Undertakes specific educational and coordination functions at the request of the Head of Quality and Patient Safety
Acts upon appropriate and available data to support the monitoring of both performance initiatives and quality indicators across the hospital
v Assist the Quality and patient safety team to establish hospital-specific indicators in response to and in support of the JCI accreditation process.
Communicate quality improvement opportunities as they are identified to hospital staff
Utilize information from significant event reporting to ensure that patterns and themes identified to result in the application of quality improvement methodologies
Stays abreast of and applies knowledge of applicable laws and regulations and accreditation standards as they relate to performance improvement.
Facilitate appropriate monitoring activities, data collection techniques, and statistical tools.
Attends/participates in educational events as necessary
Performs miscellaneous job-related duties as assigned by direct manager
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