Full-Time - 1.0 FTE/80 Hours Biweekly
Day Shift
Primarily M-F with occasional off-shift and weekend coverage, if needed
General Summary
Uses data for healthcare quality and safety measures to review for trends and gaps related to documentation of clinical practice. Facilitates quality performance initiatives to achieve evidence-based practice outcomes. Prepares unit-level quality performance reports. Elevates and communicates gaps and opportunities with improvement recommendations through established channels to improve care quality and safety. Partners with nursing leadership and entity Quality, Safety and Accreditation to ensure departmental readiness. Participates in development and implementation of quality assessment indicators. Provides project management for selected planning and operational implementation of quality initiatives, developing project work plans, impact and communicating progress and any identified risks. Assists in coordination, development, and training with the goal of efficient intra-council interfacing to maximize outcomes.
WellSpan York Hospital
Built on a solid 140-year legacy of providing high-quality, high-volume, community-based care, WellSpan York Hospital, the largest of WellSpan’s eight hospitals, is a 596-bed acute care community teaching hospital that employs nearly 5,000 people, making WellSpan the largest employer in York County. Driven by a mission to provide exceptional care to all, WellSpan York Hospital serves a diverse population of more than 520,000 residents from the greater York County area. WellSpan York Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23.
The hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral health conditions.
WellSpan York Hospital’s Regional Resource/Level 1 Trauma Center has been accredited by the Pennsylvania Trauma Systems Foundation and is the only accredited trauma center in York, Adams and Franklin counties. It is a nationally recognized teaching hospital with nine residency programs, six allied health schools and other training programs. More than 700 physicians and other professionals are members of WellSpan York Hospital’s medical and dental staff.
WellSpan York Hospital in embarking on a significant five-year project. The centerpiece will be a new, eight-story surgical and critical care tower, which will dramatically expand the hospital’s intensive care unit as well as develop new state of-the-art surgical suites, making it one of the top 10 largest hospitals in Pennsylvania with approximately 600 beds.
Duties and Responsibilities
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Provides project oversight, including planning, scheduling, vendor management, risk assessment, change management, time management, interpersonal leadership skills, and project control.
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Collaborates with key stakeholders to develop action plans driven by Nurse Sensitive Indicators metrics and annual strategic quality objectives.
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Applies lean and process improvement principles and quality improvement tools and techniques to identified processes/systems/ tasks.
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Creates timelines and deliverables for workflow development, implementation and monitoring for selected quality measures.
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Compiles data for and prepares regularly scheduled or special reports, analyses and statements.
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Educates to measure definitions when sharing data. Facilitates conversations and assists staff to identify and translate quality outcomes into a change in practice (e.g., policy, procedure, process, protocol, etc.).
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Researches and analyzes requests, using knowledge of the system network and internal and external resources, for possible process improvement/quality improvement opportunities, as assigned by the Director, Vice President-Medical Affairs, or Regional Director.
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Provides consultation regarding data analysis and interpretation to clinicians, leadership and others. Works collaboratively to provide consistent, meaningful information to all levels of the organization, including the information provided to the Hospital Board of Directors.
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Uses problem analysis skills and critical thinking to collect and analyze data, propose solutions, develop and write reports, letters and materials needed to achieve desirable results as requested. Able to manage advanced database and spreadsheet applications (e.g., formulas, linking calculations, graphing and reporting) as well as web-based systems needed to obtain or manage clinical information.
Common Expectations:
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Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
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Routinely performs professional clinical improvement assessments in all job aspects. Participates in Performance Improvement projects to enhance quality and streamline workflow.
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Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Minimum Education:
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Associates Degree Graduate of an accredited nursing program. Required or
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Bachelors Degree Accredited Nursing Program Required
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Masters Degree Accredited Nursing Program Preferred
Work Experience:
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2 years Relevant experience Required and
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Experience in healthcare quality assurance or performance improvement Required
Licenses:
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Licensed Registered Nurse Upon Hire Required or
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Registered Nurse Multi State License Upon Hire Required
Knowledge, Skills, and Abilities:
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Proven outstanding interpersonal skills
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Demonstrated ability to function as a team player
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Excellent computer skills, including word processing, internet, data entry, and spreadsheet use, and able to conceptualize and convey the importance/impact of data integrity in terms of patient management, study results, cost efficiency, quality of service, and the goals of clinical improvement and related project management
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Knowledge of Lean Principles and Quality Improvement methodologies
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Excellent prioritization and organizational skills
WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.
