Job ID: IN-754839 (95590109)
Hybrid/Local Hospital Readiness Systems Coordinator/Nurse (RN/BSN/CPHQ/Six Sigma) with clinical QA, acute care, REDCap, ED/ICU/peds, NHSN, IHA, PM experience
Location: Indianapolis, IN (Indiana Department of Health – Finance)
Duration: 12 Months
Position: 1(2)
Skills:
Bachelor’s degree, supplemented with 3-5 years of previous hospital and quality improvement job-related experience Required 3 Years
Prior clinical quality improvement experience preferably in an acute care hospital setting or critical access hospital setting. Required 2 Years
Experience w/Microsoft Office Suite to include PowerPoint. Required
Prior experience with REDCap with strong aptitude to learn new software and other database programs. Desired
Prior experience facilitating and managing meetings within program agencies and local partners. Required
Prior experience reporting hospital data including bed capacity, ED census, ICU census, peds census, vent status etc. Required 1 Years
Prior experience creating training materials and delivering presentations for stakeholders, hospitals and State or Federal Agencies. Required 2 Years
Registered Nurse (RN), Bachelor of Science in Nursing (BSN), or other similar certification combined with Hospital experience, preferred Highly desired
CPHQ or Lean Six Sigma experience. Highly desired
Prior experience with National Healthcare Safety Network automated hospital reporting. Highly desired 2 Years
Prior experience working with the Indiana Hospital Association (IHA). Highly desired 2 Years
Prior experience working with hospital technical staff in areas of automated and secured data feeds. Highly desired
Project management experience/certification. Highly desired
Description:
BS in Nursing (BSN), or other similar cert. combined with Hospital experience, prefer Bachelor’s degree, supplemented with 3-5 years of previous hospital and quality improvement job-related exp. Ideal candidate also has either CPHQ or Lean Six Sigma.
Job description
Clinical Quality Improvement Specialist
Job Summary This position serves in a dual role involving direct in person
coordination with hospital facilities to enhance both National
Healthcare Safety Network (NHSN) automated hospital reporting
along with pediatric readiness capabilities within hospital networks
and facilities located in Indiana. This position promotes best practices
and quality improvement processes in both hospital reporting
importance for the automation transition and pediatric preparedness
programs/initiatives. The position serves in coordinating the
development of statewide guidelines, aiding hospitals into an
automated platform for hospital reporting, educational modules, and
quality improvement resources/tools utilizing federal and national
recommendations/guidance, evidence-based guidelines and best
practices specific to the delivery of hospital facility key elements
reporting along with pediatric emergency care. The position also
serves as a resource and technical advisor to, pre-hospital agencies,
hospitals, other healthcare practitioners as well as non-health care
entities within our state to ensure hospital facility needs are
adequately addressed.
Education and/or Work Experience
Registered Nurse (RN), Bachelor of Science in Nursing (BSN), or other
similar certification combined with Hospital experience, preferred
Bachelor’s degree, supplemented with 3-5 years of previous hospital
and quality improvement job-related experience. Ideal candidate also
has either CPHQ or Lean Six Sigma
Duties and Responsibilities
• Assist with development and launching of a state/jurisdiction
capacity system that includes near-time bed capacity counts
for the state’s/jurisdiction’s acute care hospitals, including
critical access hospitals.
• Must be able to manage user account and security parameters
for access to the web-based dashboard to coordinate daily,
surge, and crisis needs.
• Help coordinate emergency department data, organized per
NHSN definitions to Hospital Capacity Data Store at least twice
per day on an ongoing basis. Data would include emergency
department (ED) census, ED Admitted census (boarding) and
ED pressure indicator by count of all patients in the ED that
have a physician assigned.
• Create possible items listed below to support the
states’/jurisdiction’s ongoing participation in the NHSN
Connectivity Initiative, such as:
• Develop communications and training materials for
onboarding identified stakeholders and hospital users.
• Provide training and onboarding services to participating
hospitals and stakeholders.
• Work with the state’s/jurisdiction’s hospitals to collect
necessary information for dashboard development and
implementation.
• Provide a common framework of data elements to include on
the dashboard and in the data feed.
• Facilitate the gathering and engagement of hospitals’ technical
staff to work on automated and secured data feeds per
specifications supported by the web-based application.
• Assist the state/jurisdiction to advise on shared governance
model(s) for discussions and decision-making to support this
work.
• Testing and validation of data feeds; and draft progress
milestone for inclusion in progress report/lessons learned.
• Manages the participation and permission process/clearances
(to send data to NHSN) of participating hospitals. Also
provides permission to allow for use of state’s/jurisdiction’s
data in conjunction with other participating entities for
research and emergency planning by the state and federal
health partners.
• Obtain signed commitment from acute care hospitals in the
state/jurisdiction to participate in the project through an
established participation agreement.
• Provide ongoing instructions and serve as key resource to
assist with the scaling of the CDC NHSN Connectivity Initiative
to other states/jurisdictions; and help to ensure that all terms
of the CDC funding agreement are met.
• Facilitates efforts to improve clinical and service outcomes
throughout the state as related to pediatric emergency care,
utilizing federal/national guidance (including but not limited to
the American Academy of Pediatrics, Assistant Secretary for
Preparedness & Response, Centers for Disease Control,
Emergency Medical Services for Children, Federal Emergency
Management Agency, Institute of Medicine, Joint Commission).
• Works with Indiana Emergency Departments to assess areas of
need, conduct gap analyses, communicate pediatric standards
and disseminate resources as appropriate.
• Develops and facilitates bi-monthly State Pediatric Emergency
Care Workgroup meetings and actively assumes project
leadership responsibilities through planning, coordination of
workgroup activities and development of tools, educational
modules, and resources for workgroup review.
• Participates as a team member on hospital site visits conducted
throughout the state, to assess compliance with pediatric
emergency care requirements and regulations using defined
checklists; provides verbal and written assessment of hospital
strengths/weaknesses; outlines recommendations and other
key subject matter expertise as appropriate; shares applicable
resources and technical guidance with hospitals as needed.
• Develops documents annually to promote quality improvement
practices as related to pediatric emergency care documents,
and development of a quality improvement plan.
• Engages in and demonstrates self-development in clinical and
professional knowledge base in the areas of pediatric
emergency management, quality improvement processes,
communication, and awareness of trends in the healthcare
environment.
• Utilizes data to identify trends, draw appropriate conclusions
and make recommendations; develops data reports for
decision-makers to support conclusions and
recommendations; reports should communicate any limitations
of the analyses.
• Facilitates efforts to improve clinical and service outcomes
throughout the state as related to pediatric emergency care,
utilizing federal/national guidance (including but not limited to
the American Academy of Pediatrics, Assistant Secretary for
Preparedness & Response, Centers for Disease Control,
Emergency Medical Services for Children, Federal Emergency
Management Agency, Institute of Medicine, Joint Commission).
• Works with Indiana Emergency Departments to assess areas of
need, conduct gap analyses, communicate pediatric standards
and disseminate resources as appropriate.
• Develops and facilitates bi-monthly State Pediatric Emergency
Care Workgroup meetings and actively assumes project
leadership responsibilities through planning, coordination of
workgroup activities and development of tools, educational
modules, and resources for workgroup review.
• Participates as a team member on hospital site visits conducted
throughout the state, to assess compliance with pediatric
emergency care requirements and regulations using defined
checklists; provides verbal and written assessment of hospital
strengths/weaknesses; outlines recommendations and other
key subject matter expertise as appropriate; shares applicable
resources and technical guidance with hospitals as needed.
• Develops documents annually to promote quality improvement
practices as related to pediatric emergency care documents,
and development of a quality improvement plan.
• Engages in and demonstrates self-development in clinical and
professional knowledge base in the areas of pediatric
emergency management, quality improvement processes,
communication, and awareness of trends in the healthcare
environment.
• Utilizes data to identify trends, draw appropriate conclusions,
and make recommendations; develops data reports for
decision-makers to support conclusions and recommendations;
reports should communicate any limitations of the analyses.
• Other duties as required.
Computer Skills
Microsoft Teams, Power BI, Microsoft Outlook, Microsoft Word,
Microsoft PowerPoint, Microsoft Excel, Basic Keyboarding Skills, Web[1]based meeting and learning management systems, REDCap
Computation Ability
Ability to solve practical problems and deal with a variety of concrete
variables in situations where only limited standardization exists. Ability
to interpret a variety of instructions furnished in written, oral, diagram,
or schedule form.
Qualifications
▪ Ability to maintain accuracy and consistency
▪ Ability to finish tasks in a timely manner
▪ Ability to function independently, manage own time/work tasks
▪ Ability to maintain confidentiality
▪ Ability to interact with internal and external constituents
▪ Ability to work as an effective team member
▪ Ability to organize workflow
▪ Ability to plan, coordinate, and develop multiple projects
▪ Ability to analyze and interpret data
▪ Ability to compile complex reports and develop presentations
▪ Ability to compose letters and memorandums
▪ Ability to negotiate, persuade and establish direction
▪ Skilled job requiring high level of adaptability and interpersonal
skills
▪ Must be able to work in a fast-paced, dynamic environment, and
adapt to changing priorities
Travel
▪ In-state travel will be required as needed and out of state
overnight may be necessary.
▪ Expect ~85% of work week traveling around state of Indiana