Position Purpose
The position of Clinical Quality and Performance Improvement Specialist is a combined role that oversees the functions of quality and performance improvement, data, and regulatory at Johnson Memorial Hospital and oversight of regulatory at Mercy Medical Center. This position must maintain a compliant, comprehensive, organization-wide, Safety, Quality and Performance Improvement program and has the responsibility and accountability for working to assess, plan, and organize overall regulatory compliance and readiness (e.g. CMS, DPH/DOH, TJC, MassHealth, etc.) as well as to participate in the improvement of key processes, policies and procedures as they relate to regulatory compliance.
What you will do
Provide key regulatory, safety and quality data, highlighting business and operational issues requiring management attention and resources
Ensure compliance with regulatory standards (TJC, CMS, DPH/DOH, etc.) for quality and safety reporting
Provide coordination of adverse/sentinel event and complaint investigations, root cause analysis, and ensure related improvement plans are met for safety issues recognized by JC, DPH/DOH, and CMS
Manage performance improvement activities surrounding safety events, precursor safety events and near misses, including the PSI-90s
Investigate the underlying causes of performance issues and quality problems to implement effective solutions
Coordinate efforts to investigate, notify and address safety concerns related to Adverse Events
Provide leadership and guidance for initiatives seeking to improve safe care delivery models and processes
Minimum Qualifications
Connecticut RN license required, Master’s Degree in Nursing, Healthcare, or related field preferred
Five (5) years’ hospital experience preferred
Knowledge of regulatory requirements, patient quality of care and safety initiatives, and quality indicators
RCA or Lean Management skills preferred
Proficiency in data collection and data analysis for quality and safety performance improvement
Must be well versed in statistics, data analysis and statistical process control (SPC)
Position Highlights and Benefits
Full time 40hrs M-F days
Excellent benefits - starting day 1!
Ministry/Facility Information
Johnson Memorial Hospital and Home & Community Health Services provide a continuum of health care services to those living and working in north central Connecticut and western Massachusetts. The 92-bed hospital and home health and hospice agency have been anchor institutions in north central Connecticut for more than 100 years.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.