Quality Improvement /Quality Advisor II

Rockville, MD
Jan 12, 2019
Jan 21, 2019
IT, QA Engineer
Full Time
Shady Grove Medical Center

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. The Quality Advisor II reports to the Leader of the Quality Department. This position works in conjunction with service line or department leadership to develop and implement effective systems to evaluate and improve patient outcomes and quality care; provides leadership in the areas of quality improvement and supports the mission of Adventist HealthCare.

Actions and attitudes ensure that the critical success factors of the organization are achieved (i.e. Best place to work, most extraordinary experience, superior outcomes, financial success for reinvestment, promotion of a faith-based organization, and a growing organization vital to the community).

Principle Duties and Responsibilities:

•\tIdentify performance improvement opportunities that support National Patient Safety Goals and/or Adventist's Key
Result Areas (KRAs)
•\tFacilitate focused quality and performance improvement efforts in accordance with AHC's documented
Performance Improvement System (DMAIC) for assigned departments, units and committees. Effectively lead
projects and project teams to ensure timely, fiscally sound, quality improvement projects
•\tMonitor and assist in the preparation of status reports for monthly project review (measure monitoring)
•\tShare National, Regional, Local and Internal Best Practices amongst team members and departments
•\tConduct Tracers and mini Tracers to ensure compliance with WAH and AHC policy, TJC standards, and CMS/ DHMH
•\tProvide one-on-one customer service and area-specific coaching to assigned departments regarding Tracer
findings, compliance with regulatory requirements (e.g. TJC, CMS, Maryland Office of Healthcare Quality (OHCQ),
Maryland Healthcare Commission (MHCC)) and education/ awareness of Sentinel Events/ alerts from TJC and CMS
•\tPartner with TJC Consultant to support continuous accreditation readiness (e.g. Mock surveys, Inter-Cycle
Monitoring, Survey, etc.)
•\tConcurrent chart abstraction for assigned Core Measures designated as concurrent and/or chart abstraction/
validation for assigned Core Measures designated as retrospective
•\tAdvise Service lines and units around efforts that will impact house-wide compliance with core measures
•\tCommunication of core measure results to front line staff, and providers and associated Performance Improvement
activities as needed
•\tCoordinate with the Quality Services Department to improve core measure rating improvement
•\tSupport the Quality Council by providing written reports and verbal presentations regarding departmental and
organizational performance
•\tMonitor Maryland Hospital Acquired Conditions (MHAC) and provide applicable education and guidance regarding
avoidance of Potentially Preventable Conditions (PPC)

Required Knowledge, Skills, Abilities, and Other Characteristics:

•\tRN Licensure Preferred (current)
•\tBachelor's degree; Master's degree and/or years of experience preferred
•\tProject management experience in the health care industry
•\tTeamwork experience working cross-functionally throughout multiple disciplines
•\tStrong knowledge of clinical operations
•\tDemonstrated ability to successfully lead others
•\tExcellent organizational skills as demonstrated by prioritization and multitasking
•\tExcellent communication, relationship building and interpersonal skills
•\tExcellent written and presentation skills
•\tProficient in Microsoft Office (e.g., Word, Excel, PowerPoint and Outlook)
•\tStrong analytical capabilities
•\tMeeting management expertise
•\tSix Sigma/ Lean training preferred
•\tCPHQ preferred

Description of Workplace Conditions:
•\tAtmosphere and environment associated with an office setting
•\tFrequent pressure due to deadline requirements
•\tRequires judgement that will impact the image of the organization
•\tLight physical effort (lift/carry up to 10 lbs.)
•\tOccasional periods of sedentary work
•\tOccasional walking, bending, lifting, stooping, kneeling, crouching
•\tFrequently works at PC involving focused concentration
•\tFrequently required to communicate via telephone
Work Schedule:

Monday - Friday 8-4 / 8-5, some evenings

Tobacco Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine use.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine). Those testing positive for cotinine are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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