Capital Health is the region's leader in advanced medicine with significant investments in advanced technologies and the best physicians. Comprising its two hospitals (Capital Health Regional Medical Center in Trenton and the Capital Health Medical Center - Hopewell) and the Capital Health - Hamilton outpatient facility, Capital Health is a growing healthcare organization that is accredited by The Joint Commission. Capital Health has also received Magnet® status for the fourth consecutive time in recognition of its quality patient care, innovations in professional nursing practice, and nursing excellence. Only 29 organizations in the country have received Magnet status four times and five of those organizations are in New Jersey. In addition, our nursing team received special recognition for excellence in stroke and outpatient emergency care.
*Facilitates performance improvement and patient safety activities of hospital and medical staff in accordance with accreditation, regulatory and other requirements, including continually monitoring requirements, practices and medical staff/hospital needs for purpose of modifying monitoring activities.
*Performs initial screening and analysis of reported events, conducts data abstraction and facilitates meaningful case review and documentation. Implements and monitors physician and performance improvement-specific tracking, trending and reporting.
*Analyzes trends and identifies key measures; acts upon trends and measures identified.
*Collaborates with medical staff and other clinical leaders to ensure compliance with regulatory and accreditation requirements.
*Leads, facilitates and supports performance improvement (PI) and patient safety initiatives and activities for assigned area to promote clinical excellence and patient safety.
*Performs analysis and trending of data through review of reported events, case screening and data abstraction.
*Prepares and designs meaningful reports that include statistical analysis, interpretation, monitoring and benchmarking of clinical data.
*Understands data definition, abstraction and benchmarking requirements to facilitate meaningful data collection, interpretation and presentation.
*Designs and maintains database system for compilation and reporting of program metrics with incorporation of benchmarks and comparative data.
*Develops meaningful dashboards and reports for departments, divisions, committees and staff
*Utilizes PI methodology and PI tools, such as flow mapping, fishbones and root cause analyses, to facilitate and drive process improvement.
*Develops and monitors action plans
*Investigates quality of care concerns from providers, payers and patients/families.
*Participates in other initiatives and programs and performs other duties as assigned by director of department
*Oversees and maintains the confidentiality of sensitive information.
*Attends in-service training sessions and seminars to maintain and improve knowledge of performance improvement techniques.
*Master's degree and related certification preferred.
*Three years of related experience.
*Five years of experience in a healthcare environment preferred.
*Experience with data analysis and management of clinical databases.
*The position can be filled by an RN or someone with relevant experience who is not a nurse.
*Low employee expense for medical and dental insurance
*403(b) Savings and Retirement Program
Easy commute from PA and major NJ routes.
Find out why our 3000+ employees have chosen Capital Health.