The Quality Outcomes RN plays a critical role in improving patient care quality and leading evidence-based improvement efforts in acute and ambulatory care settings. Responsibilities of the role include working collaboratively with multidisciplinary teams to identify and address improvement opportunities, ensuring compliance with regulatory and accreditation requirements, analyzing data from multiple sources to inform action and performing proactive assessments of care delivery processes to identify issues before harm occurs to staff or patients. The Quality Outcomes RN utilizes expertise in clinical practice from experience and knowledge of evidence-based practice as well as process improvement skills, to develop and implement strategies that support high reliability and improve clinical outcomes

Professional Engagement and Quality Leadership
*Engages in activities that enhance competence as a healthcare quality professional such as attending webinars, reading journals, list-serve participation, and ensuring that knowledge of evidence-based practice remains up-to-date.

*Advances healthcare quality throughout the organization by providing training and resources for clinical leaders and staff on how to interpret and respond to quality data and utilize process improvement tools to achieve desired outcomes.

*Develops and implements quality improvement plans that advance the organization’s mission and goals.

*Serves as expert advisor on multidisciplinary committees and teams focused on clinical outcomes. Assist with identifying and implementing strategies that address opportunities to improve the care delivery process.

*Facilitates communication and collaboration among different departments to promote a culture of continuous improvement.

*Shares knowledge and results of successful quality activities through written publications and presentations for peer groups in internal, external, national or international professional settings.

Quality Review and Accountability
*Supports peer-protected processes such as Ongoing Professional Practice Evaluation (OPPE), Mortality and Morbidity (M&M) committees and safety event analysis by providing expert clinical review using knowledge of expected outcomes and evidence-based practice.

*Communicates accountability reporting requirements and criteria (e.g., measures, benchmarks, thresholds) to stakeholders in a manner that is credible and intelligible to the intended audience. Audiences vary from front-line staff to executives and the board.

*Demonstrates knowledge of the impact of healthcare payment models as they apply to quality measurement and improvement programs.

*Analyzes the appropriate utilization of healthcare services and identify opportunities to improve the care delivery process by making it more efficient and effective.

* As part of the Quality Outcomes RN role, duties as a Metabolic Bariatric Surgical Coordinator will be responsible for the following duties in the next three bullet points.

*Serve as the primary liaison between Flagstaff Medical Center and the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).

*Ensure ongoing compliance with MBSAQIP standards and responsible for maintaining the accreditation process.

*Assist in maintaining the documentation of the call schedule provided by all covering surgeons, as well as providing access to the call schedule to all departments of our facility that provide care for metabolic and bariatric patients.

Quality Leadership and Integration
* Advance healthcare quality throughout the organization through collaboration, learning opportunities, and communication.

* Participate in processes that engage stakeholders and promote interprofessional teamwork.

* Assist with learning opportunities that advance healthcare quality throughout the organization such as preparing presentations for department level meetings and rounding on nursing units to provide just-in-time education.

* Communicate effectively with nursing staff, providers, patients, and leadership to achieve quality goals.

Health Data Analytics/ Performance and Process Improvement
*Applies statistical and visual methods to analyze data for administrative and clinical decision making. Include an ongoing assessment of key performance metrics to identify areas for improvement.

*Applies a range of quality improvement tools and techniques (e.g.. 5 Whys, Value Stream Mapping, Failure Modes Effects Analysis, and Root Cause Analysis) to identify, define, and design solutions to address opportunities based on benchmarking, goal comparison, data analysis, and corrective actions.

*Develops and organizes system-wide dashboards and scorecards that provide actionable insights into leading and lagging metrics to inform organizational priorities and annual initiatives. Analyzes existing data and trends to determine if interventions are working as designed.

*Coaches and/or mentors operational leads of committees, subcommittees, and workgroups in the utilization of NAH process improvement methods and available tools.

*Tracks control plans to ensure sustained results and takes action to remediate the plan if necessary.

*Advises on future data and information needs to better support the organization’s quality goals.

Compliance/Safety
*Applies safety science principles to proactively identify opportunities within care delivery processes to identify issues before harm occurs to staff or patients.

*Responsible for reporting any safety-related incident in a timely fashion through the Safety Event Reporting tool attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

*Ensure compliance with federal, state and local healthcare quality and safety standards and regulations.

*Promote compliance with voluntary, mandatory and contractual reporting requirements for data acquisition, analysis, reporting and improvement.

*Supports specialty-specific programmatic accreditation processes connected with assigned service lines and associated accrediting bodies.

*Stays current and complies with state and federal regulations/statutes and company policies that impact the employee’s area of responsibility.

*If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

*Completes all company mandatory modules and required job specific training in the specified time frame.

*Performs other duties as assigned.

Education
RNs hired on or after 7/1/2016: Must graduate from a BSN program within 6 years of hire into an RN position.

Existing Staff RNs: RNs hired before 7/1/2016 are not mandated to have a BSN, but are encouraged to pursue a BSN degree.

Certification & Licensures
Masters in Nursing or Healthcare Related Field- Preferred

Active, unrestricted, Arizona RN License - Required

Certified Professional in Healthcare Quality (CPHQ)- Preferred

Lean Six Sigma Healthcare Course/Certification- Preferred

Experience
Minimum of 3 years clinical practice in acute care, ambulatory care, healthcare-related evidence-based practice, research, or quality – Required

Experience as a formal or informal leader in local or system process improvement initiatives - Required

Experience mentoring and motivating colleagues to achieve practice excellence - Required

Experience networking with multiple healthcare professionals and identifying stakeholders when planning practice change - Required

Experience with data management and ability to interpret data and implement change based on factual information - Required

Experience with data mining and analysis - Preferred

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.