Pediatric Cardiac ICU\/Transplant Quality Management Specialist -JDCH: JDCH - Quality Improvement
Memorial Healthcare System

Job Info

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The Quality Improvement Specialist will support the Quality Management Leadership and the Organization in the development, implementation, and evaluation of the hospital's overall Quality Improvement (QI), Regulatory and Patient Safety Program in the Cardiac ICU and Transplant programs. Quality improvement specialist work to improve the overall quality of care that a health facility delivers to patients and their families that include proactive maintenance, audits, HAC/HAI rounding, staff coaching, regulatory, risk management and beyond

Summary:
The Quality Improvement Specialist will support the Quality Management Leadership and the Organization in the development, implementation, and evaluation of the hospital's overall Quality Improvement (QI), Regulatory and Patient Safety Program.

Detailed responsibilities:
• Works with the Chief Medical Officer and Medical Staff Department Chairpersons on Peer Review activities and prepares QI reports for Medical Department Meetings. Facilitates Medical Staff Peer Review and all activities related to Departmental and Multidisciplinary Peer Review as assigned.
• Assists in the collection, coordination, formation, implementation, benchmarking and reporting of key performance indicators. Also assists with and any other meetings, registries or databases as necessary and as assigned.
• Performs comprehensive, concurrent, and retrospective clinical reviews and abstractions as assigned.
• Utilizes and interprets information obtained from MHS Quality Improvement Technology Platforms as well as external quality data platforms to obtain quality data for benchmarking as assigned.
• Serves as a resource person to the Medical Staff, Nursing and Ancillary Departments and performs validation audits/rounds and education as needed to assess regulatory/standard compliance as assigned.
• Investigates incident reports, patient complaints, patient care issues; acts as a resource on quality issues and contributes to problem solving of identified quality/risk issues as assigned.
• Effectively hosts and or participates in live or virtual meetings utilizing virtual meeting platforms on-site or from a remote location as needed and as assigned.

Competencies and skills:
Essential:
• STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
• CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
• ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
• RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.
• DATA MINING, ANALYSIS and REPORTING: Collects, compiles and conducts mining and analysis of data for defined purpose.
• ANALYSIS AND DECISION MAKING: Uses decision making processes and tools to analyze situations and make effective decisions.
• EFFECTIVE PRESENTATIONS: Develops and delivers presentations using effective facilitation techniques and audio visual materials.
• HEALTHCARE REGULATORY ENVIRONMENT: Applies knowledge and understanding of legislation and regulatory bodies to healthcare practices.
• CLINICAL POLICIES AND STANDARDS: Applies knowledge of clinical standards, policies, and procedures relevant to function and organization.

Education:
Essential:
• Accredited Program

Education specialization:
Essential:
• Nursing

Credentials:
Essential:
• Registered Nurse License

Education equivalent experience:
Essential:
• Accredited Nursing Program Degree

Other information:
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment with competing priorities. Proficient in Microsoft Office, including Outlook, Word, Power Point, Excel; Statistical Graphs; Remote Video Conferencing. Excellent written, verbal, interpersonal, and public speaking skills through both live and virtual platforms.

Required Work Experience: Minimum three years of hospital nursing experience.

Organizational Profile:

Joe DiMaggio Children's Hospital is a 226 bed free-standing children's hospital in Hollywood, Broward County, Florida located near Fort Lauderdale. The hospital is currently undergoing a 4-story vertical expansion to double the number of floors and to continue to meet its commitment to providing the highest quality and safest care for children in the region.

JDCH is one of 6 hospitals that are part of Memorial Healthcare System, the 3rd largest public health system in the country. Memorial delivers nearly 14,000 babies per year in 3 hospitals and has 132 Neonatal Intensive Care Unit (NICU) - both level 2 and 3 (the state of Florida does not yet have a separate designation for level 4 care). JDCH has robust high-risk and congenital programs including a US News and World Report ranked pediatric Cardiology and Heart Surgery Program, one of only two active programs in the state that does heart transplants. Joe DiMaggio Children's Hospital's Orthopaedic and Sports Medicine program is also ranked by US News and World Report as number one in Florida and is one of the largest programs in the southeastern United States. JDCH also has robust Neurosciences, Hematology/Oncology and other specialized surgical programs (approximately 10,000 surgeries per year). They also have the area's largest pediatric and neonatal transport team, which also does mobile ECMO. JDCH serves over 375,000 children per year from around the state. Approximately 100,000 children are cared for in our 3 emergency rooms across the county per year. JDCH's services continue to grow with the opening of the new specialty center/ambulatory surgery center in Palm Beach County in 2018 and a new ambulatory pavilion in Miramar, near Miami-Dade County which will open in 2021.

Joe DiMaggio Children's Hospital offers resources for academic pursuits, spanning from clinical research to basic science investigation via affiliations with nearby universities and through its Pediatric Institute for Discovery and Innovation (PIDI). Joe DiMaggio Children's Hospital has an established pediatric residency program and deep relationships with other hospital providers and universities.

Joe DiMaggio Children's Hospital combines leading-edge clinical excellence with a child- and family-friendly environment that emphasizes the Power of Play. Joe DiMaggio Children's Hospital offers a comprehensive range of healthcare services - delivered with kindness, dedication and compassion.

Disclaimer:This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

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