Performance Improvement Coordinator - Full Time

POSITION SUMMARY

 

The Performance Improvement Coordinator reports to the Assistant Vice President of Quality and Patient Safety. In this role, the Coordinator is responsible for supporting their designated service lines in quality and performance improvement initiatives. This role leads and facilitates performance improvement efforts with a strong emphasis on process redesign, data measurement, and improved outcomes. The Coordinator partners with service line leadership to plan and implement a systematic approach to continuous quality improvement.

The impact and contributions of this role will support the advancement of service line goals, which in turn drive progress toward the overall organizational strategic goals.

 

Key Responsibilities

• Collaborate with quality and service line leaders to develop service line scorecards aligned with organizational strategic goals, with support from the Business Intelligence Department to automate data extraction from relevant repositories.

• Analyze performance metric trends and service line scorecards; review chart abstractions; identify opportunities for improvement; collaborate with service lines to develop, implement, and maintain action plans; and evaluate the effectiveness of these initiatives to ensure sustained improvement. When action plans require additional operational support, the coordinator partners with service line business leaders to advance service line goals.

• Collaborate with the Medical Staff Office (MSO) to ensure the initial FPPE, for cause FPPE (when completed), and OPPE are added to the provider profile for MSO coordination with Chairs on reappointment recommendations. MSO owns the credentialling and reappointment process.

• Assist service lines with peer review activities, including for-cause FPPE. This includes assisting with the coordination of Peer Review meetings, preparing agendas, and maintaining meeting minutes in Collaboration with the Quality Medical Staff Program Coordinator.

• Support the Quality Department in regulatory and accreditation preparation activities to develop familiarity with assigned roles and responsibilities during regulatory visits, including assisting with medical chart navigation and accompanying inspectors or surveyors as needed.

 

QUALIFICATIONS

 

EDUCATION: 

• Bachelor of Arts or Science in healthcare related field and 5+ years in a healthcare-related role. (Required)
• Master of Arts or Science (Preferred) in healthcare, business, or health policy-related field Equivalent Experience, Or 2+ years in a healthcare-related leadership role.

 

LICENSE/CERTIFICATION: 

• Current healthcare professional licensure required, such as New Jersey Registered Nurse, Required)
• Certified Professional in Healthcare Quality (Preferred)
• Six Sigma Green Belt / Lean Certification (Preferred)

 

EXPERIENCE:

• Minimum of 2 years of direct patient care, or equivalent experience with strong technical knowledge of administrative, operational, and/or clinical healthcare functions (Required)
• Experience with healthcare quality data analysis (Preferred).
• Proficiency in clinical applications is preferred at the time of hire (e.g., Microsoft, Vizient, and as designated by Quality Leadership).
• For new hires without proficiency, training will be provided, and competency is expected within 90 days of hire.

 

PERFORMANCE EXPECTATIONS

 

• Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

WORK ENVIRONMENT

 

• Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, blood-borne pathogens, hazardous substances, and potential injury. This position requires frequent walking and standing with occasional bending and stooping.
• The essential functions for this position are listed on the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP