RN - Quality Process

Responsible for Socorro General Hospitals Quality Program including Clinical Quality, Patient Safety and Regulatory/Accreditation compliance. Plans, develops, coordinates, implements and evaluates quality management processes. Leads the development of facility measures (Performance Measurement scorecards and dashboards). Uses data display and statistical tools to interpret data for decision making. Interfaces with SGH departments and PHS entities to gather, measure, analyze, and interpret data from multiple sources in support of clinical programs in patient safety and clinical quality. Prepares and presents data interpretation and recommendations to clinical programs and to appropriate committees. Leads or directs in identifying, designing and documenting analytical solutions by defining, creating, evaluating and selecting alternatives. Develops quality improvement solutions in diverse settings. Advises on sampling mechanisms and provides support with database/spreadsheet development and maintenance. Serves as resource/educator regarding data collection, action plan development, and application of computer technology to continuous quality improvement and patient safety. Demonstrates excellent communication skills to convey technical concepts to both technical and non-technical audiences. Coordinates project data analysis in support of initiatives prioritized by SGH Quality/Patient Safety/Regulatory Committee. Uses established quality methods/tools to document and maintain deliverables. Facilitates development and deployment of action plans/projects using quality, process improvement, and project management tools. Works in a team environment, manages time, and adapts to changes. Facilitates access to data for program administrators and medical directors. Oversees OPPE/FPPE and Medical Staff peer review process. Ensures campus-wide regulatory readiness and training. Supports automated routine reporting for internal/external reports and scorecards. Represents SGH on networks and process management committees. Performs other duties as assigned.