Summary Site Administration for all quality measures reporting for CMS/Joint Commission quality repositories, download national and hospital specific reports to distribute across the facility; quarterly update of specific data fields as required for CMS compliance. Site lead for Physician data reporting tools such as Crimson, Truven, etc. Oversee abstracting for completing data entry; run reports for monthly core measure (CMS/TJC) data and any adhoc requested report. Submit finalized data entry monthly, and work error reports for successful completion, presenting report data to committee/task force meetings as appropriate and requested. Lead Performance Improvement and Analytics team in identifying new initiatives and implementation of new processes and tracking. Lead team in processing monthly reviews and Premier data submission errors. Provides corrections to site as appropriate and prepare reports for monthly reporting of complications/mortality for CIC/MEC Board. Provides data medical record review related to physician/practitioner quality, supporting Medical Staff Services for JC OPPE FPPE process. Provides additional record review, analysis and interviews, supporting Risk management and the RCA2 process. Analyze monthly quality data from Quality Close Reports, and provides action plans addressing challenges. Coordinates and submits entity level data for Leapfrog bi-annual reports.Provides specific reports for CMO and Quality Officer and others, as requested. Physician Section/Subsection/various Taskforce groups/Quality Committees and other council groups attendance and reporting responsibilities as assigned. Responsible for identifying improvement opportunities that align with eh overall Baptist strategic plan. Performs all other duties as assigned.
Responsibilities - Establish and monitor adherence to regulatory and payer requirements. Establish a consistent process to ensure department staff are updated and prepared to implement changes on time. Included providers and other departments in the communication process as appropriate to the change. 20%
- Ensure the coordination and facilitation of patient care within the facility and at transition points. Incorporate collaboration and coordination with providers, all departments and role along the care continuum. 20%
- Communication with patients, patient families and support persons, nursing physicians, and representatives from other disciplines and entities in a direct and respectful manner. Keeping the patient's best interest at the centered of any discussion. 20%
- Exhibits consistency and integrity in attendance, performance, and providing support the Case Management and healthcare teams. 10%
- Implement processes and resources that support staff to escalate concerns barriers to appropriate treatment or transition. 10%
- Establish and monitor effective department operations. Deploy a staffing plan and incorporate supportive functions that support staff ability to effectively execute their roles while meeting all requirements for documentation, data collections and patient management. Promote consistent operations, implement policies and procedures congruent with best practice. Establish metrics and a report/review process to monitor staff operation and effectiveness. 10%
- Participate and engage staff in performance improvement activities. 10%
Requirements, Preferences and Experience Education Minimum: Master's degree in Nursing, Healthcare Administration, or Clinical Informatics
Experience Preferred: 5 years' experience in Healthcare/Medical specializing in either Case Management or Utilization Review
Minimum: 5 years' general management
Licensure, Registration, Certification Preferred: Registered Nurse (RN), or CPHQ (Certificated Professional in Health Care Quality), certification by other accepted organization
Minimum: Certification in Healthcare Informatics.
Special Skills Minimum: Excellent interpersonal communication multi-tasking and prioritization skills. Able to work effectively with teams in a collaborative manner and escalate issues appropriately.
Training Minimum: Knowledgeable in quality and process improvement metrics, standards and processes
About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer: - Competitive salaries
- Paid vacation/time off
- Continuing education opportunities
- Generous retirement plan
- Health insurance, including dental and vision
- Sick leave
- Service awards
- Free parking
- Short-term disability
- Life insurance
- Health care and dependent care spending accounts
- Education assistance/continuing education
- Employee referral program
Job Summary: Position: 11071 - Director-Data Management
Facility: MBMC - Hospital
Department: JS QRS Data Management MBMC
Category: Information Systems
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:MS:Jackson
Located in the Jackson, MS metro area