RN-Quality Specialist

Department/Unit:

Stroke Center

Work Shift:

Day (United States of America)

Salary Range:

$84,783.00 - $131,414.00The Quality Specialist is responsible for providing guidance to department managers, teams and staff in the analysis, management and improvement processes and systems of the organization using continuous quality improvement (CQI) and Plan, Do, Check, Act (PDCA) principles. The individual is responsible for helping teams ensure a quality program is maintained throughout the organization insofar as the program requires analysis, collection, reporting and use of performance improvement material and techniques. This is accomplished through training in and applying performance improvement tools and techniques, researching and presenting evidence-based practice/literature, providing benchmarking, collection or analysis support and other duties as assigned. This position has a significant impact on the program through supporting regulatory requirements, directly managing authoritative clinical registries, and participating in performance improvement initiatives.

The Stroke Quality Specialist is responsible for the following:
 •    Patient list management and validation
•    Concurrent chart reviews and feedback
•    TNK/MER reviews and dissemination
•    Any auditing for regulatory purposes (we have backed off on cleviprex audits
•    Exception reporting/abstraction management
•    M&M/Datix reviews
•    Quality improvement 
-    pulling measures
-    identifying fallouts
-    researching fallouts
-    data correction in registry, coding 
-    repulling measures
-    Press Ganey data pull
-    Vizient mortality data pull 
-    preparing presentation
-    stroke mimic case entry 
-    i67 cases entry 
-    Managing issues/concerns that come out of QIT  
-    Slicer dicer data pull for all of the aneurysm procedure codes and identification of any other aneurysm repair patients that don’t fall into the list 
•    Quality committee preparation (scorecard) 
•    DNV preparedness and survey response/work
•    AHA updates/webinars
•    Assistance with staff education
•    TNK Workgroup preparation
•    Stroke team discussions and planning 
•    Community events (Blood pressure tables, community education)

Thank you for your interest in Albany Med Health System!​

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.