Providence Health & Services Quality Specialist in Torrance, California
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Providence is calling a Quality Specialist (Full time/Day shift) to Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA.
Please upload a current resume reflecting all relevant experience
We are seeking a Quality Specialis t who will function as a facilitator to the organization-at-large and to the Medical Staff in their commitment to improving the quality of patient care and organizational performance through the Performance Improvement Program. This individual abstracts and manages appropriate data for a variety of purposes including indicator reporting projects, information management and decision making, and tracking and trending data for identification of variations in the delivery of patient care. Works with the physicians and hospital personnel to develop projects for review and analysis of aggregated data. Assists the Director, Performance Improvement in the planning, development, implementation and management of the hospital-wide quality improvement program which is in compliance with JCAHO and other regulatory requirements. In conjunction with the department managers, medical staff and the Care Council, monitors the program's effectiveness in improving the quality of patient care and services rendered.
In this position you will:
Review / update indicators and criteria to reflect changes in standards of practice, benchmarking goals, etc.
Coordinate department review of medical staff cases to the various medical staff departments
Trend all Medical Staff activities as defined by the peer review process and PI activities
Notif responsible physician of department cases in format of request to attend / present cases as soon as case is targeted for department review
Scree cases and reviews based on established indicators
Facilitate presentation of cases in department meetings by arranging for the medical chart to be available for review by the responsible physician prior to the meeting and at the meeting, records physician comments and then places same in case review syste
Attend Medical Staff and Hospital meetings as necessary and presents data and/or information related to PI activities
Assures periodic review of PI plans for the medical staff and annually evaluates the effectiveness of the Medical Staff’s PI plan.
Provide timely reports to the Medical Staff departments in accordance with their specific PI plans
Coordinate the information and department activities and sends package to the Director to include in PI agenda at Leadership Council (LCMH-Torrance / LCM-SPH MEC)
Review inpatient mortality cases as appropriate
Review all blood usage cases referred from the blood bank
Review all cases referred to QM including cases referred from HIS
Assist in the credentialing process for the Medical Staff through accurate and timely reporting of all reviews done for the specific physician
Chair the Care Council as requested
Assure standardization and consistency of reporting of PI activities
Assist the department managers in the establishment of priorities for evaluation
Work with department managers and PI groups through orientation, on-going education and participation in PI groups and committees
Develop, report and present data in a detailed fashion to various medical staff committees, management, and employee groups related to areas of expertise
Initiate and facilitate PI activities for all hospital and medical staff departments
Develop and support effective communication and coordination between PI department and Medical Staff Office, as related to PI activities
Serve as the consultant for the PI functions and peer review / case review functions throughout assigned continuum
Documentation / Information management:
Knowledgeable in JCAHO standards for Performance Improvement and Leadership and Medical Staff leadership and keeps current with revisions. Maintain the confidentiality of all patient documents / database information
Knowledge of databases in use in the PI function
Utilize hospital information systems whenever possible to retrieve data and/or assist in the trending of required information
Provide reports to the Care Council and Leadership Council (Torrance) related to PI activities and data being trended and/or required for review. Enter data / information into the Case Review system
Work in conjunction with Medical Staff Office to prepare reports for PI related activities
Utilize Microsoft Word, Excel and Access in a proficient manner
Leadership / Supervision:
Maintain current job description and provides a summary of accomplishments annually
Lead the performance improvement and quality functions
Work closely with PI staff to ensure smooth operations of the PI functions
Required qualifications for this position include:
Working knowledge of JCAHO standards and/or regulatory agency requirements regarding PI/Qualit
Must be organized, detail oriented and like to work with statistics and evaluation of methodologies
Ability to deal effectively with all levels of hospital personnel, the public and physicians
Must possess excellent verbal and written communication skills
Computer literacy required
Preferred qualifications for this position include:
Associate's degree in a health-related field
Current California State Registered Nurse License
Computer knowledge in Microsoft Word, Excel and Access programs
About the hospital you will serve:
Providence Little Company of Mary Medical Center San Pedro is a 356-bed nonprofit hospital serving the Harbor and greater South Bay communities since 1925. We are proud of providing the South Bay with high-quality medical care and compassionate service by offering a comprehensive array of medical services distinguished by innovation, quality, and excellence.
Our accomplishments include the California Hospital Assessment and Reporting Taskforce (CHART) “Certificate of Excellence” for receiving superior or above average results across the majority of outcomes and process measures publicly reported by CHART, as well as, ranking in the top 10% of over 240 hospitals compared by California Healthcare Foundation. In addition, we were the first location in the South Bay to carry the Gold Seal of Approval® from The Joint
Commission for Primary Stroke Centers.
As a member of Providence Health & Services, we are continually driven by the caring tradition of our heritage – the foundation of our Mission and core values – to embrace respect, compassion, justice, excellence, and stewardship. Today, Providence Health & Services celebrates unprecedented growth, recognition for top quality health care, a vibrant employee culture where new ideas are encouraged, and a drive to help the underprivileged - all with an eye toward the future.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Quality/Risk/Safety (Non-Clinical)
Req ID: 286850