UnityPoint-St Luke's Hospital

Full-Time

80 hours/pay period

Responsible for serving as an Advisor in Improvement Theory and Methods. Provides quality improvement expertise for key improvement efforts; working with medical, clinical and support staff demonstrating proactive problem solving and effective communication. Utilizes data driven tools to show and define improvement by collecting, analyzing and interpreting clinical information. Identifying pertinent trends, variances, and special occurrences that impact quality care. Facilitates/leads Quality teams and provides a profound understanding of maintenance of ongoing readiness for Regulatory and Accreditation Surveys by providing expertise and guidance in the Agency's efforts towards compliance with regulations and accreditation.

Why UnityPoint Health?

• Culture - At UnityPoint Health, you matter. Come for a fulfilling career and experience guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits - Our competitive program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you're in.
• Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development - We believe equipping you with support and is an essential part of delivering a remarkable employment experience.
• Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.

Hear more from our team members about why UnityPoint Health is a great place to work at .

Data abstraction

• Collect, analyze and present data for administrative, clinical decision making, regulatory requirements and Medical Staff credentialing/profiling. Prepare and present reports for appropriate facility, system and other external agencies. Provide oversight to projects including data abstracting and entry as appropriate.
• Develop and/or utilize databases and software as required for collection, tracking and analysis of data.
• Collects, organizes and sends data in an accurate and timely manner to external agencies for external comparative databases.
• Ensures assignments are completed according to time frames and quality expectations

Clinical Practical Knowledge

• Supports implementation of hospital quality and safety goals, policies, procedures and activities designed to meet the requirements of regulatory and statutory requirements for quality improvement.
• Responsible for Medical Staff and Hospital Committees as assigned; assisting in coordinating Peer Review activities for the Medical Staff and providing information for departmental improvement activities.
• Maintains ongoing knowledge of CPI concepts, DNV and regulatory body requirements and assists with the revision of pertinent documents as necessary to maintain the performance improvement program to meet the hospital and system goals and regulatory requirements.
• Provides performance improvement updates as necessary to keep Medical Staff and our employees engaged in ongoing improvement processes and efforts.
• Provides assistance to Medical Staff and employees in recognition of performance improvement issues and the implementation of improvement efforts for resolution of issues

Professionalism

• Promotes effective working relations and works effectively as part of inter- and intra-departmentally teams to facilitate the department's ability to meet its goals and objectives.
• Assumes responsibility for personal and professional growth and development.
• Promotes, encourages and demonstrates innovative thinking and positive response to change.
• Maintains appropriate records.
• All other duties as assigned

Basic UPH Performance Criteria

• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
• Demonstrates ability to meet business needs of department with regular, reliable attendance.
• Employee maintains current licenses and/or certifications required for the position.
• Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
• Completes all annual education and competency requirements within the calendar year.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance