance with site critical and high risks and in accordance with certification, statutory and business requirements
- Conduct and facilitate internal audits
- Identify and facilitate site continuous improvement initiatives
8
Responsibilities For Clinical Quality Improvement Coordinator Resume
- Preparation of reports for internal & external stakeholders, as required
- Lead Auditor Qualification in AS4801 or equivalent
- Plans, organizes, and directs departmental quality improvement activities. Conducts departmental studies of identified problem areas in accordance with the Quality and Performance Improvement Plan
- Reviews data related to clinical care, in conjunction with the quality management committee, to determine committee agenda and identify areas requiring further information
- Prepares reports as required for medical staff, quality management committees and quality task forces to identify trends or patterns that present an opportunity to improve the quality of patient care provided
- Shares trends, patterns or issues identified during concurrent reviews, providing explanation and details regarding monthly quality assurance reports, and/or obtains medical records or additional information to be discussed
- Facilitates the clinical review and problem-solving processes through the use of quality improvement methodology and tools
- Works with the healthcare team to determine the quality of care provided to support compliance with The Joint Commission standard of multidisciplinary approach to quality improvement
- Collects data for use during RFP/managed care contract negotiations
9
Responsibilities For Rn-quality Improvement Coordinator Days CHI Health Nebraska Heart Resume
- Provides feedback to multidisciplinary teams regarding patient outcomes and processes of care
- Identifies opportunities for improvement in the care provided
- Collects data for physician reappointment and Ongoing Professional Performance Evaluation. Develops close working relationship with medical staff office for improved information sharing and completion/ distribution of OPPE forms
- Develops strategies and action plans to correct the improvement areas. Responsible for ensuring that the goals are met based off of the action plans
- Facilitates multidisciplinary teams to achieve improved quality care
- Collects quality and risk management data on an ongoing basis such as unplanned readmissions, deaths, unplanned returns to the operating room, Maryland Hospital Association Quality Indicator Project Indicators, Clinical Quality Indicators for Board Report, occurrence screens, blood transfusion record completeness
- Measures and assesses data using pre-determined, medical staff approved criteria to identify cases requiring peer review, identify causes for indicator rate outliers and to document trends or patterns that identify opportunities for improvement in the quality of care provided
- Develops effective working relationships Risk Managers, Case Managers, and Department managers to assure cooperation and data sharing which results in improved patient care
- Provides consultation to ancillary support and clinical departments within the Medical System to establish quality indicators, analyze quality and utilization data, identify trends/patterns and formulate plans for resolving issues/problems
10
Responsibilities For Quality Improvement Coordinator Days Resume
- Staffs organization-wide quality improvement committees and participates on process management teams
- Actively participates in the development and completion of the annual Health Education Plan and Health Education Appraisal, annual QI Plan and QI Appraisal. Prepares annual Performance Improvement Plan (PIP), and Quality Improvement Activity Analysis (QIA's)
- Actively participates in the HEDIS audit by attending/leading HEDIS trainings, gathering required records, abstracting pertinent medical record data, entering data into the HEDIS software database, and performing peer audits. Attends HEDIS pro-Active meetings and remain current on annual updates
- Analyzes the Provider Satisfaction Survey and CAHPS survey results and report findings to QI/UM committee
- Assists with development and maintenance of MedStar Family Choice's Quality Improvement Program via input with the annual Quality Improvement plan and appraisal
- Attends and contributes content to the monthly Quality Improvement staff meetings. Assists the Quality Improvement Manager in maintaining accurate and thorough meeting minutes
- Follows the established protocol for reporting any quality issues identified
- Attends the Quality Improvement and Utilization Management Committee (QI/UM) meetings and other meetings as directed
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