Employment Type:

Full time

Shift:

Description:

Under limited supervision, coordinates the organization-wide outcomes measurement and reporting program in accordance with current federal, state and local standards, guidelines and regulations that govern such functions. Promotes efforts to improve clinical documentation, compliance with, and reporting of outcomes. Assists in medical staff performance improvement and peer review activities

Your best life. Our one purpose.

At MercyOne, we own our actions to achieve our larger goals. We invest in great people and ask that you make each experience your responsibility.

What we offer:

We care about your well-being, both physical and mental, which is why our benefit package includes:

• Wellness programs
• Education reimbursement
• Personalized health insurance plans including dental and vision
• Paid time off
• Long- and short-term leave
• Retirement planning
• Life insurance coverage

About the job:

Under limited supervision, coordinates the organization-wide outcomes measurement and reporting program in accordance with current federal, state and local standards, guidelines and regulations that govern such functions. Promotes efforts to improve clinical documentation, compliance with, and reporting of outcomes. Assists in medical staff performance improvement and peer review activities

What you will do:

• Maintains an updated inventory (database) of all quality outcomes and reports to be utilized by hospital and medical staff throughout MercyOne - Sioux City.
• Works with Decision Support analysts to prepare service line reports and unit-specific reports that include all relevant information relating to quality and customer satisfaction.
• Acts as a liaison by interacting with representatives of the PRO, other external review agencies, third party payors and other health care facilities regarding Quality Services Data/Information. Serves as a System Administrator for the Q-Net Exchange (internet-based National Reporting Software Application) and Cart (CMS abstraction & Reporting Tool).
• Provides assistance and coordination with key stakeholders and external organizations about measurement definitions, data requirements and clinical documentation opportunities to enhance core measure outcome reporting and revenue enhancement.
• Collects (through ongoing auditing) and analyzes aggregate data to be used in benchmarking and/or identification of best practice and performance improvement efforts. This includes, but is not limited to: (1) The validation and reporting of Clinical Data/Information to external accrediting organizations (includes JCAHO, Center for Medicare and Medicaid Services (CMS), Iowa Foundation for Medical Care (IFMC/QIO), and Trinity Health Services); (2) NDNQI (National Database of Nursing Quality Indicators) outcomes to meet requirements for attainment of Magnet status; (3) Hospital and Medical Staff Committees, including but not limited to the PI and Patient Safety Council, Quality Committee of the Board, Nursing Quality/PI/Patient Safety Council, etc., and Medical Staff Committees, Medical Staff Quality/Peer Review Committee, and Medical Staff Committees (i.e., Critical Care, Internal Medicine, Surgery Executive, Emergency Dept, etc.).
• Participates in activities related to Medical Staff outcomes management and performance improvement, including:

• The collection of clinical & utilization outcome indicators that measure the quality and appropriateness of patient care provided by members of the Medical Staff for Ongoing Professional Performance Evaluation (OPPE) and Focused Professional Performance Evaluation (FPPE) with timely reporting to support the Medical Staff credentialing, privileging, and reappointment processes;

• The monitoring & reporting of required PI activities, including but not limited to: Anesthesia, Operative, Invasive and Non-invasive procedure review, and Blood Component Review

• Participation in the Medical Staff Peer Review process and interaction with Medical Staff Department Chairs to facilitate timely reviews

• Identifies opportunities for improvement as it relates to areas of high risk, high volume and/or problem prone areas; utilizes Lean and other continuous quality improvement methodologies to support and/or lead performance improvement teams designed to improve clinical outcomes.
• Participates as necessary in initiatives/committees to ensure compliance with regulatory and accrediting body standards & regulations (i.e., Joint Commission, CMS, DIA, etc.) that pertain to the Quality/PI.
• Is knowledgeable of and actively participates in improving patient safety and reducing risk to patients. Complies with Safety and Infection Control Policy & Procedure.
• Knows, understands, incorporates, and demonstrates the MercyOne and Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

What we are looking for:

• Bachelor’s Degree in Nursing or related field is required. Must be a registered nurse maintaining current licensure defined by Interstate Compact.
• A minimum of three to five years of acute care clinical experience with strong medical/surgical background required.
• Must have good working knowledge of the electronic medical record.
• Experience in continuous quality improvement process and methodology, data analysis, and report generation preferred.
• Knowledge of JCAHO and CMS quality initiatives, especially as it relates to external reporting, preferred.
• Must be self-directed and motivated, exhibiting independence in function and judgment and decision-making skills.
• Must have excellent interpersonal and presentation skills and be able to communicate effectively with all members of the health care team.
• Good working knowledge of database management, statistical methods and benchmarking techniques preferred.
• Must be able to complete work under pressure, meet deadlines, and manage multiple projects.

Why MercyOne Western Iowa?

MercyOne Western Iowa serves the needs of individuals in a 33-county area including western Iowa, eastern Nebraska and southeastern South Dakota. MercyOne Siouxland Medical Center, a 238-bed regional facility, is home to the only Level II trauma center in the area – one of only four trauma care facilities in the state to receive verification from the American College of Surgeons – and MercyOne Air Med, a regional helicopter ambulance service. Along with owned and managed hospitals in Primghar and Hawarden, Iowa, and a partnership with Dunes Surgical Hospital in South Dakota, the region also operates a primary care network, specialty care clinics and home health care, providing an entire continuum of preventative, primary, acute and tertiary health care services to provide personalized, compassionate care for the communities we serve and beyond.

About MercyOne and Trinity Health

We are MercyOne: a connected system of health care facilities and services dedicated to helping you and your community live your best life so you can get well—and stay well. With 420 care locations, our clinics, medical centers and affiliates are never too far from home, allowing us to improve the lives of individuals and communities across the state of Iowa and beyond. MercyOne Western Iowa is a member of Trinity Health

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Our Mission defines us:

MercyOne serves with fidelity to the Gospel as a compassionate, healing ministry of Jesus Christ to transform the health of our communities.

Our timeless Values guide us:

• Reverence
• Integrity
• Commitment to the Poor
• Compassion
• Excellence
• Justice
• Stewardship

MercyOne Cultural Beliefs direct us:

• Be ONE: I benefit from and strengthen MercyOne.
• Personalize Care: Your experience. My responsibility.
• Own It!: I own my actions to deliver our key results.
• Improve Daily: I make improvements every day for those we serve including each other.
• Innovate: I imagine and embrace bold new ideas to revolutionize health.

MercyOne Siouxland Medical Center and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.