This quality specialist role is responsible for monitoring, analyzing, and doing in depth clinical chart review of key quality metrics foundational to OHSU’s ability to deliver high quality, safe care to our patients and achieve progress on the Healthcare Quality and Safety Priorities. Examples of the type of chart reviews are mortality, AHRQ Patient Safety Indicators, Surgical Site Infections, other Hospital Acquired Conditions, concerns from insurance companies, and other metrics/requests as they arise. 

 

This role is a member of the quality management team and responsible for providing expertise in quality improvement, performance improvement, change management through OHSU Performance Excellence System (OPEx), and OHSU’s Problem-Solving Tenets. They teach, coach, provide consultation on metric development and methodology, goal setting, analysis (including root cause and risk assessment), problem solving, corrective action, evaluation of the effectiveness of action taken and change management. They guide leaders through project work, facilitation, consultation, coaching, education, and reporting in a complex healthcare environment in service of aligning and integrating improvement work under the OHSU Health Quality and Safety Priorities umbrella. They work closely with team members throughout quality management as collaborators, supporting root cause analysis facilitation of safety events, and coaching teams on implementing change. 

 

They promote a culture of diversity, equity, inclusion, and belonging through their interactions and commit to decrease systematic racism and healthcare disparities.  

Daily Work

Bring the intention to deliver quality patient care in a safe environment for employees, achievement of the Healthcare Quality and Safety Priorities and commitment to a climate of diversity, equity, inclusion, and belonging to every relationship and interaction in the workplace.

 

The underpinnings of the QS role are patient centered, quality improvement, performance improvement, change management, and specific healthcare accreditation and program certification requirements.

 

Assignments vary and are adjusted, based on the needs of the organization, scope and complexity of assignments, available resources and balancing the workload of the QS team. The following responsibilities and standards apply to all assignments:

• Builds relationships that result in trust and addresses conflict effectively
• Earns and maintain credibility in role
• Owns personal performance, goals, and education needs 
• Brings a lens of diversity, equity, inclusion, and belonging
• Applies critical thinking skills ·
• *Prioritizes and manages work to meet expectations and asks for help when needed
• Informs manager when the workload of assignments decreases and seeks opportunities to increase assignments, in turn informs manager if the workload is becoming overloaded
• ** Obtains and maintains relevant knowledge and skills and applies it to daily work to include, but not limited to:
  • Tenets of Problem Solving at OHSU and performance improvement methods
  • OHSU Performance Excellence Infrastructure Maturity Matrix
  • Familiarity with ISO and NIAHO QM regulatory requirements (does not include Regulatory Affairs responsibilities)
  • OHSU Management System (OMS) reporting structure and processes 
  • OMS required evidence (documentation) and tools 
  • Data sources
• Evaluates OMS required evidence/documentation and addresses gaps
• Applies project management fundamentals
• Uses effective strategies to navigate ambiguity in the role and workplace 
• Facilitates productive meetings
• Creates and maintains documents that captured and distilled information in a concise and meaningful way

*Depending on the level of experience upon hire, a new QS must be able to juggle multiple projects and tasks in a dynamic healthcare environment. It requires attention to and tracking details, priority setting, coordinating activities, anticipating, and solving problems, while collaborating with individuals in roles from front-line staff to senior leaders with the first year.

 

** Depending on the level of experience upon hire, a new QS must demonstrate understanding of the Tenets of Problem Solving at OHSU, OHSU Management System (OMS) reporting structure and processes, OMS required evidence (documentation) and tools, OHSU Performance Excellence Infrastructure Maturity Matrix and ISO and NIAHO QM regulatory requirements, their interconnectedness and apply this to daily work within 9 to 12 months of hire.

 

Teach, Coach, and Consult

Teaches, coaches, and provides consults to stakeholders applying the underpinning of the QS role and embeds foundational content:

• Tenets of Problem Solving at OHSU and performance improvement methods
• OHSU Performance Excellence Infrastructure Maturity Matrix
• OHSU Management System (OMS) structure, and reporting processes tools and evidence requirements.

Education:

• Bachelor's Degree in Healthcare Related Field

Experience:

• Minimum 3 years recent clinical healthcare experience in a hospital setting. 
• Experience that demonstrates expertise in patient safety concepts and practice including conducting Root Cause Analyses, FMECA, and/or TJC National Patient Goals.

Job Related Knowledge, Skills and Abilities (Competencies):

• Excellent knowledge base of quality improvement processes and tools. A proven record of accomplishment of strong leadership skills to ensure that improvement processes stick, priorities established, and performance goals are met. 
• Systems knowledge and experience in identifying root causes and developing reliable and safe systems.
• Excellent knowledge understanding of statistical analysis and reporting practices pertinent to stable and high performing systems. 
• Evidence of leadership, creativity, initiative and a diplomatic communicator. Ability to effectively work with and communicate with staff in all levels of the organization. 
• Expertise in presenting technical reports and leading group discussions with clinicians and administrators 
• Evidence within last 2 years of working with teams requiring self-direction and excellent written and verbal communication skills. 
• Proficiency in office automation computer software including the Microsoft Office Suite of products.

Education:

• Bachelor of Science in Nursing
• Master’s Degree or evidence of progression toward an advanced degree.

Experience:

• Hospital Acute Care, Critical Care, Surgery, or Medication Management Experience

Job Related Knowledge, Skills and Abilities (Competencies):

• Knowledge and experience in Lean, Human Factors, Simulation, and Project Management 
• Knowledge and experience with program evaluation, qualitative and quantitative analysis, and conductive focus groups. 
• Knowledge of Staticial Process Control

Normal office environment. Generally follows M-F 0800-1700 workweek with variability depending on Clinical Department and project needs.

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.