MANAGER OF CLINICAL EXCELLENCE & NATIONAL DATABASE OF NURSING QUALITY INDICATORS (NDNQI) Job Number: 00125864
Job Posting: Jan 5, 2022, 7:02:26 PM Closing Date: Jan 20, 2022, 5:59:00 AM Full-time Shift Start Time: 8:00 A.M. Shift End Time: 4:30 P.M.
POSITION SUMMARY
LOCATION: JOHN H. STROGER, JR. HOSPITAL
SHIFT: 8:00 AM - 4:30 PM
The Manager of Clinical Excellence & National Database of Nursing Quality Indicators (NDNQI) is responsible for identifying and analyzing patient safety events, facilitating performance improvement activities, and ensuring compliance with accreditation standards. Serves as a resource on quality and patient safety matters. Implements quality, patient safety, and regulatory standards in all clinical areas through education, facilitation, and coaching. The Manager Clinical Excellence & NDNQI will have direct involvement in improving the quality and safety of care through risk assessment and quality improvement techniques.
This position is exempt from Career Service under the CCH Personnel Rules.
General Administrative Responsibilities
Collective Bargaining
- Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
- Participate in collective bargaining negotiations, caucus discussions and working meeting
Discipline
- Document, recommend and effectuate discipline at all levels
- Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective
Bargaining Agreements
- Initiate, authorize and complete disciplinary action pursuant to CCHHS system rules, policies, procedures and provision of applicable collective bargaining agreements
Supervision
- Direct and effectuate CCHHS management policies practices
- Access and proficiently navigate CCHHS records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Management
- Contribute to the management of CCHHS staff and CHHSS' systemic development and success
- Discuss and develop CCHHS system policy and procedure
- Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire. transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
- Work with Labor Relations to discern past practice when necessary
Typical Duties
- Performs duties of the NDNQI data collection, analysis, and report generation.
- Facilitates development of quality metrics; guides development of area specific dashboards and assists in tracking and trending data.
- Analyzes trends of performance metrics, identifies opportunities for improvement, and develops action plans.
- Interprets quality metrics and identifies opportunities for improvement, and develops action plans
- Collaborates with and trains individuals and teams to implement monitoring and measurement tools, and data analysis techniques.
- Facilitates quality efforts and coaches others in the development of performance improvement activities with an emphasis on process redesign and measurement.
- Identifies industry best practices and assists with the annual development of the NDNQI performance metrics, nurse satisfaction and clinical outcomes plan.
- Provides education and training on patient safety and advancing the culture of safety at Cook County Health (CCH).
- Performs other duties as assigned.
Reporting Relationship
Reports to the Director of Nursing Excellence & Magnet Designation
Minimum Qualifications:
- Bachelor's degree from an accredited college or university. (Must provide official transcripts at the time of interview)
- Four (4) years of healthcare experience in the field of Quality, Patient Safety, and/or Data Analytics.
- One (1) year of experience managing the National Database of Nursing Quality Indicators (NDNQI) program.
- Experience in creating, managing, analyzing, and interpreting clinical data for outcomes.
- Intermediate proficiency with Microsoft Office (Work, PowerPoint, Excel) (A test may be administered.)
Preferred Qualifications
- Masters' degree in Business or a health care related field from an accredited college or university
- A health care clinical licensed professional (e.g. Registered Nurse, Pharmacist, Physical Therapist, Occupational Therapist, Dietician, Licensed Social Worker, Licensed Clinical Social Worker, etc.)
- Certification in healthcare quality and/or patient safety
- Two (2) years of supervisory or managerial experience
- Project management experience
- Working knowledge of Joint Commission, Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Quality Forum (NQF), and Institute for Healthcare Improvement (IHI)
- Knowledge of Lean concept
Knowledge, Skills, Abilities and Other Characteristics
- Must always demonstrate respect and collaboration in team activities and be able to demonstrate a record of such achievement
- Must have excellent communication skills and the ability to clearly communicate verbally, in person, and in writing with the health care team
- Ability to multi-task, prioritize, plan and organize projects and tasks while meeting deadlines
- Demonstrate analytical and organizational problem solving, critical thinking, and conflict management/resolution
- Ability to manage critical situations and carry out responsibilities in a professional manner at all times.
VETERAN PREFERENCE
PLEASE READ
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.
To take advantage of this preference a Veteran must :
- Meet the minimum qualifications for the position.
- Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
- Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable.
OR
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference.
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW
MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION
BENEFITS PACKAGE
- Medical, Dental, and Vision Coverage
- Basic Term Life Insurance
- Pension Plan
- Deferred Compensation Program
- Paid Holidays, Vacation, and Sick Time
- You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
