BWH QI Coordinator Position Available In Norfolk, Massachusetts

BWH QI Coordinator Bournewood Health Systems – 3.5

Brookline, MA Job Details Full-time Estimated:

$46.2K – $63.4K a year 17 hours ago Qualifications Mid-level 3 years Associate’s degree

Full Job Description Position Summary:

The QI Coordinator works with the CNO, Director of Support Services, COO, Department Heads, and the Executive Assistant to the

CEO /CMO

to assist with QI functions and administrative tasks and completes these tasks accurately and in a timely manner.

Essential Job Functions:

Organizes all activity relating to the Quality Improvement Committee including the data collection processes for chart audits for The Joint Commission Oryx project and plans of action, agenda and minutes. Tallies patient satisfaction surveys monthly for hospital and outpatient programs. Ensures that CMS QNet report is reviewed by the QIC Committee. Facilitates a FMEA for the organization as required as directed by the CNO. Reviews and tracks incident reports for the CNO to help the organization to identify potential trending occurrences as needed. Serves as administrator for the organization’s access to Press Ganey and ensures annual completion of facility profile form. Assists the QIC members in preparing QI reports, prepares spreadsheets to display data as requested. Distributes and tallies annually hospital wide staff safety survey. Maintains documents for upcoming accreditation surveys from the Joint Commission and assists in completion of measures of success post survey for Support Services Department & Pharmacy Therapeutics Committee. Works with the Chief Nursing Officer to assure that the QI Plan is continually documented, updated, and revised as necessary. Works with the Director of Support Services Department on projects as needed including organizing paperwork and preparing for Safety/EOC Committee. Schedules and tracks inspections for the Building Maintenance Program at both the Brookline and Woburn sites. Maintains documentation of the Building Maintenance Program for survey inspections including a monthly status report to the Director of Support Services. Ensures recall notices are reviewed by appropriate staff to minimize use of recalled equipment or food. Maintains documentation of recall notices. Maintains the safety data manual and provides company vendor with changes of products to ensure accurate information is accessible to staff under the direction of the Director of Support Services. Organizes the Safety/EOC Committee meeting minutes, agendas and action plan. Organizes the P&T Committee meeting minutes, agendas and action plan. Maintains Bournewood’s pager distribution and pager maintenance for the Director of Support Services including pager invoice review; and assists with pager usage instruction as called upon. Provides back up administrative support in absence of Executive Assistant to the CEO/Medical Staff to include taking minutes, distributing mail, and DOC schedules. Completes special projects or any other duties as assigned by the Executive Management Team. Takes employee photographs at orientation and maintains employee photo database to keep current. Maintains Affiliation Agreements for Care for the Chief Operating Officer. Trains new and covering staff as needed.

Education & Experience:

Graduate of accredited college/university or business school. Minimum three years’ experience in comparable position.