Quality Improvement Coordinator

Reports To:  Director of Quality

Employee Type:              EXEMPT              X    NON-EXEMPT

POSITION SUMMARY:

Under the direction of the Director of Quality, the Quality improvement coordinator position is responsible for coordinating quality management efforts including development, implementation, education, data collection, and analysis.
 
This job description is intended to identify some of the primary duties and responsibilities.  Mayers Memorial Hospital District reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at MAYERS MEMORIAL HOSPITAL DISTRICT’S sole and absolute discretion.

POSITION QUALIFICATIONS:

1. High School graduate or equivalent
2. Associates and/or bachelor’s degree in applicable field preferred
3. Working knowledge of Microsoft Office products (word, excel, power point)
4. Strong clinical background and knowledge base required.
5. Knowledge of continuous quality improvement principles, practices, methods, and tools.
6. Knowledge of computer applications related to QI, including spreadsheets.
7. Knowledge of medical records and clinical care processes.

POSITION RESPONSIBILITIES:

General Competencies:

1. Professional behavior is demonstrated, both when on duty and as a representative of MMHD outside of normal work hours.
2. Ability to work with others, at all levels within the organization, and collaborate effectively.
3. Above-average interpersonal, problem-solving, and written and oral communication skills.
4. A positive working relationship with patients, visitors, and facility staff is demonstrated.
5. Organizational ability and time management is demonstrated.
6. Produces deliverable products on time, within budget with minimal direction.
7. Demonstrates the ability to compile and organize data using Microsoft Office Applications.  Ability to make appropriate recommendations or conclusions, given the data obtained.
8. Maintains an organized set of records, upon request, for the functions that are performed within the scope of this job.
9. Communicates appropriately and clearly to directors, managers, and coworkers.
10. Performs all assigned tasks accurately, to include proper spelling and grammar, reference materials, and minimal mathematical calculation.
11. Takes direction from others to include those employees of other departments with which he/she works on a temporary basis in accordance with the chain of command.
12. Maintains all information as confidential as appropriate, to include payroll, personnel information, and other information obtained during the course of performing job duties that is confidential.
13. Demonstrates ability to effectively use office machines in the performance of job functions.
14. Answers phone calls, assists public, and forwards appropriately if necessary and in a professional and friendly manner.
15. Other duties as assigned.

Specific Competencies:

1. Helps Director of Quality (DOQ) to plan, design, implement, and maintain a comprehensive district wide continuous quality improvement (CQI) program including State and managed care QIP and ACHC accreditation. Assists in educating new staff, about QI systems and requirements.
2. Meets with internal stakeholders to identify and problem solve QI issues.
3. Monitors district efforts to ensure compliance with internal and external QI standards.
4. Reviews medical records and other documentation to ensure quality care
5. Helps to prepare annual QI report.
6. Assists in coordinating the effort to gather data and prepare reports to meet the requirements of ACHC and other regulatory/accrediting agencies, including patient satisfaction data.
7. Assists in evaluating variance and other data to identify QI opportunities and risk management issues.
8. Assists in monitoring service quality through, HEDIS quality measures, payer/provider/patient satisfaction surveys, and complaints.
9. Collaborates on results with DOQ for CQI efforts.
10. Attend Quality and QIP meetings, and conferences (virtually and in Person).
11. Ability to educate staff in both verbal and written form about QI in formal and informal settings.
12. Ability to interact effectively with health care team members.
13. Ability to analyze QI data and identify trends and corrective actions.
14. Other Duties as Assigned

Professional Requirements:

1. Adheres to dress code; appearance is neat and professional.
2. Completes annual education requirements if applicable.
3. Maintains regulatory requirements.
4. Wears identification while on duty.
5. Attends annual evaluation and participates actively in this process.
6. Reports to work on time and as scheduled; completes work in designated time.
7. Attends all meetings as appropriate.
8. Exhibits the mission, ethics, and goals of Mayers Memorial Hospital District in the performance of job duties.

WORKING CONDITIONS:

1. Willingness to work beyond normal working hours and in other positions temporarily when necessary.
2. Is involved with personnel, visitors, and government agencies, etc., when necessary.
3. Must function independently, have personal integrity, have flexibility and the ability to work effectively with other personnel, clients, and support agencies.

PHYSICAL REQUIREMENTS:

1. Sits, stands, bends, lifts, walks, and moves intermittently during working hours.
2. Able to lift 20 lbs.