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Job Description




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University of Utah Job Description


Patient Sensitive
Job Title: Quality Improvement Spec
Job Code: 0200 Grade/FLSA: UGR/Exempt
Updated By: Derrick Maylone - 05/12/2021 09:25:11 am

Job Summary

This position is responsible for assisting the medical and hospital patient care staff in ensuring quality patient care and compliance with State Rules and accreditation requirements through quality improvement (QI) program design, and data collection, analysis and presentation.

Qualifications

Required

  • Bachelor's degree in a health care field or equivalency.
  • Two years of clinical or related hospital experience.

Preferred

  • A current Utah License to practice nursing.

This position is patient-sensitive and must fulfill all associated requirements. We protect our patients, coworkers and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification.  It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Essential Functions

  • Designs QI studies, develops criteria for evaluation, and assists assigned hospital departments with appropriate data collection and data analysis.
  • Reviews and interprets patient care information, discharge summaries, operation reports, and other data sources used to assess quality care issues.
  • Creates reporting documents for departments to use for tracking QI activities, trends and patterns, and identifying opportunities for improvement.
  • Provides education on data analysis and utilization of information to clinical QI teams.
  • Attends and may facilitate department QI meetings, providing "expert" input regarding problem identification and resolution, continuous quality improvement (CQI), and other patient care and accreditation activities.
  • May provide ongoing clinical support to Hospital programs by reviewing and logging charts and incident reports, and recording improvement activities and results.
  • Monitors daily QC, performs weekly and monthly QC and tracks/manages completion of vendor performed periodic maintenance on all laboratory equipment.
  • Oversees inventory control for supplies and reagents. Monitoring supply levels, ordering, tracking vendors, receipt and verification of incoming supplies, quality release into usable inventory and restocking work areas.
  • Assists the QA manager in tracking and trending Quality Indicators, writing and executing validation plans and SOPs, deviation management, root cause analysis, carrying out CA/PA and other Quality Assurance duties as dictated by management.

Problem Solving

  • Knowledge of "Quality Improvement" ideals with experience in a quality program (problem identification/investigation, root cause analysis, CA/PA).
  • Excellent written and verbal communication skills and attention to detail.
  • Demonstrated human relation and effective communication skills.
  • Ability to perform the essential functions of the job as outlined in the position description.
  • Current knowledge of State and accreditation regulations.

Comments

Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
Disclaimer
This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

The above job description reflects the general physical and mental demands and environmental conditions required to perform the essential functions for this position. Nothing in this job description restricts management’s right to assign or reassign duties to this job at any time. The University of Utah Health complies with the Americans with Disabilities Act, as amended and Sections 503 & 504 of the Rehabilitation Act, and extends reasonable accommodations to qualified applicants or employees with disabilities. A qualified applicant must be able to perform the essential functions of the job, with or without a reasonable accommodation.

The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.  The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.



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