Baltimore, Maryland, Essential Functions:
Develops and communicates the goals, objectives and strategic direction of the Quality and Risk function.
Assures compliance of Joint Commission standards, with special emphasis on patient safety, infection control, assuring the use of evidence based practices.
Assures that organization-wide performance improvement initiatives are focused and aligned to improve operational and program efficiencies and effectiveness.
Researches and develops performance management and quality improvement training programs that aim to improve clinical outcomes.
Assesses the quality and accuracy of clinical documentation in patients’ electronic medical record to help ensure compliance with Family Health Centers of Baltimore policies as well as Joint Commission, Medicare, state and federal regulations.
Responsibility for perpetuating the continuum of care, including mastery of Electronic Medical Record (EMR), Chesapeake Region Information System for our Patients (CRISP) health information exchange (HIE) resource tools and patient information.
Surveillance, analysis, reporting and recording activities as well as setting standards and evaluating compliance of practices that are associated with the patient safety and the control of infections.
Facilitate monthly collaborative meetings for the Quality Counsel
Prioritize, anticipate and assess quality improvement needs of the company by identifying educational opportunities for improvement.
Responsible for the review and analysis of clinical data, in accordance with the FHCB Performance Improvement Plan.
Oversee and facilitate annual performance improvement initiatives in each FHCB department.
Monthly review of prescribing patterns and compliance with FHCB policies
Serves as a technical expert on clinical outcome measure data analysis;
Responsible for effectively supporting and monitoring FHCB departmental performance improvement teams.
Facilitates monitoring hospital services at each practice site, making proficient use of CRISP
Monitors and tracks referrals to assure completion
Reviews continuum of care for obstetrical patients and assures accuracy of perinatal reporting
Assures the routine provision of in-service education and consultation to reinforce compliance with Joint Commission standards
Serves as a change agent and spearheads multiple projects to enhance and improve the quality of care and services.
Complies with Infection Control, Standard Precautions, and OSHA standards for the healthcare professional.
Develop and maintain an effective system-wide infection control program within FHCB facilities.
Monitors and evaluate prevalence of healthcare associated infections.
Supports teamwork essential for compliance with accrediting and regulatory agency standards (JACHO, OSHA, etc.) through surveillance, effective, prevention, and control activity specific to outpatient practice settings
Assist in developing and implementing program initiatives, policies, and education related to infection prevention for employees and patients.
Educates staff on principles and techniques of Infection Prevention.
Completes all initial and annual required learning relevant to the role.
Documenting all employee injuries and illnesses within the workplace.
Observe and assess the work environment for potential dangers and hazards.
Remain up to date with current health and safety legislation
Develop and maintain a system wide program to create a healthier and safer environment to reduce disability claims and work related injuries.
Perform pre-placement and periodic surveillance screenings.
Assess and appropriately apply guidelines to manage blood and body fluid exposures, work related injuries, and disease exposure.
Evaluate employees for suitability to work and apply work exclusion guidelines.
Administer vaccines, skin testing, and medication per standing order.
Coordinate and executes program such as respiratory fit testing, vaccination, and wellness campaigns.
Accurately documents data in EMR while maintaining employee confidentiality in all aspects of communication and documentation.
Maintain known of current compliance and regulatory requirements pertinent to occupational health in a healthcare setting.
Develop and deliver education to employees on health and safety topics as needed
Create and deliver educational presentation such as New Employee Orientation, etc.
Bachelor’s degree from accredited college/university; MPA, MA preferred.
Current Maryland License Registered Nurse (RN) or compact state.
Maintenance of current BCLS Certification for Healthcare Providers.
At least two years relevant project management and QI experience; 3 years supervisory experience required
This position requires proficient knowledge of Joint Commission Standards, Infection Control, Plan of Care, and Federally Qualified Health Centers (FQHC) program expectation requirements.
Knowledge of principles related to Patient Centered Medical Home (PCMH), Meaningful Use, and Joint Commission standards.
Knowledge of principles related to Patient Centered Medical Home (PCMH), Meaningful Use (MU) and QI (e.g., Care Model, Model for Improvement, Breakthrough Model) required.
Electronic health record (EHR) experience required.
Understanding of health care reimbursement system, evidence medicine, and quality improvement principles are a plus,
Must be available evening hours and some weekends for health fairs, community based organization meetings and outreach activities.
Experience as an Occupational Health Nurse preferred
Complies with Infection Control, Standard Precautions, and OSHA standards for healthcare professionals.
Experience as an Infection Control Nurse preferred