Quality & Outcomes Coordinator at AdventHealth

Date Posted: 9/6/2019

Job Snapshot

  • Job Schedule
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Family
    Quality/Clinical Effectiveness
  • Travel
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Shawnee Mission

Job Description


Quality & Outcomes Coordinator AdventHealth Shawnee Mission

Location Address: 9100 W. 74th Street, Shawnee Mission, KS 66204

Top Reasons To Work At AdventHealth Shawnee Mission

  • Received Magnet® recognition from the American Nurses Credentialing Center in January 2019
  • Providing faith-based, whole person care to Kansas City since 1962
  • Excellent health benefits, an onsite child care center and fitness facility  
  • Tuition reimbursement to support continuing education
  • Employee Referral Program
  • Largest health care provider in Johnson County with three campuses
Work Hours/Shift:
Full Time, Days
You Will Be Responsible For:

Department Core Competencies.

  • Utilizes the Performance Improvement Model
  • Utilizes excellent interpersonal skills to deal with challenging situations while maintaining strong supportive relationships.  Readily available for questions; handles requests in a courteous and respectful manner.
  • Communicates effectively, both written and verbally.
  • Demonstrates a proactive attitude and seeks to remedy situations before mistakes are made or corrects errors when found; takes responsibility for the overall “quality image” of the department.
  • Ensures accuracy of data collection and submission; validates integrity of data collected.
  • Develops data reports for projects, committees, hospital departments, medical staff departments, as designated.
  • Knowledge of and utilizes statistical approaches, measurement techniques, including benchmark and comparative data to develop quality reports.
  • Collects, aggregates, analyzes, summarizes and reports quality data for hospital organizational performance and physician performance data as indicates. 
  • Participates in hospital-wide outcomes and quality improvement initiatives/ performance improvement teams.
  • Assists in efforts to improve and streamline the process and workflow of the department.
  • Demonstrates the ability to set appropriate priorities.
  • Recognizes how absence impacts the functioning of the healthcare team and strives to minimize this effect.
  • When requested, is willing to adjust personal schedule in order to complete workload when necessary
  • Attends educational offerings as needed to promote continuous learning and support to department

Position Core Competencies

  • Implements the objectives of Risk Management and Patient Safety Plans
  • Working knowledge of the PSO (Patient Safety Organization)
  • Reports potential risk management concerns to the risk manager
  • Collaborates with leaders, staff, and physicians to improve quality, patient safety, and organizational performance.
  • Assists medical staff with the development of medical staff clinical indicators. 
  • Collects, abstracts, compiles, analyzes, and communicates medical staff data for the appropriate committees. (scorecards)
  • Completes event report reviews and investigations in preparation for medical staff review and standard of care assignments.
  • Works with assigned Medical staff department chairs and vice chairs to coordinate QI / peer review meetings.
  • Prepares and maintains documentation and correspondence related to the medical staff quality and peer review process.  
  • Coordinates assigned meetings to include review of agendas, notices, notebooks and minutes. Perform necessary follow-up based upon actions taken by the committee.
  • Continues to develop and utilize comprehensive databases of clinical information to enable physicians, hospital leaders and departments analyze practice patterns and make improvements. E.g. MIDAS, excel worksheets, access databases, etc.
  • Provides education formal and informal related to assigned areas.
  • Monitors release of medical staff/physician data to outside organizations.
  • Supervise the collection, trending, and reporting of physician specific QI data for assessing competency. Monitors ongoing implementation of FPPE/OPPE/ reappointment profiles for timeliness, accuracy, and effectiveness.
  • Demonstrates excellent management, communication, organization, interpersonal, problem-solving, critical thinking, systems thinking, consulting, and team building skills.
  • Ability to prioritize, plan and execute while pursuing various projects simultaneously.
  • Cross trains to others’ assignments within the department to gain depth in duties and allow cross coverage.
  • Assists with regulatory accreditations and certifications as assigned.
  • Working knowledge of The Joint Commission, CMS CoP’s, Kansas Risk Management statutes, and Patient Safety Organization (PSO) requirements, as it pertains to performance improvement, patient safety, and quality.

What You Will Need:
  • Bachelors Degree in Nursing

  • 1-2 Years of Nursing Experience
  • RN Clinical Experience
  • Kansas Registered Nurse License

  • CPHQ (Certified Professional in Healthcare Quality) preferred

The Quality & Outcomes Coordinator (QOC) is part of the Quality Management department.  The QOC is responsible to collect, aggregate, analyze, and summarize quality data for hospital organizational performance and physician performance data.  The position participates in hospital-wide outcome and performance improvement activities and provides direction to service lines and clinical departments as it relates to data collection as assigned. In addition, the QOC works closely with leaders, to ensure compliance with regulatory and accreditation requirements such as The Joint Commission, Kansas Department of Health and Environment, Centers for Medicare and Medicaid (CMS) and Food and Drug Administration (FDA).

The QOC is also responsible for coordinating Medical Staff initiatives related to Medical Staff quality improvement, peer review, and data management, supporting the Medical Staff leadership in fulfilling the requirements and consistent application of the Medical Staff Peer Review policy. 

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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