Performance Improvement Coordinator
Full Time
Honolulu, HI 96817
Posted
Job description
Position Title: Performance Improvement Coordinator
FLSA Status: Exempt
Reports To: Director of Quality
POSITION SUMMARY:
The Performance Improvement Coordinator plans, coordinates, implements and evaluates performance improvement activities for the organization’s quality, inpatient and outpatient experience, patient safety and continuous improvement programs in accordance with the Quality department's goals, objectives and mission of The Rehabilitation Hospital of the Pacific.
ESSENTIAL FUNCTIONS:
CORE VALUES
Models REHAB’s core values, HEART, in daily actions. Honesty – Speak and act with truth and respect. Engagement – Embrace and commit to our mission, vision and values. Aloha – Serve others with a spirit of kindness and compassion. Resilience – Rebound and recover with a sense of urgency. Teamwork – Work together for success.
PERFORMANCE IMPROVEMENT
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Coordinates, implements and facilitates key clinical performance improvement efforts including, but not limited to: disease management, quality and focus studies outcomes projects and research.
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Reviews data analysis on quality measures reports on a timely basis.
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Presents quality data outcome measures at Quality Review Council meetings.
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Conducts risk assessments in collaboration with Risk and Compliance Program Manager and/or other departments as directed.
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Assists the organization with leading proactive risk assessments (Failure Mode Effects Analysis)
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Provides education on Performance Improvement and The Plan, Do, Check, Act Cycle methodology; regulatory support, and compliance to the organization to adhere to regulatory guidelines.
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Alerts Director of Quality and Executive Leadership on potential quality concerns from but not limited to external reviewers, data collection analysis and chart reviews.
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Assists in addressing quality concerns identified to improve patient safety and performance improvement; implementing, monitoring and leading the Patient Experiences Program to ensure organizational goals are met; in the accreditation surveys preparation and coordination to ensure regulatory compliance.
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Constant TJC survey readiness: Conduct TJC tracers, TJC mock surveys, assist with corrective action plans.
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Facilitates Root Cause Analysis and Actual Cause Analysis in collaboration with Risk Management.
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Responds to and is a resource for safety messages and patient safety core concepts.
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Provides Performance Improvement organizational goal setting and action planning.
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Facilitates patient safety groups within the organization.
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Assists with overseeing inpatient rehabilitation facility quality measure reporting compliance; with conducting safety and quality rounding and audits; with Quality/Regulatory training workshops; with developing and revising organizational policies and procedures, and SOPs as appropriate.
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Attends organizational meetings and committees as assigned.
ADMINISTRATIVE SUPPORT
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Assists with department administrative tasks, including but not limited to answering phone calls, relaying messages, distributing and sorting mail, processing invoices and check payments, filing documents, etc.
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Orders and maintains supplies and inventories and other administrative and clerical duties to support the department.
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Understands the diversity of customer needs, and demonstrates the knowledge and skills necessary to provide services to the customer (i.e. stands in front of a geriatric individual and speaks slowly and distinctly, allows individual with a disability enough time to complete tasks, etc.).
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Provides other administrative support as needed.
PROFESSIONALISM
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Incorporates professionalism and demonstrates customer service through positive communication and positive interpersonal relationship with internal and external customers.
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Maintains confidentiality of information during and related to the course of work and performance of duties.
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Demonstrates commitment to quality services.
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Completes assignments timely and within scheduled work hours, while maintaining productivity.
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Accountable to start and end work based on designated work shift. Demonstrates flexibility with work schedule as needed. When appropriate, obtains approval from the supervisor for changes and/or variances.
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Observes and follows house rules and dress code.
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Attends and participates in inservices, conferences and educational programs to assure continued professional growth and maintains unit education record.
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Complies with and updates yearly skills review per policy and timely completes requirements needed to maintain position and/or employment at REHAB.
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Keeps self updated on hospital and department announcements, including updated policies and procedures.
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Offers recommendations to improve processes and/or operations of the department.
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Participates in performance improvement projects.
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Interacts openly and professionally while supporting management directives and strategic objectives.
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Supports and promotes REHAB’s mission, as a positive role model, demonstrating a proactive approach to situations, and practicing REHAB values.
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Positively impacts the team by identifying solutions to challenges.
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Acts as a role model in the department and throughout the hospital, demonstrates approachability and willingness to tackle challenges.
COMPLIANCE
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Assures that all department and hospital policies are followed.
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Promotes and adheres to REHAB’s Compliance Program.
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Identifies, recommends and implements solutions to issues.
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Participates in REHAB initiatives to improve processes and communication
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Establishes and keeps current department policies and procedures.
OTHER FUNCTIONS:
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Performs other duties as assigned.
JOB SPECIFICATIONS:
REQUIRED QUALIFICATIONS
Certification/Licensure:
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Valid State of Hawaii driver’s license.
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Current State of Hawaii licensure. RN, PT, OT, or SP licensure
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Current BLS certification.
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Completion of competencies and other job-related and REHAB requirements.
Education:
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Graduate from a school of nursing or therapy, with a bachelor’s degree .
Skills/Experience:
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Two (2) years clinical specialty experience as nurse or therapist in acute care, physical rehabilitation or related setting.
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Understanding of clinical hospital department functions.
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Effective written and verbal communication skills, ability to clearly communicate with a diverse population.
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Familiar with performance improvement, databases/information systems.
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Experience in performance improvement.
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Computer skills, understanding of data analysis, working knowledge of medical information systems.
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Ability to analyze data and make recommendations for improvement.
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Work independently, be self-directed and contribute as a member of a team.
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Develops and implements strategies in anticipation of safety concerns.
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Demonstrate initiative with ability to prioritize work and adapt to changing situations.
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Attention to detail.Knowledge of Google’’s G Suite, Microsoft Office and databases.
PREFERRED QUALIFICATIONS
Education:
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Master’s degree in Nursing, Public Health or related field.
Skills/Experience:
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Certification in National Association of Healthcare Quality (NAHQ).
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Certificated Professional in Healthcare Quality.
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Certified Professional in Healthcare Risk Management.
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Proficient in performance improvement databases/information systems.
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Five (5) years related experience in a hospital or long term care setting.
EQUIPMENT, TOOLS, WORK AIDS USED
Office supplies and equipment, including telephone, computer, and multifunction devices (MFDs). Google’s G Suite, report writer and database software.
Office supplies and equipment, including telephone, computer, and multifunction devices (MFDs). Google’s G Suite, report writer and database software.
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