Medical Staff Peer Review Coordinator
Job description
Job Title:
Medical Staff Peer Review CoordinatorReq:
2023-0460Location:
Department:
Outcomes ManagementShift:
Type:
FTE:
1Hours:
City State:
Renton, WASalary Range:
Min $88,168 - $140,185/annual. DOE
Job Description:
Job Description
Outcomes Management
The 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 Coordinator
JOB OVERVIEW: Responsible for supporting and facilitating ongoing organization-wide and medical staff quality management, patient safety and performance improvement programs and activities.
DEPARTMENT: Outcomes Management
WORK HOURS: Typically, Monday - Friday 8:00am - 4:30pm. Some flexibility may be required to meet department and organization needs.
RESPONSIBLE TO: Director, Quality & Patient Safety
PREREQUISITES:
Bachelor's degree in nursing or other health care related field of study; Master's degree preferred
Minimum five year's recent experience in acute health care setting - particularly in Critical Care or medical/surgical nursing
Experience in quality improvement role preferred
Experience in Process Improvement Models - e.g. IHI Model for Improvement, Deming principles, Lean, PDCA, Six Sigma, etc. preferred
CPHQ preferred
QUALIFICATIONS:
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 Competencies
Collaborate with Medical Director of Medical Staff Services to support and participate actively on Medical Staff Peer Review committees including:
Scheduling committee meeting
Planning of agenda
Screening and disseminating case reviews to members
Facilitating measurement system management, including collecting, analyzing and presenting rates/rules and other information for evaluation of practitioner performance
Completing minutes as required
Facilitating committee processes, to support timely and unbiased reviews
Facilitating follow-up as indicated, such as coordinating distribution of letters to medical staff and tracking of case reviews
Familiarity with Medical Staff bylaws, policies and procedures
Coordinate and produce accurate, complete and timely reports as scheduled or requested
Identify and report variations in clinical care that require immediate action
Function as a resource to explain the structure and process for assessing, maintaining, and distributing information on practitioner performance review
Function as a resource to physicians in the analysis, interpretation and use of data for decision-making and performance improvement
Utilize internal and external comparative data sources to identify improvement opportunities
Apply current literature and knowledge of best practices to develop improvement strategies
Support collection, analyses and interpretation from multiple data sources for ongoing quality management activities of the medical staff
Produce 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 review
Collect, 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 file
Collaborate with data analysts, QI Specialists, Patient Safety Specialists, Risk Management and Regulatory teams
Support the organization during TJC and DOH visits as a navigator or scribe
Network with peers at other organizations within the local community; participate on UWMedicine work groups related to role, in order to advance best practices within specialty
Maintain confidentiality of individual patient and medical staff information
Perform other duties as assigned to meet patient/program needs including participation in orientation of new staff.
Revised: 3/21
Grade: NCNM28
FLSA: E
CC: 8715
Job Qualifications:
PREREQUISITES:
Bachelor's degree in nursing or other health care related field of study; Master's degree preferred
Minimum five year's recent experience in acute health care setting - particularly in Critical Care or medical/surgical nursing
Experience in quality improvement role preferred
Experience in Process Improvement Models - e.g. IHI Model for Improvement, Deming principles, Lean, PDCA, Six Sigma, etc. preferred
CPHQ preferred
QUALIFICATIONS:
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.
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