Responsible for supporting Director of Quality, leadership team, and other team members related to clinical quality, patient safety, process improvement, accreditation, central education, and infection prevention. Duties include, but are not limited to, administrative support, including scheduling, time keeping, data collection, correspondence, and communication for the entire department. Responsible for coordination of materials, communication, and facilitation of Hospital Quality Committee, Medical Staff Performance Improvement Committee, and the Quality of Care Committee of the board, Critical Events Committee, and others as appropriate. Collaborates with leaders, team members, and others within and outside the department on various house-wide and regional initiatives.
Coordination and Facilitation - 50%
• Assist with development, compilation and distribution of data and materials such as scorecards, infographs and quality boards to various groups, committees and individuals. Submit materials and data for governing body as requested.
• Coordinate Daily Safety Calls through scheduling, communicating with facilitators and leaders, and sharing information.
• Assists department leaders to provide hospital-wide training to support Just Culture
• Supports accreditation team by assisting with planning and implementation of continuous readiness and survey related activities
• Support Infection Prevention and Control Committee and activities as needed
• Support DAISY program via coordination, communication, and data management
• Assist with department projects and initiatives as requested to support process improvement, including observations, scheduling, and communication
Administrative - 40%
• Maintain accurate inter-departmental payroll and timekeeping records
• Develop and maintain personnel files
• Order and maintain supplies consistent with department budgetary expectations
• Develop agendas, coordinate materials, and record meeting minutes for Hospital Quality Council, Medical Staff Performance Improvement Committee, Quality of Care Committee, and various meetings as needed
• Maintain calendars and schedules for department staff
Basic UPH Performance Criteria - 10%
• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
• Demonstrates ability to meet business needs of department with regular, reliable attendance.
• Employee maintains current licenses and/or certifications required for the position.
• Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
• Completes all annual education and competency requirements within the calendar year.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
Associate’s degree is required. Bachelor’s degree in healthcare, healthcare administration, or related field is preferred.
Minimum of one year of hospital or healthcare related experience
Valid driver’s license.
Written and verbal communication skills including writing, reading and speaking fluent English.
Computer skills including knowledge of Microsoft Office applications
Use of usual and customary equipment used to perform essential functions of the position.
Work may occasionally require travel to other UPH facilities. May drive a UPH vehicle, rental or own vehicle.