Medical Staff Review Coordinator - RN

Company: UW Medicine/Valley Medical Center
Location: Renton
Posted on: January 9, 2022

Job Description:

Job DescriptionOutcomes ManagementThe position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.TITLE: Medical Staff Review CoordinatorJOB OVERVIEW: Responsible for supporting and facilitating ongoing organization-wide and medical staff quality management, patient safety and performance improvement programs and activities.DEPARTMENT: Outcomes ManagementWORK HOURS: Typically, Monday - Friday 8:00am - 4:30pm. Some flexibility may be required to meet department and organization needs.RESPONSIBLE TO: Director, Quality & Patient SafetyPREREQUISITES:Bachelor's degree in nursing or other health care related field of study; Master's degree preferredMinimum five year's recent experience in acute health care setting - particularly in Critical Care or medical/surgical nursingExperience in quality improvement role preferredExperience in Process Improvement Models - e.g. IHI Model for Improvement, Deming principles, Lean, PDCA, Six Sigma, etc. preferredCPHQ preferredQUALIFICATIONS:Solid understanding of systems thinking, process management and performance improvement.Organizational and problem-solving ability and skills.Knowledge of group process, leadership skills, and ability to establish and maintain respectful, collaborative and effective working relationships with medical staff.Proficiency in application of change management principles.Ability to prepare effective oral and written reports and presentations to various groups including providers, hospital leaders and staff.Proficiency in use of Windows-- - and MS Office Suites-- - applications particularly Word, PowerPoint and Excel.Aptitude for navigating quality-related Internet sites and support agencies.Ability to focus significant periods of time on abstraction of information from medical records and facilitate use of a database.UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS:See Generic Job Description for Administrative Partner.PERFORMANCE RESPONSIBILITIES:A. Generic Job Functions: See Generic Job Description for Administrative Partner.B. Essential Responsibilities and CompetenciesCollaborate with Medical Director of Medical Staff Services to support and participate actively on Medical Staff Peer Review committees including:Scheduling committee meetingPlanning of agendaScreening and disseminating case reviews to membersFacilitating measurement system management, including collecting, analyzing and presenting rates/rules and other information for evaluation of practitioner performanceCompleting minutes as requiredFacilitating committee processes, to support timely and unbiased reviewsFacilitating follow-up as indicated, such as coordinating distribution of letters to medical staff and tracking of case reviewsFamiliarity with Medical Staff bylaws, policies and proceduresCoordinate and produce accurate, complete and timely reports as scheduled or requestedIdentify and report variations in clinical care that require immediate actionFunction as a resource to explain the structure and process for assessing, maintaining, and distributing information on practitioner performance reviewFunction as a resource to physicians in the analysis, interpretation and use of data for decision-making and performance improvementUtilize internal and external comparative data sources to identify improvement opportunitiesApply current literature and knowledge of best practices to develop improvement strategiesSupport collection, analyses and interpretation from multiple data sources for ongoing quality management activities of the medical staffProduce an annual summary report of reviewed medical staff cases by individual practitioner for committee review indicators. (e.g., complications, readmissions, safety events, mortalities)Actively participate in program structure to develop measure criteria and benchmarks to support consumable reports for practitioner reviewCollect, analyze and interpret data and information to support decision-making toward performance improvement, including periodic OPPE reports to be provided to the Chief Medical Officer, department chairs, and the MSO for inclusion in the practitioner's quality fileCollaborate with data analysts, QI Specialists, Patient Safety Specialists, Risk Management and Regulatory teamsSupport the organization during TJC and DOH visits as a navigator or scribeNetwork with peers at other organizations within the local community; participate on UWMedicine work groups related to role, in order to advance best practices within specialtyMaintain confidentiality of individual patient and medical staff informationPerform other duties as assigned to meet patient/program needs including participation in orientation of new staff.Revised: 3/21Grade: NCNM28FLSA: ECC: 8715PREREQUISITES:Bachelor's degree in nursing or other health care related field of study; Master's degree preferredMinimum five year's recent experience in acute health care setting - particularly in Critical Care or medical/surgical nursingExperience in quality improvement role preferredExperience in Process Improvement Models - e.g. IHI Model for Improvement, Deming principles, Lean, PDCA, Six Sigma, etc. preferredCPHQ preferredQUALIFICATIONS:Solid understanding of systems thinking, process management and performance improvement.Organizational and problem-solving ability and skills.Knowledge of group process, leadership skills, and ability to establish and maintain respectful, collaborative and effective working relationships with medical staff.Proficiency in application of change management principles.Ability to prepare effective oral and written reports and presentations to various groups including providers, hospital leaders and staff.Proficiency in use of Windows-- - and MS Office Suites-- - applications particularly Word, PowerPoint and Excel.Aptitude for navigating quality-related Internet sites and support agencies.Ability to focus significant periods of time on abstraction of information from medical records and facilitate use of a database.

Keywords: UW Medicine/Valley Medical Center, Renton , Medical Staff Review Coordinator - RN, Healthcare , Renton, Washington