Quality Improvement Analyst

Job description

Awarded Best Quality of Care — Once Again! Behind every award is a story, and ours is written every day by more than 900 dedicated employees and hundreds of compassionate volunteers who walk alongside patients and families when they need us most. At Community Hospice & Palliative Care, we’re honored to be recognized with the Hospice Honors Elite award, a testament not just to our clinical excellence, but to the compassion we bring to every bedside, every home, every conversation. Every day, we serve approximately 1,500 patients living with advanced illness, wherever they call home, be it a private residence, a long-term care or assisted living facility, a hospital, or in one of our nine inpatient care centers. We’re here to improve quality of life, to ease pain and lift burdens, and to be the Compassionate Guide that families need when time matters most. And most importantly, as the only non-profit hospice provider in the region, we never turn anyone away due to an inability to pay. Under the direction of the Director of Quality Improvement and Education, the Quality Improvement Analyst is responsible for assisting in the coordination and implementation of the Comprehensive Quality Management Program (QMP) and while providing analytical support for various Quality Improvement activities. Position Details • Work Location: Community Hospice and Palliative Care main location, 4266 Sunbeam Road Jacksonville, FL. No work from home at this time. • Days/Times: Monday - Friday 8:00am - 5:00pm • Compensation: Commensurate with experience; full benefits package including 23 days annual PTO Essential Functions The Quality Improvement Analyst provides general oversight and maintenance of the organization’s system-wide measurement system, performing data analysis, identifying opportunities for improvement, and implementing projects to drive improvement. • Reviews quality indicators/measurements data for patterns or trends that may indicate a quality concern (including patient occurrences, complaints, and grievances). • Participates in statistical analysis, interpretation, and monitoring of clinical data. • Analyze, interpret, and organize various types of data into meaningful reports, graphs and/or summaries for various uses including decision making and trending. • Initiates investigations and analysis of patient occurrences as indicated and coordinates appropriate follow up activities for potential quality issues. • Oversees the design and implementation of organizational wide performance improvement activities as indicated from data analysis. • Works with the Project Management Office and Business Intelligence on organizational strategic initiatives and projects. • Promotes a culture of continuous quality improvement throughout the organization by attending staff/manager meetings to train/coach quality improvement strategies and assist in managing change with new/revised processes. • Identifies concerns for review to improve processes and works with the process “owner” to establish timelines and carry out the performance improvement project (PIP). • Assists the process owner as a clinical and administrative resource in the development, and implementation of organizational PIPs, including but not limited to: Process Mapping, Root Cause Analysis, developing an Action Plan to achieve desired outcomes, and monitoring for improvement. • Maintains knowledge and complies with State and Federal regulations and/or accreditation standards, (as applicable). • Maintains reports and related documents regarding PIP activities. • Designs and develops regular status update reports of the PIP activities. • Prepares summary reports for presentation to various Compliance and Quality Committees and assists with Board Reports and other required reporting. • Serves as facilitator to review pertinent policies as they relate to identified quality issues. • Facilitates the development, review, and revision of organizational processes and policies related to the performance improvement activity being conducted. • Collaborates with the Professional Development Department staff in employee orientation activities, in-service education opportunities, and on-the-job training for field staff to ensure that staff understands basic Quality Improvement concepts and the use of process improvement tools. • Performs other duties as assigned or required. Knowledge and Critical Skills • Interpreting and implementing regulatory requirements and accreditation standards: CMS, State and Federal regulations. • Experience with clinical indicators and outcome measures. • Skilled at maintaining and utilizing large sets of data. • Exceptional analytical skills and ability to translate findings using multiple formats: text, graphs, tables, etc. • Excellent communication, including writing and composition. • Proficient in Microsoft Word, PowerPoint, Visio, and Excel. • Excellent presentation skills. • Strong performance improvement skills with ability to manage multiple Process Improvement Projects. • Knowledgeable in Continuous Quality Improvement (CQI) Principles. • Developing and executing staff training curriculums. • Developing and implementing policies and procedures. • Excellent interpersonal relationship skills and teamwork. Required Experience and Education Any combination of education and experience that would provide required skills and knowledge for successful performance would qualify. • Bachelor’s degree in Nursing, Informatics, or Healthcare related field preferred, Associates Degree minimum required • RN license helpful and preferred, although not required • Three (3) or more years of experience in Quality Management, preferred • Lean and/or Six Sigma, preferred. Community Hospice & Palliative Care, including all of its subsidiaries and affiliated companies, is committed to complying with all applicable provisions of the Americans with Disabilities Act (ADA), as amended. We provide reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and the ability to perform the essential functions of a position. If you require an accommodation to complete the application process, interview, or perform the essential functions of a role, please contact Human Resources at . We participate in E-Verify to confirm the employment eligibility of all newly hired employees. Where applicable, and as required by law, employment with Community Hospice & Palliative Care may be contingent upon successful completion of a background screening initiated by the organization through the Florida Agency for Health Care Administration (AHCA) Background Screening Clearinghouse. More information about the Clearinghouse, including positions that require screening, can be found here: . Equal Opportunity Employer