Clinical Quality Abstractor - Clinical Quality Reporting

Job Requirements

POSITION SUMMARY:

To be fully engaged in providing Quality/No Harm, Customer Service and Stewardship by providing program level accurate data collection to ensure timely required clinical quality measure submissions to CMS, The Joint Commission and disease specific registries. Collaborates with Quality Database Administrators, Clinical Informatics and IT to provide feedback and assist in identifying enhancements or additional functionality for system implementation. Provides expertise by leveraging technology to help business process owners understand medical trends, clinical program effectiveness and performance in order to maximize healthcare regulatory program performance and outcomes.

PRIMARY ACCOUNTABILITIES:

Quality/No Harm:

• Proactively seeks opportunities to identify and reduce risk to the safety of patients.
• Provides accurate and timely clinical data collection reports to appropriate committees or groups and identifies opportunities for improvements.
• Collect data or oversee processes.
• Aggregate and analyze data.
• Provide Benchmarks.
• Verify Statistical measures.
• Oversee the development of action plans.
• Oversees daily efficient operations and assures accountability to all regulatory entities as well as pertinent policies and procedures.
• Responsible for expertise in quality data abstraction and analysis based on regulatory requirements and internal request by departments and medical staff.
• Support for the department indicator monitoring and performance measurement for the corporate and facilities goals.
• Maintains quality database competency to aid in continuous process improvement through documentation review.
• Collaborates in developing studies aimed at evaluating organizational programs.
• Collaborates in designing outcome measures.
• Assists in designing mechanisms for data collection and entry.
• Develops reports based on findings.
• Locate and define new process improvement opportunities and develop operational data process controls.
• Interpret data, analyze results using statistical techniques and provide ongoing reports.

Stewardship:

• Collaborates with clinical teams to identify opportunities for resource optimization; applies LEAN methodology.
• Support the achievement of regulatory timeliness to avoid payment penalties and progression of quality of care goals to achieve Health First IDN Corporate Quality initiatives around top performance.
• Supports maximization of Midas+ Care Management system utilization and other quality data repositories or registries.
• Demonstrates a thorough understanding of the end-user environment and systems and proactively seeks methods of improvement.
• Identifies, analyzes, and makes recommendations for alternative methods to the operational processes, utilizing process knowledge to integrate, and transfer new or existing technology into the work place, so key outcomes are met and departmental processes maximized.
• Provide operational monitoring of data file transfers and trouble shoot production incidents.
• Develop and implement data collection systems and other strategies that optimize statistical efficiency and operational data quality.

Customer Experience:

• Serve as a resource in system-wide efforts to advance quality outcomes and best practice care.
• Supports decisions through analytics with a statistical, quality, and clinical outcomes emphasis.
• Proactively validates information to optimize data accessibility, improving timeliness and accuracy of decision-making; provides training and assistance as needed.
• Maintain customer focus and commitment to high customer satisfaction.
• Consistently practices excellent verbal and written communication; ability to convey complex or technical information in an understandable and compelling manner.

Work Experience

QUALIFICATIONS REQUIRED:

• Bachelor's degree in healthcare or business related field or minimal 5 years working in healthcare quality improvement and patient safety, required.
• Current clinical license; RN strongly preferred.
• 2+ years working knowledge of CMS and TJC regulatory measures, Chart-Abstracted measures preferred.
• Proficient in Electronic Medical Records, Allscripts/One Content preferred.
• Knowledge of multiple clinical information systems; Midas+ Care Management experience desired.
• Excellent verbal and written communication skills with all levels of associates.
• Desire to continually master new technology, applications, and methodologies.
• Strong interpersonal, communication, organizational skills.
• Ability to maintain positive working relationships with all levels within the organization.
• Analytical abilities required to recognize and resolve problems requiring technical or clinical interventions.
• Ability to work independently with minimal supervision.
• Ability to work flexible hours to meet deadlines or attend early or late meetings.

PHYSICAL DEMANDS:

• Ability to sit for extended periods of time at a computer and perform typing skills using hand dexterity up to two hours at a time, 6 - 8 hours per day.
• Ability to work flexible and/or long hours to see issues through to resolution.
• Ability to effectively communicate in person, via telephone, and using written methods.
• Must be able to bend and reach at all times.

MENTAL DEMANDS:

• Ability to coordinate multiple projects and demands on an ongoing basis.
• Ability to organize and prioritize work for optimal effectiveness.
• Ability to adapt to changing organizational requirements and business applications.
• Ability to maintain professionalism in the face of adversity.
• Ability to maintain confidentiality in all pertinent matters.

Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

Schedule : Full-Time

Shift Times : 8:00am - 4:30pm

Paygrade : PG-38