The Clinical Quality Analyst identifies opportunities to improve patient related processes and outcomes. Responsible for coordination and implementation of performance improvement, quality initiatives and ensuring regulatory compliance. Engages in systematic chart review/analysis, abstraction of data from multiple sources/systems and collaborates with interdisciplinary teams.

Education, Licensure and/or Work Experience Requirements:

• Experience Preferred: Minimum 3-5 years clinical experience in quality and performance improvement, data collection, statistical analysis etc.
• Education Qualifications: Bachelor’s degree in healthcare related field (preferred)

GENERAL DUTIES

Patient Safety:

• Facilitates the reduction of preventable harm by facilitating safety and quality teams.
• Trains and educates leaders, managers and frontline staff on patient safety.
• Implements evidenced based practices to reduce harm in coordination with clinical teams.
• Reviews incident reports and follows-up as needed.

Quality Improvement:

• Develops performance improvement project charters, timelines, PDSAs and key deliverables.
• Assists with development of performance improvement indicators and serves as a resource for plans to improve compliance of the identified indicators.
• Acts as an education resource to healthcare workers and medical staff.
• Facilitates multidisciplinary teams to reduce the incidence of hospital acquired conditions.

Quality/Safety reviews:

• Performs data abstraction for quality, drug review, adverse drug reactions, mortality, HACs, outpatient medical record review (as assigned) and all other approved indicators.
• Prepares summaries for presentation to physician reviewer, enters data into computer for statistical compilation, information retrieval and tracking.

Clinical Resources:

• Assists in developing/revision of clinical policies and serves as a resource in ongoing development of job descriptions and competencies.
• Works with the EPIC Team to ensure standard compliance and complete medical records.

Regulatory Standard Compliance:

• Coordinates compliance with all hospital departments for the regulatory agencies such as Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), Department of Health and Hospitals (DHH), The State of Louisiana, etc.
• Performs ongoing review of regulatory standards and provides education related to standards.
• Communicates pertinent information on current requirements of the Joint Commission and other accrediting, licensing, and reviewing bodies to facilitate preparation for surveys performed by external regulatory agencies.