Job Description Summary

BOSTON MEDICAL CENTER

JOB TITLE: Quality Improvement Project Specialist DEPARTMENT: Quality Improvement CODE: 50152762 FLSA STATUS: Exempt REPORTS TO: Director Quality & Patient Safety GRADE: A16 SUPERVISES: No direct reports DATE REVISED: February 20, 2013 BLDG/LOCATION: 85 E. Concord St., Boston, MA UNION STATUS: Non-Union

APPROVALS DIRECTOR: VP: HR:

POSITION SUMMARY: The Quality Improvement Project Specialist plays a key role in ensuring that Boston Medical Center performs at the highest levels on standardized, national measures of clinical care quality. He/She ensures the accurate and timely collection of data from clinical records, identifies opportunities for improvement, communicates and works collaboratively with multidisciplinary improvement teams, and facilitates the creation and implementation of improvements in care processes.

ESSENTIAL RESPONSIBILITIES / DUTIES:  Provide support to multidisciplinary teams in the development, implementation and evaluation of quality care initiatives for specific patient populations.  Participate in the development and implementation of data collection tools  Ensure accurate collection of data for selected, standardized measures of clinical quality  Review accuracy of data collected from clinical records and other sources  Enter data retrieved from clinical and administrative systems into web-based programs  Work effectively with colleagues internally and externally to ensure that deadlines are met for data submission to various internal and external stakeholders.  Provide pertinent Core Measure, other quality data and related improvement reports in a timely manner to QI leadership, relevant QI teams, nursing units and clinical departments.  Serve as a resource to multidisciplinary team assisting data analysis efforts in order to identify opportunities to improve patient care for selected patient populations.  Work actively with clinical staff to facilitate the highest possible performance on selected clinical quality measures  Participate in the development and implementation of strategies to enhance continuous improvement in process and outcomes of assigned population(s)  Educate clinical staff, students, residents, and faculty regarding national clinical quality measures and BMC’s performance on these measures.  Educate clinical staff, students, residents, and faculty regarding opportunities to improve selected aspects of clinical care and the specific actions needed in order to achieve institutional goals for improvement on selected clinical quality measures.  Actively participate on multidisciplinary quality improvement teams to meet organizational goals for selected clinical quality improvement initiatives.  Develop and maintain positive, collaborative, supportive working relationships with the medical staff, nurses, administration, department management and staff  Plan, organize, and prioritize work in order to meet organizational goals and objectives.  Ensure that activities conducted support requirements of key external agencies such as CMS, The Joint Commission, State of Massachusetts and other professional groups to whom data is reported  Actively participate in Joint Commission readiness preparation and surveys, and other surveys as guided by the Director of Quality and Patient Safety.

of 3 BOSTON MEDICAL CENTER  Provide education and support to colleagues and staff regarding quality improvement  Actively network internally and externally to develop skills, knowledge base, and opportunities to promote the quality initiatives at BMC. Participate in pertinent professional education to maintain current knowledge of best improvement practices for select patient populations.  Utilizes hospital’s cultural beliefs as the basis for decision making and to support the hospital’s mission and goals.  Participate on other improvement projects as assigned by the Director Quality and Patient Safety

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION: Required: Baccalaureate, Masters or clinical degree in relevant field preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Lean methodology certification preferred.

EXPERIENCE: 5 to 7 years of experience in quality improvement or process improvement in a hospital or comparable environment

KNOWLEDGE AND SKILLS: Strong computer skills including Microsoft Office platform—Word, Access, Excel, PowerPoint, Flowcharting/mapping, E- mail, Web/Internet. Ability to learn and effectively use computer software, such as electronic health records and data entry tools. Demonstrated skill and effectiveness in clinical quality improvement strongly preferred. Strong interpersonal skills; ability to establish supportive, collegial relationships; Excellent English communication skills (oral and written). Strong writing skills.

AGES OF POPULATION SERVED: N/A Employees in this position must be competent to provide care to the following age groups: Check all that apply:

Neonatal: Birth to 1 month Infant: To 1 yrs Toddler: 1 to 3 yrs Pre-school: 3 – 6 yrs

School age: 6 – 12 yrs Adolescent: 12 – 18 yrs Young Adult: 18 – 30 yrs Middle age: 30 – 60 yrs

Elderly: 60 – over Not Applicable

SPECIAL WORKING CONDITIONS (RESPONSIBLE FOR ON-CALL, 24 HR. COVERAGE, ETC.): NONE

External and internal applicants, as well as position incumbents who become disabled as defined under the Americans With Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case-by-case basis.

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PHYSICAL AND ENVIRONMENTAL DEMANDS This form is used to assist departments in identifying the physical and environmental demands of the position .

Physical Demands Hours at one time Total Hours per day Without Accommodations 0 <1/2 ½-1 1-2 2-4 <1 1-2 2-4 4-6 6-8 Sitting X X Walking X X Standing X X Bending Neck X X Twisting Neck X X Bending Waist (Forward or sideways) X X Twisting Waist X X Squatting X X Climbing X X Kneeling X X Crawling X X Repetitive Movement: Hand  Simple grasping: 1 hand__ both__ X X  Power grasping: 1 hand__ both__ X X  Fine Manipulation:1 hand__ both__ X X  Pushing/Pulling: 1 hand__ both__ X X Reaching above shoulder height X X Reaching below shoulder height X X Moving items weighing up to 10 lbs. X X Moving items weighing 11 – 25 lbs. X X Moving items weighing 26 – 50 lbs. X X Moving items weighing 51 – 75 lbs. X X Moving items weighing 76 – 100 lbs. X X Moving items weighing over 100 lbs. X X

Environmental Demands (Check all that apply)  Extreme Cold (below 32 degrees) Source______ Extreme Heat (above 100 degrees) Source______ Noise (Need to shout to be heard) Source______ Vibration Source______ Exposure to dust, gas, fumes, steam, chemicals Source______ Work outdoors (no effective protection from weather)  Work at heights (such as scaffolding or ladders)  Protective equipment required (Respirator, earplugs, mask, gloves, eyewear, etc) ______ Potential exposure to infectious diseases.  None (Not substantially exposed to adverse environmental conditions).