Who We Are:

St. John’s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.

Come Grow With Us!

Type: Full-Time

Shift: Days

Hours: 8:00AM – 4:30PM

Pay: $115,000 - $125,000

Job Summary:

The Quality Improvement Specialist will play a pivotal role in driving quality initiatives and enhancing patient safety at Episcopal Health Services. As part of the Office of Quality & Patient Safety, this position requires a highly motivated individual with a strong understanding of quality management principles and a passion for improving patient care and reducing harm.

Responsibilities:

• Coordinate and implement the organization's Quality Management, Patient Safety and Performance Improvement Programs.
• Recommend organizational objectives to enhance quality and patient safety, aligning with strategic priorities.
• Assess the quality of care in outpatient and inpatient settings and collaborate with multidisciplinary healthcare teams to enhance care delivery.
  • Develop and implement quality improvement plans and strategies
  • Conduct root cause analyses to identify and address quality issues
  • Monitor and analyze quality metrics to track performance and identify areas for improvement
  • Develop and implement quality control procedures and standards
  • Facilitate quality improvement teams and workshops
  • Collaborate with cross-functional teams to drive continuous process improvement
• Participate in projects related to quality and patient safety, assisting in recommendations and coordinating implementation of corrective actions plans.
• Conduct clinical quality of care reviews, health outcomes reviews to ensure if standard of care was met.
• Prepare variance reports for leadership, physicians, and other team members as needed and present in interdisciplinary committees.
• Identify workflow barriers, patient-specific issues and concerns to appropriate leadership and improvement teams and department leaders and cross-functional teams for resolution.
• Provide expertise in TJC & CMS core measures, eCQMs, GWTG and indicators monitored by regulatory agencies, publicly reported quality reimbursement programs
• Monitors performances of all publicly reported and internal performance data to identify opportunities for improvement
• Conduct gap analysis on existing policies and practices and research best practices to make necessary recommendations
• Conduct focus studies to measure and assess patient care services' process stability and workflows for achievement of patient outcomes.
• Conduct education on quality management and performance improvement theoretical frameworks.
• Assist in developing appropriate measurements to assess processes and patient care outcomes.
• Collaborate with clinical and administrative leadership staff to ensure compliance with regulatory and professional standards.
• Review and evaluate the Performance Improvement Program and the Organizational Performance Improvement/Safety Plan as needed.

Qualifications:

• BSN nursing degree required. MSN Preferred
• Current New York State Registered Professional Nurse, Nurse Practitioner, or Physician Assistant license.
• Three to five years of clinical experience, including general knowledge of Quality Management principles, NYSDOH, CMS, and TJC Regulatory reporting requirements
• CPHQ and CPPS certifications preferred. If not, certification is required within six months of employment

Additional Skills:

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Proficiency in data analysis and reporting tools.
• Knowledge of Performance Improvement methodologies used within the organization.
• Ability to collaborate effectively with multidisciplinary teams.
• Strong understanding of quality improvement principles and tools.