Facility: The University of Kansas Hospital - Main Campus
Department: ORGANIZATIONAL IMPROVEMENT
Schedule: Full Time
Work among the best. We are a top 25 employer in the metro area offering a wide array of career opportunities within our organization. We have a leading reputation for patient care, medical education, research, and community service. We value and respect the talented, committed, and diverse people who make up our hospital; they are our most important strength. The hospital offers very competitive wages and an outstanding benefit package.
We currently have an opening for Ongoing Professional Practice Evaluation (OPPE) Coordinator
Assists with the coordination of key quality and safety indicators for the medical staff. The quality and safety measures can include, but are not limited to, the core measures created by CMS and The Joint Commission, measures to support the IPPS and OPPE programs, AHRQ safety and quality measures, Hospital Engagement/Hospital Improvement.
Utilizing organizational and industry standard tools, will report on required key data elements necessary for coordination of provider review and the collection of national quality indicators data. Maintains knowledge of Evidence-based, CMS and TJC clinical metrics (i.e. Core Measures, AHRQ Quality and Safety Indicators, Hospital Acquired Conditions).
Is familiar and able to query multiple databases for clinical, administrative, and peer review data. Works collaboratively with the Chief Medical Officer, Medical Staff Medical Director, and Chair of Peer Review as needed to screen and approve cases for reciprocal or external review. Initiates sending of and receiving of all reviews and alerts providers of reports when received. Communicates committee dispositions to providers in a timely manner and according to policy. Works collaboratively with the Quality and Patient Safety Teams, appropriate clinical departments and teams to develop and implement plans for improvement as needed.
Provides reports on Quality and provider review for administration and clinical leadership as needed. Identifies and incorporates comparative benchmark practices into reporting. Assist with interpretation of data and presents that information routinely at appropriate meetings and committees as appropriate.
Utilizes professional critical thinking skills and knowledge of clinical care guidelines and national priorities for care review. Accurately and completely documents and reports results of case review (clinical care as well as system or process issues) in a timely manner, compiles case summary, and refers to appropriate parties for follow up. Tracks cases to ensure timely resolution and follow up as appropriate.
Assists the Chief Medical Officer, Chief of Staff, Department Chairs, and appropriate committees to identify process deficit trends and/or practice patterns.
Participates in case discussions as appropriate for cases presented for committee review. Ensures appropriate communication and resolution of issues with all parties involved based on committee recommendation/ action. Ensures all appropriate documentation is copied to the corresponding quality file within Medical Staff Services.
Actively participates in departmental performance improvement and survey readiness activities.
Ability to maintain data integrity.
Performs other duties as assigned.
High School Diploma or equivalent required
Required Bachelor of Science in Nursing
5 years of previous experience in acute care clinical setting required
Masters in Nursing or other Health Care field preferred
Proficiency with electronic medical record systems required. Solution-driven individual with the ability to address difficult situations with tact and diplomacy. Experience in project development, project management and strong analytical skills preferred. Knowledge of performance improvement, quality and safety measures preferred.
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