Quality Improvement RN

Description:

Risk Management:

• Serve as the Risk Manager for TFH.

• Complete annual risk management training.

• Report to the board annually covering key goals tracked by the individual departments, areas of continued/mitigated risk and ongoing performance.

• Summarize quarterly Incident reports, Complaints and Article 31 Incidents as presented to the Safety Committee.

Quality Improvement:

• Work in consultation with the Quality Improvement Team to audit medical records.

• Participate with developing and revising Policy and Procedure manuals for the Emergency Preparedness and Safety programs at TFH.

• Audit charts for valid release of information, correct VFC eligibility and appropriate email addresses obtained at registration time; report findings.

• Coordinate review and update of Forms on a yearly basis and as needed.

• Encourage TFH staff to practice the reporting of incidents in a timely fashion to promote Quality Improvement and safety in the work place.

• Arrange and monitor quarterly testing for fire drills and security drills.

• Conduct monthly audits reporting results to appropriate Directors, and the QI/ Compliance Committee.

• Lead monthly QI meetings and ensures all TFH departments report measures and outcomes on a quarterly basis.

• Monitor completion of QI assessments and Quarterly reporting of outcomes.

Requirements:

Registered Nurse with QI experience, managerial/supervisory skills

Knowledge and experience with Medical Records and HIPM compliance, knowledge of vaccine programs.