Employment Type:

Full time

Shift:

Description:

ESSENTIAL FUNCTIONS 

 

Knows, understands, incorporates, and demonstrates the MercyOne (Trinity Health) Mission, Vision, Core Values, Actions and Promise in behaviors, practices, and decisions.  

Assists the manager in areas of oversight of quality, patient safety (inclusive of the culture of safety (TogetherSafe) work) and infection prevention across the ministry.  

Supports the work of quality and safety related to the quality assurance and performance improvement plan, local/region/system strategies, regulatory and accrediting body requirements (i.e., Centers for Medicare and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with the hospital’s leaders, colleagues and providers.  

Identifies problem areas in need of focused attention and supports the manager to implement actions to drive improved outcomes. 

Assists the manager in achieving the best outcomes aligned to CMS, pay for performance programs (including those aligned to commercial carriers) and TJC in areas of quality measures and regulatory requirements.  

Promotes continuous improvement toward achieving excellent outcomes and recognition in regards to outside “rating” organizations, including (not all inclusive) CMS, Leapfrog, Healthgrades, and Blue Distinction etc. 

Collaborates with Medical Group executive leadership, providers, and leaders in meeting/exceeding standards of excellence and achieving national designations, certifications, and awards.  

Collaborates with colleagues in areas of accreditation, risk management, patient experience, clinical practice and performance excellence to provide identified and needed support for improvement.  

Serves as a resource for Clinic Operations and Clinical Leaders in the development, implementation, and evaluation of patient care programs and clinic practice standards, including policies, guidelines, procedures and professional practice models. 

Facilitates and supports the local market Medical Practice Committees. 

Assists with implementation of quality excel