Job Description

Summary

The Nursing Quality Specialist is responsible for collaborating with Chesapeake Regional Healthcare Nursing Leaders, nursing staff and Quality Leaders to meet Magnet/CRH nursing quality goals. Maintains the NDNQI database and assists with the implementation of best practices to improve patient outcomes. The Nursing Quality Specialist also performs project-based chart reviews, benchmarking activities and staff education in support of performance improvement initiatives.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

• Manage the NDNQI database, meet all data submission requirements, serve as resource for others regarding nursing sensitive indicators and NDNQI requirements.
• Assist Department Director and Magnet Program Director with Magnet data and performance improvement requirements as assigned.
• Working with Nursing Leadership and Magnet Program Director, assist with nursing satisfaction survey administration and analysis.
• Working with Wound Nurses and Quality team, assist with skin prevalence and restraint utilization studies as needed.
• Co-Chair Falls Committee with Nurse Manager or designee, working to reduce preventable falls in collaboration with Fall Committee members; prepare agenda and meeting materials, facilitate meeting, and manage follow-up items.
• Review falls incidents concurrently and retrospectively, evaluate post-fall huddles and ACA findings, track and trend findings, prepare reports for stakeholders.
• Provides ongoing data analysis and trending of all NDNQI data with benchmarking.
• Generate graphs and quality reports to share with stakeholders and designated Committees.
• Assist with sepsis core measure abstraction as needed.
• Actively participate in Nursing Shared Governance Committees and Magnet Steering Committee serving as NDNQI expert.
• Collaborate with Quality department, Patient Safety Manager, Leaders, and others to meet CRH nursing quality goals.
• Effectively manages assigned projects with a level of independence in performance of the role and/or solution of problems.
• Identify and prepare safety stories and safety messages using a 3-part structure for use at meetings and huddles.
• Other duties as assigned to include coverage of essential departmental functions and services.
• Actively participate as the department representative on designated multidisciplinary teams and Committees.
• Support clinical operations and clinical initiatives as assigned.
• Attend required hospital-wide orientation meetings, and in-services.
• Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care.

Reporting Relationships

Reports to: Quality Manager

Supervises: None

Responsibilities: N/A

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

Minimum Required Education:

• Completion of an accredited Registered Nursing program
• Bachelors of Science in Nursing

Preferred Education:

• Master’s Degree in Nursing

Experience

• 5+ years in clinical nursing

Knowledge, Skills, and Abilities

• Basic knowledge of concepts, practices, and procedures related to quality and process improvement functions and quality tools and methodologies, to include Casual Analysis activities.
• Working knowledge of basic business software such as Excel, PowerPoint, and Word.

Licensure and Certification

• Applicants must be licensed to work as a Registered Nurse in the State of Virginia.
• Must obtain CPHQ or CPSS certification within one (1) year of hire.