Quality and Safety Analyst II

• 1. Works closely with executive leadership and other quality, safety, and infection prevention team members to plan, design, develop, implement, and test data collection and monitoring systems to improve data quality and access.
• 2. Leads the development of dashboards and scorecards to monitor the progress of critical quality and patient safety metrics and reporting to clinical and operational stakeholders.
• 3. Participates in strategic planning of system objectives by forming and providing benchmarks and KPI proposals.
• 4. Develops communication tools/reports to assist internal and external customers in interpreting new/updated clinical data measure guidelines and their impact on clinical data results, workflows, or data input methods.
• 5. Consults on new data project requests or changes/updates to current builds to identify the impact on existing workflows and data products.
• 6. Works regularly with publicly reported measures including, but not limited to, Centers for Medicare Services (CMS) and QualityNet, Vizient, Agency for Healthcare Quality (AHRQ), LeapFrog, US News & World Report, and clinical registries and can translate the impact of changes to these programs through data.
• 7. Provides consultation related to mandated data collection, submission, and presentation to NHSN, CMS, DPH, and other entities. As well as coordinate/assist with internal and external audits.
• 8. Serves as a Vizient resource on Vizient data and reporting methods.
• 9. Extracts and performs analysis of data in various formats from various sources and benchmarking platforms (i.e., Vizient, Press Ganey, Redcap, ICON, EPIC, NHSN, CMS, Tableau, Chime, Registries, HDI)
• 10. Actively seeks to understand and bridge gaps in methodologies between different systems; can identify variation across data sets and works to resolve data quality concerns in collaboration with the Joint Data Analytics Team.
• 11. Provides expertise in data collection methods, including the content and format of standard and computerized data collection forms.
• 12. Executes standard and complex statistical analysis and independently chooses statistical methods to provide the appropriate decision-making information to stakeholders.
• 13. Uses parametric and nonparametric models, regression analysis, variance analysis, sequential analysis, statistical inference, and other statistical tests as appropriate to analyze data and provide performance projections and models.
• 14. Serves as a resource to others using Excel, SharePoint, SPSS, Visio, and statistical, SQL, and CQL software programs.

EDUCATION

Bachelors Degree Required. Master's Degree in Statistics, Data Analytics, MPH, MHA, MBA, or similar, with experience in clinical data analysis and statistics preferred

EXPERIENCE

Two (2) to three (3) years of experience summarizing, analyzing, and reporting clinical information.
Experience synthesizing complex requirements into actionable tasks and data outcomes.
Expertise in data visualization, with the ability to display critical results across organizational levels and transition between technical audiences and C-suite.
Familiarity with Epic and Epic data structures, Tableau, or the principles of providing curated data sets optimized for visualization.
Experience working on cross-departmental initiatives and programs, collaborating with cross-departmental teams from design to execution in expedited time frames in technology or healthcare.
Strong organizational skills
Understanding of the healthcare environment and trends in healthcare technologies
Proficiency in Excel and PowerPoint

LICENSURE

Certified Professional in Healthcare Quality (CPHQ) OR Certified Professional in Patient Safety (CPPS) is preferred; it is required to become certified within two years of hire.
Clinical License Preferred

SPECIAL SKILLS

Decision Making: Ability to make decisions guided by precedents, policies, and objectives.
Problem Solving: Ability to address problems that are highly varied, complex, and often non-recurring, requiring staff input and innovative, creative, and Lean diagnostic techniques to resolve issues.
Independence of Action: Ability to set goals and determine how to accomplish defined results with some guidelines. The Manager/Director provides broad guidance and overall direction.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to communicate effectively with medical center staff, patients, families, and external customers.
Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices, and policies and use them in complex, varied situations.
Teamwork: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows.
Customer Service: Ability to provide an elevated level of customer service to patients, visitors, staff, and internal and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem-solving. Ability to remain calm in stressful situations.