Job Information
Trinity Health Clinical Quality Improvement Specialist Regulatory and Policy in Maywood, Illinois
Employment Type:
Full time
Shift:
Day Shift
Description:
Great opportunity for a Clinical Quality Improvement Specialist Regulatory and Policy to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually.
We are seeking a Clinical Quality Improvement Specialist Regulatory and Policywho is dedicated to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting impact.
The Regulatory Specialist designs, directs, and facilitates implementation of effective systems to evaluate compliance and assure continuous accreditation and regulatory compliance throughout Loyola University Health System. Works with the Patient Safety Coordinator to integrate Patient Safety best practice. Reports to Manager, Regulatory and Policy. Scope includes coordination with Hospital and Ambulatory leadership. Coordinates strategies, education, and monitoring to promote a culture of quality and patient safety and to assure ongoing regulatory compliance.
We offer our employees:
Benefits from Day One
Competitive compensation
Career Development
Tuition Reimbursement
On Site Fitness Center
Educational Stipend
Referral rewards
Our Promise to You:
Joining Loyola Medicine is being a part of an organization that treats the human spirit in our patients and in our colleagues. We are a part of a community which believes in giving back to those we serve.
We seek colleagues with:
Education :
REGULATORY COMPLIANCE: Assesses compliance with standards and National Patient Safety Goals as required by the Joint Commission and regulatory agencies (CMS, IDPH). Monitors changes in the standards and is the organization’s expert resource. Coordinates implementation of actions required for ongoing survey readiness. Performs the annual focused standards assessment and monitors ongoing organizational compliance with the standards through the continuous survey readiness program. Plans and coordinates on-site survey processes and the organization’s response to survey findings.
QUALITY & PATIENT SAFETY PROJECT MANAGEMENT: Applies project
management techniques to plan, coordinate, facilitate, implement, monitor, and evaluate clinical quality and patient safety improvement initiatives to achieve the organizational goals established by the Quality and Safety Coordinating Council. Develops strategies to apply current evidence and best practice to standardize care through clinical protocols and order sets. Collaborates with leaders to develop project charters, aim statements, timelines and plans to drive team performance.
QUALITY & PATIENT SAFETY EDUCATION: Plans, coordinates, and delivers education programs regarding project management, quality improvement and patient safety to teams and individuals. Involves and mentors individuals at all levels in performance improvement and patient safety initiatives.
MEASUREMENT & ANALYSIS: Establishes key metrics, measurement processes, and data analysis to monitor progress toward project goals. Regularly communicates outcomes selected for measurement or improvement by teams; coordinates processes to aggregate data for trending, analyzes trends and develops recommendations for future interventions. Conducts Failure Mode Effects Analysis (FMEA) to identify and mitigate potential risk points.
COMMUNICATION: Identifies mechanisms to communicate progress related to clinical quality and patient safety improvement initiatives. Communicates verbally, with power point presentations, and in writing to accurately share results and recommendations internally and externally. Promotes the clinical quality and patient safety agenda through activities such as the Quality & Safety Fair and Patient Safety Week. Develops relationships with Medical Staff leadership and others to facilitate effective discussions and regulatory compliance activities.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran