Responsible for collecting and analyzing clinical data; discovering the root cause for specific patient care trends and implementing appropriate action plans; training and educating the staff to promote good quality practices and ensure compliance with all applicable laws and regulations; working with leadership and staff to create policies and procedures that ensure good quality care and minimize harm to the patient; and constantly performing follow-up evaluations of data and organizational performance to ensure consistent improvement.

SHIFT AND SCHEDULE

Full Time, Monday - Friday; 8:00 AM - 5:00 PM

ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS

· Is responsible for accurately collecting clinical data for the performance improvement or patient safety activity assigned and analyzing the data to detect patterns and trends in care delivery.

· Is responsible for discovering the root cause for specific patient care trends and developing and implementing action plans to improve performance.

· Is responsible for training and educating the staff to promote good quality practices and ensure compliance with all applicable laws and regulations.

· Is responsible for working with leadership and staff to create policies and procedures that ensure good quality care and minimize harm to the patient.

· Is responsible for constantly performing follow-up evaluations of data and organizational performance to ensure consistent improvement.

· Is responsible for supporting organizational programs and initiatives; including the organization’s strategic goals.

EDUCATION AND EXPERIENCE

· Must have a current license as a Registered Professional Nurse in the state of Texas or equivalent degree in healthcare. A baccalaureate degree is preferred. A Master’s degree is desirable.

· Must have at least five (5) years of hands-on acute care clinical experience.

· At least one (1) year of experience with data management or one (1) year as a member of a quality committee is preferred.

· Able to apply basic principles and tools of performance improvement to a wide range of problems.

· Language Skills:

   o Able to read and interpret medical record documentation and Hospital policies and procedures.

   o Able to communicate effectively with patients, families, hospital staff, medical staff and the general public.

· Mathematical Skills:

   o Able to graph data collected to aid in performance improvement.

PHYSICAL REQUIREMENTS
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions. The individual must be able to:
·Stand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift
device or get another individual(s) to assist with the lift that is over these maximum limits.