Cardiovascular Quality Case Coordinator

ID
2017-21303
Department
EP LAB
Work Hours
0630-1700*
Position Type
Regular Full-Time
Hours Per 2-Week Pay Period
80 Hours
US-NY-Plattsburgh
Weekend Requirements
Weekends and holidays as scheduled

Overview

The Cardiovascular Quality Case Coordinator monitors, collects and analyzes data and case reviews for complications and overall quality of care based on accepted criteria and/or established practices. The Cardiovascular Quality Case Coordinator in utilizing these skills assists the Medical Center in providing optimal care in a cost effective manner. The Cardiovascular Quality Case Coordinator’s role in data collection, analysis and summarization supports the Medical Center’s performance improvement, risk management, Medical Staff, and external agency programs.

 

The Cardiovascular Quality Case Coordinator utilizes his/her skills to manage internal and external resources to facilitate appropriate resource utilization of age specific patient populations, which spans from newborns to geriatrics. Acting upon opportunities for process improvement, management of high-risk cases and sentinel events, and achievement of acceptable outcomes the Cardiovascular Quality Case Coordinator focuses on customer satisfaction and optimal performance

Special Criteria Details

*WAIVER REQUIRED

Responsibilities

  1. Coordination of all information collection and reporting activities of the Cardiac Surgery Program, PCI Program, and other Cardiovascular programs determined at the discretion of the Cardiovascular Service Line Director.
  2. Responsible for tracking Cardiovascular Services DRG’s volume, financial state, length of stay data and procedure cancellation on a monthly / quarterly basis and generating reports for Cardiovascular Quality Forum meetings.
  3. Maintains the Cardiovascular quality matrix and provides physicians and administrative staff with monthly / quarterly reports, including analysis and potential recommendations.
  4. Functions as a consultant in data collection / analysis for nursing units and Medical Staff in Cardiovascular Services.
  5. Quality analysis – Collate, analyze and summarize study data to include conclusions related to research and benchmarking.
  6. Identifies, investigates, and follows through with sentinel events and/or Risk Management cases that need specific and/or immediate peer review and intervention.
  7. Assists Cardiovascular Services including the Medical Staff with interpretation and compliance of regulatory requirements for NYS DOH, The Joint Commission, IPRO and other state and federal programs.
  8. Reviews identified records in a timely manner. Sets and meets deadlines for quality reviews, reports, committee preparation and presentation.
  9. Meticulously reviews events selected in medical records for standards of care and practice inconsistencies.
  10. Coordinates and facilitates morbidity and mortality review internally as well as collaboratively with St. Peter’s Hospital
  11. Networking – establishes an internal networking system. Includes age specific needs / requirements within these networks.
  12. Works with Physician Leaders on utilization, quality and risk issues, and educational process. Supports Medical Staff credentialing process through profiling initiatives.
  13. Participates in departmental in-services, staff meetings, relevant educational seminars, and quality improvement activities.
  14. Performs team facilitation duties as assigned.
  15. Performs all steps of focused reviews and completes work timely:
    • Literature search
    • Tool development
    • Data collection
    • Data analysis and benchmark
    • Presentation of results
    • Follow up
  16. Other duties as assigned.

Qualifications

  1. Current New York State Registered Nurse license required.
  2. S. Degree preferred.
  3. CPHQ required. If not present at hire, required at one year.
  4. Minimum five years of clinical nursing experience to include specialty units and Cardiology required.
  5. Invasive Cardiology experience will be considered first.
  6. Quality assurance/risk management occurrence investigation experience preferred.
  7. A high level of interpersonal skills and professional poise to interact with Medical Staff, other department staff and Medical Center management is required.
  8. Assessment and goal setting skills, project/time management skills, and problem solving skills are required.
  9. Knowledge of Department of Health, The Joint Commission, and Medicare regulations are required (e.g. NYPORTS, Core Measures, IPRO)
  10. Knowledgeable in managed care processes is required. (Groupwise, MIDAS, Clinicians Access)
  11. Computer Skills required, including Microsoft and Office applications.
  12. Good written skills.
  13. Working knowledge of statistical tools.
  14. Performance Improvement teaching skills preferred.
  15. Utilization review and discharge planning experience preferred.
  16. Education and presentation experience preferred.

As applicable, the individual has training/competency in attending to the special needs and/or behaviors appropriate to the age of the patients for which care is being provided.

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