Hospital Readiness Systems Coordinator

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Job: INDOH DEP Hospital Readiness Systems Coordinator (754839)

Location : 2 N. Meridian St.

Indianapolis IN 46204

Client : State of IN

Approximately 85% of instate travel throughout Indiana will be required with approx. 1 day/week in the Indianapolis office. Does candidate accept this requirement

Candidates required to reside in District 5 Central Indiana Counties in D5 include Boone Hamilton Hendricks Marion Hancock Morgan Johnson and Shelby. Please confirm which county candidate resides in.

Position is anticipated to extend through calendar year 2027. Does candidate accept this requirement.

Occasional outofstate overnight travel may be necessary. Does candidate accept this requirement

BS in Nursing (BSN) or other similar cert. combined with Hospital experience prefer Bachelors degree supplemented with 35 years of previous hospital and quality improvement jobrelated exp. Ideal candidate also has either CPHQ or Lean Six Sigma.

Job description

Clinical Quality Improvement Specialist

Job Summary This position serves in a dual role involving direct in person

coordination with hospital facilities to enhance both National

Healthcare Safety Network (NHSN) automated hospital reporting

along with pediatric readiness capabilities within hospital networks

and facilities located in Indiana. This position promotes best practices

and quality improvement processes in both hospital reporting

importance for the automation transition and pediatric preparedness

programs/initiatives. The position serves in coordinating the

development of statewide guidelines aiding hospitals into an

automated platform for hospital reporting educational modules and

quality improvement resources/tools utilizing federal and national

recommendations/guidance evidencebased guidelines and best

practices specific to the delivery of hospital facility key elements

reporting along with pediatric emergency care. The position also

serves as a resource and technical advisor to prehospital agencies

hospitals other healthcare practitioners as well as nonhealth care

entities within our state to ensure hospital facility needs are

adequately addressed.

Education and/or Work Experience

Registered Nurse (RN) Bachelor of Science in Nursing (BSN) or other

similar certification combined with Hospital experience preferred

Bachelors degree supplemented with 35 years of previous hospital

and quality improvement jobrelated experience. Ideal candidate also

has either CPHQ or Lean Six Sigma

Duties and Responsibilities

Assist with development and launching of a state/jurisdiction

capacity system that includes neartime bed capacity counts

for the states/jurisdictions acute care hospitals including

critical access hospitals.

Must be able to manage user account and security parameters

for access to the webbased dashboard to coordinate daily

surge and crisis needs.

Help coordinate emergency department data organized per

NHSN definitions to Hospital Capacity Data Store at least twice

per day on an ongoing basis. Data would include emergency

department (ED) census ED Admitted census (boarding) and

ED pressure indicator by count of all patients in the ED that

have a physician assigned.

Create possible items listed below to support the

states/jurisdictions ongoing participation in the NHSN

Connectivity Initiative such as:

Develop communications and training materials for

onboarding identified stakeholders and hospital users.

Provide training and onboarding services to participating

hospitals and stakeholders.

Work with the states/jurisdictions hospitals to collect

necessary information for dashboard development and

implementation.

Provide a common framework of data elements to include on

the dashboard and in the data feed.

Facilitate the gathering and engagement of hospitals technical

staff to work on automated and secured data feeds per

specifications supported by the webbased application.

Assist the state/jurisdiction to advise on shared governance

model(s) for discussions and decisionmaking to support this

work.

Testing and validation of data feeds; and draft progress

milestone for inclusion in progress report/lessons learned.

Manages the participation and permission process/clearances

(to send data to NHSN) of participating hospitals. Also

provides permission to allow for use of states/jurisdictions

data in conjunction with other participating entities for

research and emergency planning by the state and federal

health partners.

Obtain signed commitment from acute care hospitals in the

state/jurisdiction to participate in the project through an

established participation agreement.

Provide ongoing instructions and serve as key resource to

assist with the scaling of the CDC NHSN Connectivity Initiative

to other states/jurisdictions; and help to ensure that all terms

of the CDC funding agreement are met.

Facilitates efforts to improve clinical and service outcomes

throughout the state as related to pediatric emergency care

utilizing federal/national guidance (including but not limited to

the American Academy of Pediatrics Assistant Secretary for

Preparedness & Response Centers for Disease Control

Emergency Medical Services for Children Federal Emergency

Management Agency Institute of Medicine Joint Commission).

Works with Indiana Emergency Departments to assess areas of

need conduct gap analyses communicate pediatric standards

and disseminate resources as appropriate.

Develops and facilitates bimonthly State Pediatric Emergency

Care Workgroup meetings and actively assumes project

leadership responsibilities through planning coordination of

workgroup activities and development of tools educational

modules and resources for workgroup review.

Participates as a team member on hospital site visits conducted

throughout the state to assess compliance with pediatric

emergency care requirements and regulations using defined

checklists; provides verbal and written assessment of hospital

strengths/weaknesses; outlines recommendations and other

key subject matter expertise as appropriate; shares applicable

resources and technical guidance with hospitals as needed.

Develops documents annually to promote quality improvement

practices as related to pediatric emergency care documents

and development of a quality improvement plan.

Engages in and demonstrates selfdevelopment in clinical and

professional knowledge base in the areas of pediatric

emergency management quality improvement processes

communication and awareness of trends in the healthcare

environment.

Utilizes data to identify trends draw appropriate conclusions

and make recommendations; develops data reports for

decisionmakers to support conclusions and

recommendations; reports should communicate any limitations

of the analyses.

Facilitates efforts to improve clinical and service outcomes

throughout the state as related to pediatric emergency care

utilizing federal/national guidance (including but not limited to

the American Academy of Pediatrics Assistant Secretary for

Preparedness & Response Centers for Disease Control

Emergency Medical Services for Children Federal Emergency

Management Agency Institute of Medicine Joint Commission).

Works with Indiana Emergency Departments to assess areas of

need conduct gap analyses communicate pediatric standards

and disseminate resources as appropriate.

Develops and facilitates bimonthly State Pediatric Emergency

Care Workgroup meetings and actively assumes project

leadership responsibilities through planning coordination of

workgroup activities and development of tools educational

modules and resources for workgroup review.

Participates as a team member on hospital site visits conducted

throughout the state to assess compliance with pediatric

emergency care requirements and regulations using defined

checklists; provides verbal and written assessment of hospital

strengths/weaknesses; outlines recommendations and other

key subject matter expertise as appropriate; shares applicable

resources and technical guidance with hospitals as needed.

Develops documents annually to promote quality improvement

practices as related to pediatric emergency care documents

and development of a quality improvement plan.

Engages in and demonstrates selfdevelopment in clinical and

professional knowledge base in the areas of pediatric

emergency management quality improvement processes

communication and awareness of trends in the healthcare

environment.

Utilizes data to identify trends draw appropriate conclusions

and make recommendations; develops data reports for

decisionmakers to support conclusions and recommendations;

reports should communicate any limitations of the analyses.

Other duties as required.

Computer Skills

Microsoft Teams Power BI Microsoft Outlook Microsoft Word

Microsoft PowerPoint Microsoft Excel Basic Keyboarding Skills Web1based meeting and learning management systems REDCap

Computation Ability

Ability to solve practical problems and deal with a variety of concrete

variables in situations where only limited standardization exists. Ability

to interpret a variety of instructions furnished in written oral diagram

or schedule form.

Qualifications

Ability to maintain accuracy and consistency

Ability to finish tasks in a timely manner

Ability to function independently manage own time/work tasks

Ability to maintain confidentiality

Ability to interact with internal and external constituents

Ability to work as an effective team member

Ability to organize workflow

Ability to plan coordinate and develop multiple projects

Ability to analyze and interpret data

Ability to compile complex reports and develop presentations

Ability to compose letters and memorandums

Ability to negotiate persuade and establish direction

Skilled job requiring high level of adaptability and interpersonal

skills

Must be able to work in a fastpaced dynamic environment and

adapt to changing priorities

Travel

Instate travel will be required as needed and out of state

overnight may be necessary.

Expect 85% of work week traveling around state of Indiana

Bachelors degree supplemented with 35 years of previous hospital and quality improvement jobrelated experience

Required

3

Years

Prior clinical quality improvement experience preferably in an acute care hospital setting or critical access hospital setting.

Required

2

Years

Experience w/Microsoft Office Suite to include PowerPoint.

Required

Prior experience with REDCap with strong aptitude to learn new software and other database programs.

Desired

Prior experience facilitating and managing meetings within program agency and local partners.

Required

Prior experience reporting hospital data including bed capacity ED census ICU census peds census vent status etc.

Required

1

Years

Prior experience creating training materials and delivering presentations for stakeholders hospitals and State or Federal Agencies.

Required

2

Years

Registered Nurse (RN) Bachelor of Science in Nursing (BSN) or other similar certification combined with Hospital experience preferred

Highly desired

CPHQ or Lean Six Sigma experience.

Highly desired

Prior experience with National Healthcare Safety Network automated hospital reporting.

Highly desired

2

Years

Prior experience working with the Indiana Hospital Association (IHA).

Highly desired

2

Years

Prior experience working with hospital technical staff in areas of automated and secured data feeds.

Highly desired

Project management experience/certification.