Overview

The Quality Performance Improvement Coordinator assists with the planning, coordination, implementation and evaluation of the organization-wide Performance Improvement Plan and Program in accordance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Standards and N. J. Department of Health mandates. Supervises Department / Medical Staff and interdisciplinary performance improvement Team / Committee activities in compliance with the Medical Center's Performance Improvement Plan and external regulatory requirements. Facilitates an interdisciplinary approach to the evaluation of identified problems and/or improvement of processes within the Medical Center using the theories, methods and tools of performance improvement.

Responsibilities

1. Analysis of Performance Improvement data: Retrieves and utilizes pertinent data from the clinical, financial and performance measurement information systems. Analyzes performance measurement data, identifies patterns and trends for improvement and follows up as needed.
2. Assists with the Medical Center's Quality / Performance Improvement Activities: Maintains an organized system for quality performance improvement review activities. Uses internal and external benchmark processes to evaluate performance.
3. Coordinates the Medical Staff, and Clinical Performance Improvement programs as assigned. Assists in developing and implementing action plans to improve performance.
4. Data presentation: Designs performance improvement reports to display data in a graphic/chart format to clearly identify patterns or trends over time.
5. Facilitates interdisciplinary internal work groups to make positive changes with measurable outcomes and effectively communicates findings. Applies the theories of Performance Improvement including statistical data to all PI activities.
6. Maintains records of all Performance Improvement activities including minutes, correspondence and referrals to other committees in accordance with department record retention requirements.
7. Maintains up to date knowledge for the practice of performance improvement: Maintains a current understanding of the theories, methods and tools of performance improvement, including statistical data collection and analysis.
8. Participates in the planning and preparation activities for regulatory agency surveys. Promotes the understanding of compliance with current regulatory agency standards / requirements.
9. Responsive to the organization's needs: Advises Leader of all potential problems and issues in a timely manner. Seeks assistance from the appropriate level of management for complex clinical decisions or in a crisis situation.
10. Adjusts staffing to department needs: Adjusts hours to compensate for extra workload due to external survey preparation or special projects as requested by Leader.
11. Other duties and/or projects as assigned.
12. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

1. Associate's Degree.
2. A minimum of 3 years of experience in nursing, social work, quality improvement, team member education or other appropriate clinical areas.
3. Excellent written and verbal communication skills.
4. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

1. Bachelor's Degree.
2. Quality improvement or regulatory experience.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.