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Form of workJOB PURPOSE OR MISSION: Performs accurate analysis and effective diagnosis of BRGMC and System clinical and operational issues. Job is performed appropriately for the age population served, as defined in the department's scope of service.
PERFORMANCE CRITERIA
CRITERIA A: Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.
PERFORMANCE STANDARDS:
Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.
Takes initiative in living our Everyday Excellence values and vital signs.
Takes initiative in identifying customer needs before the customer asks.
Participates in teamwork willingly and with enthusiasm.
Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care.
Keeps customers informed, answers customer questions and anticipates information needs of customers.
CRITERIA B: Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines, and the GHS Corporate Compliance Guidelines.
PERFORMANCE STANDARDS
Practices diligence in fulfilling the regulatory and legal requirements of the position and department.
Maintains accurate and reliable patient/organizational records.
Maintains professional relationships with appropriate officials; communicates honesty and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.
CRITERIA C: Personal Achievement - Employee demonstrates initiative in achieving work goals and meeting personal objectives.
PERFORMANCE STANDARDS
Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high.
Adheres to high moral principles of honesty, loyalty, sincerity, and fairness.
Upholds the ethical standards of the organization.
CRITERIA D: Performance Improvement - Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.
PERFORMANCE STANDARDS
Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations.
Initiates or redesigns to continuously improve work processes.
Contributes ideas and suggestions to improve approaches to work processes.
Willingly participates in organization and/or department quality initiatives.
CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.
PERFORMANCE STANDARDS
Effectively manages time and resources
Makes conscious effort to effectively utilize the resources of the organization - material, human, and financial.
Consistently looks for and uses resource saving processes.
CRITERIA F: Patient & Employee Safety - Employee actively participates in and demonstrates effective patient and employee safety practices.
PERFORMANCE STANDARDS
Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety.
Employee proactively reports errors, potential errors, injuries or potential injuries.
Employee demonstrates departmental specific patient and employee safety standards at all times.
Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.
JOB FUNCTIONS
ESSENTIAL JOB FUNCTIONS include, but are not limited to:
1. Demonstrates an in-depth understanding of the National Quality Indicators relevant to the organization and the documentation requirements that would meet abstraction guidelines.
PERFORMANCE STANDARDS:
Understands current requirements for each Core Measure and the specifics on indicators.
Stays abreast of new / revised indicator requirements.
Serves as an expert consultant to departments and/or clinical staff regarding core measure indicators and requirements.
2. Ensures compliance with National Quality Indicators through concurrent and retrospective review and actions.
PERFORMANCE STANDARDS:
Identifies patients that meet the criteria to receive evidence-based care as outlined in the national quality indicators.
Concurrently reviews the documentation and / or practice that would meet the requirements for compliance with the abstraction of national quality indicators.
Works collaboratively and in direct communication with the nursing and medical staff to ensure that all elements of the core measures are met.
Abstracts patient data for core measure data submission
3. Serves as an expert clinical consultant on the National Quality Indicators.
PERFORMANCE STANDARDS:
Educates the nursing and/or medical staff regarding the requirements for the core measures.
Answers questions, meets with nursing staff, medical staff as needed to facilitate an understanding and compliance with the core measures.
4. Partners with Clinical Informatics to accelerate compliance with Meaningful Use and promote accurate electronic submission of core measure data.
PERFORMANCE STANDARDS:
Develops proficiency with clinical documentation systems, as well as the ability to create and run reports from these systems.
Works collaboratively with Clinical Informatics to ensure electronic documentation meets current standards and best practice.
5. All other duties as assigned.
HIPAA REQUIREMENTS:
Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Paper and electronic medical records without limitation, patient demographics, lab and radiology results, surgery/appointment schedules, medical records related to quality/data, patient financial, 3rd party billing information, patients related complaints, information related to patient location, research information, investigatory information, and/or access to physician specific data related to outcomes.
SAFETY REQUIREMENTS:
Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, exposure control plans, hand washing, environmental rounds to ensure safety, and patient identification.
