Cherokee Indian Hospital Authority
Job Location :
Cherokee,NC, USA
Posted on :
2025-01-01T07:02:32Z
Job Description :
Job Title: Performance Improvement Specialist Job Code: PI SPEC Department: Performance ImprovementDivision: Executive Salary Level: Exempt 2Reports to: Quality Improvement ManagerLast Revised: August 2021Primary FunctionResponsible for working with Executive, Management and line level staff to develop and redesign systems and processes to improve the overall effectiveness of Cherokee Indian Hospital.Job DescriptionCustomer Care and Relationships Creates, develops and nurtures culturally appropriate interactions and connections with each other, customer-owners, and the community. Demonstrates ability of effective Customer Service Skills. Demonstrates skill in developing and maintaining successful working relationships with customers, their families, colleagues, and others.Communications and Teamwork Shares and receives information, opinions, concerns and feedback in a supportive manner. Works collaboratively by building bridges and creating rapport with team members within departments and across the organization. Facilitates improvement work teams. Coordinates meetings of improvement work teams. Works with management to identify members of improvement work teams. Ensures effective meeting management allowing all members to actively participate. Directs the work of the work team in order to meet deadlines and to test change concepts.Ensures effective interpersonal communication within the work team.Improvement and Innovation Makes meaningful improvement to services, program, and processes and/or organizational effectiveness that creates new value for customer-owners and employees. Manages improvement projects and initiatives identified by management. Works with management to define and outline goals and objectives of the improvement initiative. Assists in developing and maintaining processes, systems and action plans. Monitors progress to improvement project milestones. Works with appropriate manager to take any necessary follow up or corrective action. Implements and maintains a tracking and notification system ensuring accurate and timely follow up. Works with managers on developing, implementing and evaluating systems. Assists with and ensures timely and accurate data collection. Assists with researching improvement initiatives and other innovations that could be incorporated into projects. Analyzes work processes using improvement tools and methodology to identify improvement opportunities. Works with management and the improvement team to establish effective measurement and data collection methods. Reviews measures and progress toward aim with management and work team and takes appropriate action. Explores best practices across various industries to bring to the work team. Completes administrative duties to ensure the documentation of processes, procedures and systems. Obtains and documents all necessary information required to define key processes and procedures. Designs and documents processes using flow charting methodology. Documents project teams using standardized charters and improvement tools. Develops and monitor a system to track the status of various work plans and action items. Provides administrative support to the improvement team. Acts as a resource, mentor and trainer for CIHA employees on improvement tools and techniques. Orients employees to improvement tools and processes. Participates and leads training and education to other employees. Demonstrated skill in working in a rapidly changing and innovation healthcare system. Demonstrated skill in the use of improvement tools and principles.Workforce Development Skills and Abilities: Seeks out additional learning opportunities to continue to develop the technical and professional skills needed now and in the future. Takes responsibility for all work activities and personal actions by following through on commitments. Demonstrates skill to efficiently and effectively manage multiple responsibilities. Demonstrates skill to maintain quality, safety and infection control standards. Demonstrates skill in the use of computers and appropriate software. Demonstrates skill to effectively and efficiently make decisions. Demonstrates skill to meet production and attendance standards.Quality and Compliance Knowledge of compliance with all applicable laws, policies, procedures, bylaws, regulatory requirements and best practice guidelines regarding Privacy of Health Care Information and Healthcare compliance. Assists with meeting Joint Commission Standards in conjunction with the Director of Quality and Patient Safety. Includes leading mock tracers, assisting department managers and directors to identify gaps in process and updates to policies. Participation in Periodic Performance Reviews to achieve Joint Commission standards and requirements. Participation in Incident Command as needed Assist with improving processes identified with medication error or other incidents Assistance with completing risk assessments for quality control and improvement Assistance with pulling records for chart auditing Education/Experience/Minimum Qualifications Bachelor's Degree required with an emphasis in a health care, business or education related field preferred r. Will take 6-12 months to become proficient in the requirements of this position.Job Knowledge Must demonstrate ability to communicate effectively with peers and superiors, to speak in front of groups and to communicate in writing policies, procedures, memoranda and training materials. Ability to operate and communicate effectively while under pressure is essential. Extensive knowledge of a broad range of patient care activities, working knowledge of the hospital environment and how the different services and functions interact. Must have ability to work independently, to plan, coordinate and implement projects and to complete projects on schedule. Must be skilled in problem solving, interpersonal relationships in the workplace and conflict resolution. Strong public speaking skill are essential to position Must have strong written and oral language skill Working knowledge of current Indian Health Service RPMS and ICare clinical software applications is preferred. Must have knowledge of current healthcare industry Privacy Act and security requirements.Complexity of DutiesConstantly evaluates and modifies existing systems to meet operational requirements. Must understand all ramifications and effects of any changes to the systems. Must use problem-solving skills and be able to analyze data in performing job duties. Must understand performance improvement tools and have the ability to operationalize those skills in a healthcare organization. Knowledge of LEAN, Six-Sigma or other quality improvement tools is preferred.Supervision ReceivedIncumbent works under the guidance of the Director of Quality/Patient Safety. The ability to plan and work independently is required. The incumbent uses judgment in determining approaches and methodology in planning and in coordinating work with other health center personnel and others. Responsibility for AccuracyProfessional judgment is required to interpret and prioritize quality improvement efforts for CIH. Incumbent shall ensure all data related to improvement projects is accurate and confirmed by either the Director of Quality or Decision Support team members. Contact with OthersInternal professional contacts include the program directors, coworkers, auditors, governmental agencies, vendors, and the general public to exchange, and/or provides information. Interpersonal skills are required along with tact, decorum, and professional etiquette. Incumbent assists in developing contracts and contacts.Confidential DataThe incumbent has access to highly confidential patient medical and personal information. The Health Insurance Portability Accountability Act (HIPPA) mandates that the incumbent shall maintain complete confidentiality of all administrative, medical, and all other pertinent information that comes to his/her attention or knowledge. HIPAA carries both civil and criminal penalties for unlawful disclosure of records. Violations of such confidentiality shall be cause for adverse action.Mental/Visual/Physical EnvironmentClose attention to detail and mental concentration for extended periods of time are required with systems problems and applications. Subject to frequent interruptions requiring varied responses. Must deal with multiple situations concurrently. Physical efforts require mobility, reaching, bending, manual dexterity, and visual acuity, and the ability to lift at least 50 pounds.Work EnvironmentProvides activities from an office setting as well as providing monitoring activities in hospital areas, involves moderate risks of exposure to infectious disease, radiation, and electrical hazards.Customer ServiceConsistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA's guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.
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