In collaboration with the manager/director of Performance Improvement is responsible for assisting in the coordination, integration, and implementation of the organization wide performance improvement activities to ensure compliance with company policies and state/federal regulatory and accreditation standards. Activities include but are not limited to chart reviews, data abstraction for CMS Core Measures and other quality outcomes studies, and staff education regarding core measures, other non-core abstractions, Quality measures and updates regarding new and enhance indicators. Develop, and adapt as necessary, information systems to report on key performance indicators to ensure that Supervisor/Managers/Director can measure and monitor and continuously improve performance.
1.Completes Core Measure and other data abstractions for reporting to various state and federal regulatory bodies with accuracy and minimal supervision and direction. 2. Performs concurrent and retrospective case reviews. 3. Entry of data from chart screening and peer reviews in the computerized quality database and produces reports from this data base as needed. 4. Analyzes data collected for Performance Improvement initiatives, tracks, trends, and prepares information to submit to appropriate committees. 5. Active involvement in the daily operations of the department to include but not limited to: PI database management, case reviewing, monitoring of Patient Safety Goals, monitoring of Patient Satisfaction, and monitoring of Core Measures. 6. Performs other duties as assigned or required.
1.Bachelor's Degree in healthcare related field.2. Medical Graduate, RN, PA or Masters in Business, Masters in Public Health, Preferred. 3. Excellent computer skills are required including proficiency in (MS Office -Word, Excel, Access).4. Proficient in word processing, spreadsheets, database and typing.5. Experience in reviewing patient records for care issues. 6. Detail oriented organizational and analytical skills. 7. Must be able to handle multiple cases, directions, and follow-through.8. Great communication skills.
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Mission Regional Medical Center