Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

 PRIMARY FUNCTIONS AND RESPONSIBILITIES

Quality and Outcomes Management

Summarizes information received from departmental QI monitoring activities and communicates results to the Director of Surgical Services and the Medical Staff Office.

Coordinates the establishment and maintenance of standards of patient care and the mechanism to evaluate care within the department. Serves as a resource person to perioperative leaders in developing indicators and data sources for review and evaluation of practices and systems.

Assists in the formulation, implementation, review and revision of standards of care and standards of practice. Ensures surgical services compliance with patient care standards, hospital policies and procedures, recommendations from regulatory agencies, and the Joint Commission on the Accreditation of Healthcare Organizations (JACHO) Standard.

Monitors and coordinates surgical services policy development, evaluation, and revision process through delegation and collaboration with education coordinators.

Develops and maintains a data-tracking and management control system for the division, which includes problem identification, reporting, problem-focused studies, data analysis with problem summarization, mechanisms for feedback, and approaches toward resolution.

Participates with Risk Management in the investigator process for Incident Report follow-up. Identifies patterns and trends that could be inter-related with support systems, investigates problems, irregularities and policy variations, and makes recommendations for follow-up.

Coordinates, provides resource assistance, and evaluates the effectiveness of the QI program. Reviews perioperative unit reports and makes recommendations for corrective or follow-up action. Evaluates the effectiveness of problem-solving techniques and recommends new approaches when indicated.

Participates in the development, maintenance, review and evaluation of patient charts and other tools used for care delivery documentation.

Serves as a resource and consultant to surgical services leadership related to quality, safety, care management, education and special projects.

 

Quality and Outcomes Management (cont)

Initiates, assists in the design, and coordinates special projects and teams or studies related QI training, care management, customer satisfaction and others, based on identified opportunities.

Reporting

Prepares reports for the NSH Operational value Improvement Committee.

Participates in the development, maintenance, review, and evaluation of perioperative QI reports.

Prepares and presents reports for Surgery Exec/Surgery QI/GYN QI for approval, endorsement, and/of further recommendations and follow-up.

Collaborates with the Director of Surgical Services, Managers and Coordinators to prepare the annual report, annual appraisal, quarterly compliance report, Value Improvement Plan and periodic updates as needed.

Generates reports as needed and shares information as appropriate

Education

Develops, implements, and evaluates the Surgical Services Education Program facilitating perioperative clinical orientation and competency assessment.

Identifies educational and training needs of all perioperative units, staff, or individual(s) impacting assigned functions and plans with the Perioperative Education Coordinator(s) and other appropriate staff members of the implementation of training needs.

Participates in activities designed to continue individual professional growth and advancement of the goals of the nursing profession.

Conducts staff and management education and in-service activities related to quality, safety, care management and customer satisfaction. Coordinates the development and implementation of the department orientation process.

Collaborates with clinical faculty in providing and coordinating learning experiences for nursing and surgical technician students.

Coordinates education for surgical service teams regarding clinical pathways.

Fiscal Management

Maintains accountability for the achievement of capital and operating budget objectives within area of responsibility.

Participates in cost containment activities.

Demonstrates sound judgment and critical thinking in resource utilization.

Evaluates equipment and supplies for appropriate safety and cost effectiveness on