Director Data Integrity - Staff Credentialing in Irving, TX

Job Description | Job Attributes

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External Applicant Current Associate

Summary:

This position is responsible for the oversight, monitoring, facilitation and coordination of data and information related to Clinical Outcomes and Performance Improvement patient safety indicators within the framework of the Performance Improvement and Patient Safety Plan. In addition, this position is responsible for the support of the regional Quality Committee of the Board. This position will be responsible for timekeeping and administrative function for the regional Quality-Patient Safety Program

Responsibilities:

• Identify system-wide quality indicators, analyze, and monitor benchmark quality data to determine the organization’s clinical performance
• Develop and implement plans to standardize clinical processes and procedures among hospitals and ambulatory sites through nationally recognized evidence-based standards of care
• Evaluate clinical and administrative processes to determine best practices and establish a mechanism for organizational sharing of these practices
• Develop effective working relationships with medical staff, associates, senior leaders and community partners as appropriate within all venues of care
• Provide a foundation to become a continuously learning organization through ongoing education and training in health care quality improvement processes, care management and clinical redesign, including training and support for various methodologies and measurements, such as PDSA, Clinical Microsystems and High Reliability techniques
• Promote and facilitate the development of leaders and staff in PI processes, outcomes monitoring, and interpretation of quality indicators
• Responsible for the design and implementation of the Performance Improvement Program and outcome reporting for the full continuum, which includes integration of national standards as well as national benchmarks, and include all elements of national quality initiatives, such as NCQA, NHSN, HEDIS, TJC, IOM, NQF, CMS and other quality standard setting bodies
• Act as a primary resource for the region related to the various accreditation or regulatory bodies such as The Joint Commission, CMS or the State OIG, including the development of an internal mock survey team
• Facilitate regional performance improvement initiatives through the aggregation, analysis and dissemination of data.
• Coordinate and manage routine monitoring (daily, weekly, monthly) of key regional and facility-specific performance indicators based upon organizational needs or as requested by administrative leaders.
• Coordinate and manage the provision of data and summaries for regional Quality Committee of the Board.
• Collect and analyze regional clinical outcome and performance improvement /patient safety reports and prepares an executive summary analysis for presentation to leadership and stakeholder groups at both the facility and regional levels.
• Collaborate with leadership, clinical departments and service lines to provide training and toolkits for performance improvement teams.
• Assist in the development of facility-specific PI Plans, including establishment of evaluation metrics including monitoring progress and results. Identifies areas requiring action and follow-up.
• Serve as a subject matter expert for clinical departments, support services, Medical Staff and Administrative Leadership to facilitate understanding of data collection processes and information related to Clinical Outcomes and Performance Improvement initiatives.
• Maintain knowledge of regulatory standards related to performance improvement and patient safety and serves as a resource to facilities and leadership on related metrics and data.
• Collaborate and assist in data management and aggregation for external reporting as required by federal, state and accrediting agencies.
• Responsible for analysis and projections related to performance specific to Value Based Purchasing and other Pay for Performance Initiatives
• Provide specifications to the quality team in the design/conduct of data collection and analysis for outcomes measurement, evaluation and reporting.
• Facilitate development of a culture of performance improvement and patient safety.
• Assist with developing and meeting annual goals and objectives for the department, building strategic relationships within and across departments, and developing and maintaining a comprehensive interdisciplinary performance improvement and patient safety program.
• Administer systems for organizational access to key data elements and reports (through dashboards and SharePoint).
• Provide managerial oversight of Information Specialist and Midas Super User and promotes visibility and viability
• Develop and maintain a Clinical Outcome/Performance Improvement/Patient Safety data repository intended to support the data analysis, reporting and evidence-based needs of the organization. This will include documenting current data sources

Requirements:

• Bachelor's Degree

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time