Assists in the activities of the QRM Department. While there are many approaches to improving organizational performance, the scope of the position duties includes assisting in the house wide processes of design, performance and safety measurement, assessment, and improvements. Reporting to the QRM Director, this individual will be responsible for assisting in the coordination of those systems necessary for identification, evaluation, monitoring, reporting, and improving processes related to quality care and patient safety. The QRM Data abstractor duties will include chart review, leadership of and participation on Performance Improvement Teams and Infection Control Committee. Developing and presenting Performance Improvement reports, providing education to other members of the hospital team. Responsible for ensuring infection control practices and consistent with standards of care and that the organization is compliant with infection control and prevention standards for regulatory agencies.
Essential Functions
Manages the infection control program. Coordinates and participates in all infection control practices approved by the Infection Control Committee (ICC). Initiates and participates in ongoing investigations of clusters and/or outbreaks of significant organisms; illnesses; exposures to communicable dieses; or single cases of unusual nosocomial infections, or other significant events related to Infection Control. Participates in workplace surveys, environmental monitoring, hygiene surveillance, and safety consultation to reduce work-related injuries, illnesses, and exposures. Comfortable and skilled at working with physicians, healthcare clinicians and hospital leaders. Acts as a liaison with the Public Health Department and reports communicable diseases and reportable conditions as specified by federal, state, and county laws. Core Measures Data Abstraction Assist in initiatives for Successful Joint Commission Survey Assists in monitoring and tracking of Performance Improvement initiatives Develops and maintains Performance Improvement Reports Participates as a member of the Performance Improvement and Patient Safety Committees
Performs concurrent reviews for patients to ensure that extended stays are medically justified and are so documented in patient's medical records. Other duties as assigned.
Non-Essential Functions
Qualifications Should be comfortable and skilled at working with physicians, healthcare clinicians and hospital leaders. Analytical skills including a working knowledge of basic statistics and statistical analysis methodologies. Knowledge of PC based computer software such as Word, Excel or similar systems. Ability to work independently and interdependently. General knowledge of healthcare related regulatory and accreditation requirements. Must have good interpersonal skills, the ability to read and comprehend simple instructions, correspondence and memos, ability to write simple correspondence and effectively present information in one-on-one and group situations, ability to perform basic math, ability to deal with problems involving a few concrete variables in standardized situations.
Job Requirements
Minimum Education Licensed nurse, RN in the State of Tennessee or hold a multi-state, compact license Minimum 3 years experiences working as an RN
Required Skills Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Required Skills Certifications: BLS required or maintained within 30 days of hire. APIC EPI 101 within 18 months of hire. APIC EPI 102 within 32 months of hire. ICP Certification within 5 years of hire.
Required Skills Active Tennessee RN License
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran