The Quality Improvement Coordinator is accountable for coordinating and directing the Quality Assessment and Performance Improvement program in the facility, in accordance with organizational directives, protocols, corporate policies and procedures and in accordance with legislative and accrediting agency's guidelines.

Designs, maintains, and coordinates an ongoing quality performance improvement program to continuously measure and assess performance related to patient care for improvement opportunities.

            Coordinates performance improvement efforts amongst other departments and collaborates multidisciplinary activities.

            Coordinates quality/performance improvement team efforts and provides guidance and direction to the teams for consistent and accurate data collection.

            Coordinates the Quality/Performance Improvement Committee and correlates Q.I. team reporting of aggregate data on a timely basis.

            Coordinates medical staff involvement in quality/performance improvement activities to include them in multidisciplinary efforts, as well as assist in peer review efforts.

            Assist in the development of clinical/critical pathways, and in the collection of data to trend and analyze outcomes for improvement opportunities.

            Collects data to prepare quality/performance improvement reports on a periodic basis for the facility as well as the Board of Trustees for the purpose of tracking performance over time, benchmarking best practices, and improving patient care processes.

            Stays abreast of developments in the quality/performance improvement field, and provides ongoing education to the staff within the facility.

            Maintains knowledge of JCAHO Standards and other regulatory agency requirements and works with the Steering Committee and Leaders within the organization to maintain ongoing compliance.

            Perform other related duties as required

Registered Nurse (licensed in state of employment) from an accredited School of Nursing and a minimum of two years nursing experience.

            Other clinicians also acceptable, i.e. Respiratory Therapists; Pharmacists; etc. who are licensed or registered in the state of their employment.

            Demonstrated ability to analyze, synthesize, report and manage patient care data obtained through previous experience in quality/performance improvement activities.  Demonstrated written and verbal communication skills.