MC: Performance Improvement - Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, integrity, excellence, teamwork and wholeness.The Clinical Data Specialist is responsible for the development, evaluation, and implementation of evidence-based medicine to improve the safety and quality of care and services facility-wide. Leads activities to assess compliance with and variance evaluation of the facility-wide measurement systems. Facilitates organization-wide process improvement. Responsible for provision of data to the quality and safety committees, task forces or other activities. Provides data collection expertise for all mandatory national hospital quality measures project. Functions as QI consultant, providing education to medical staff, nursing, and ancillary services for new and current quality reporting requirements. Participates in and guides performance improvement activities including review of policies and procedures, guidelines, standing orders, clinical pathways, and other documents that are needed for regulatory mandates and clinical procedure. Provides support for regulatory visits. Facilitates the policies and procedure process for Loma Linda University Medical Center (LLUMC) and assists with development of department policies and other policies as requested. Manages timely review, revision, and distribution of LLUMC policies. Performs other duties as needed.
Bachelor's Degree in Nursing or Health-related field required. Master's Degree preferred. Minimum three years of experience in an acute care hospital required.Knowledge of legal aspects of quality assessment in terms of standards of care. Knowledge of clinical practice and standards of care. Basic knowledge of quality improvement processes in a healthcare setting. Must have knowledge of hospital acute care clinical practices, standards of care and regulatory and accreditation requirements necessary. Experience with healthcare regulatory requirements; thorough understanding of Joint Commission quality improvement process, understanding of medical staff committee structure and peer review process; understanding of evidence-based medicine concepts; experience in process implementation skills; knowledge of statistical principles; Able to read; write and speak with professional quality; use computer and software programs necessary to the position, e.g., Microsoft Suite; operate/troubleshoot basic office equipment. Able to relate and communicate positively, effectively, and professionally with others; provide leadership; be assertive and consistent in following or enforcing policies; works well under pressure; thinks critically; problem solve; manage multiple assignments and effectively organize and prioritize workload; work independently with minimal supervision. Must be able to interact with all members of the healthcare team. Able to work as a team player to achieve LLUMC and departmental goals; Able to communicate effectively in English in person, in writing, and on the telephone; work independently; perform basic math and statistical functions; compose written material; recall information with accuracy; pay close attention to detail. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Clinical License required (e.g. Registered Nurse, Respiratory Care). Certified Professional in Healthcare Quality (CPHQ) preferred.
- Organization: Loma Linda Univ Medical Center
- Benefits Eligible : Yes
- Employee Status: Regular
- Schedule: Full-time
- Shift: Day Job
- Days of Week: Monday, Tuesday, Wednesday, Thursday, Friday
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