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This role's chief responsibility is to collect and submit reliable data to the specific national quality database. This is accomplished through high-quality data compilation, documentation, and entry into the database. This role works closely with the members of the various departments to analyze and make sure the data is presented in a usable format for improvements. This role works closely with the members of the various departments to identify opportunities for clinical quality and performance improvement and other special projects as identified.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in Nursing or Respiratory Therapy

EXPERIENCE:

1. Three years of experience in a hospital setting required.

OR

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Diploma/Associate’s Degree in Nursing or Respiratory Therapy

EXPERIENCE:

1. Three years of quality outcomes experience in a hospital setting required.

OR

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master’s degree

EXPERIENCE:

1. One year of experience in a hospital setting required.

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1. Three years of healthcare experience with emphasis on process improvement activities and productivity systems.

2. One year of clinical chart review and abstraction.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Identify patient population for inclusion in the program through the application of program inclusion/exclusion criteria and protocols.

2. Collect appropriate patient information for the program through the effective utilization of the medical record.

3. Attend weekly Morbidity and Mortality conferences to ensure reliable data collection of adverse occurrences.

4. Demonstrate applicability of the methodology and reliability of definitions utilized by reviewers within the program through inter-rater reliability testing.

5. Identify streamlining and process improvement opportunities in the data collection process.

6. Demonstrate appropriate utilization of resources necessary to obtain valid, reliable data for entry into the database.

7. Utilize software applications for data collection and analysis.

8. Analyze data and present solutions in coordination with physician and staff to improve processes.

9. Responsible for the accurate and timely entry of data into the database and meets caseload accrual requirement protocol.

10. Establish effective working relationships with members of the hospital, especially staff in  nursing, health information management, and informatics.

11. Contacts patients and families via telephone or written communication as needed for the database

12. Serve as educational resource on the database for internal and external audiences by developing educational materials and delivering presentations.

13. Participates in required program teleconferences.

14. Participates in required national conference annually.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this position, the employee is required to walk and stand for long periods of time.

2. Must be able to lift 30 pounds and must be able to push 50 pounds.

3. Dexterity required to finger, handle, and reach.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES:

1. Successfully complete the required trainings of the National Database of Nursing Quality Indicators (NDNQI).

2. Must be able to build relationships and gain alignment for clinical support and articulate questions to receive appropriate level of support from supervisors, surgeons, and peers.

3. Ability to interact with all members of the surgical team and administrative staff in a professional and courteous manner.

4. Must be able to use MS Word, Excel, Access, and other software to collect, analyze, and present data.

5. Must demonstrate knowledge and competency in the following areas: Computer literacy, Assertiveness, Community and system resources, Flexibility, Effective interpersonal relations, Diplomacy, Written and verbal communication, & Negotiation Analysis and research methods.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

415 POPH Population Health Management