Quality Coordinator

Silver Cross Hospital is an extraordinary place to work. We’re known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It’s the way  you  want to be treated. Position Summary: Supports the organization’s quality, regulatory, and performance improvement activities.  This position is responsible for coordinating quality and regulatory data collection, validation, reporting, and follow-up; supporting compliance with CMS, Joint Commission, and other regulatory requirements; and collaborating with clinical and operational leaders to identify opportunities for improvement and sustain compliance.    Essential Duties and Responsibilities: Quality Improvement Collaborates in the development, implementation, and evaluation of clinical services and quality initiatives. Supports key strategies to drive quality improvement to meet strategic and clinical excellence objectives Gathers, analyzes and reports data related to performance and achievement of project objectives and timelines. Tracks issues and works to improve processes, efficiency and compliance of best practice standards including electronic documentation standards. Supports organization-wide quality improvement initiatives, including data collection, measurement, monitoring, and reporting.  Assists departments and leaders with identifying performance gaps and developing improvement strategies to facilitate the standardization of best practices that promote high reliability Monitors quality metrics and trends and escalates significant variances or areas of concern to appropriate leadership Data collection: Responsible for accurate and timely quality data abstraction and validation through detailed chart reviews required for submission for regulatory, accreditation, CMS and benchmarking reporting Collects, analyzes and validates quality and performance improvement data. Monitors quality metrics and trends and escalates significant variances or areas of concern to appropriate leadership Generate performance improvement reports from quality databases, including monthly reports for distribution/analysis of findings as well as ad hoc reports Summarize, analyze, and present key data findings to organizational leaders and key stake holders to drive improvement in quality priorities. Supports preparation of quality reports, dashboards, scorecards, and presentation for leadership and committees .  Other Serves on specialty and/or unit committees, councils, and teams, as well as professional organizations. Maintain current knowledge of industry standards by proactively assessing changes in healthcare regulation, accreditation standards and operational best practices through available resources and professional development opportunities to serve as educational resource to the organization Monitors workflow to ensure strict deadlines for submission are met Handles…