System Quality and Accreditation Coordinator

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Provides oversight for quality and accreditation activities for assigned Northside care locations. Provides supervision to assigned coordinators to ensure that assigned areas are accreditation ready.

RESPONSIBILITIES

• Provides guidance on tracer activities for the organization.
• Assists with survey readiness preparations for all levels of activities across the organization
• Engages with surveyors from external agencies during announced/ unannounced inspections.
• Escalates issues, concerns or barriers to leadership.
• Assists with organization wide projects and goals.
• Assists with preparation for the organization-wide Quality and Patient Safety Forum.
• Assures action plans are developed and implemented as indicated.
• Assures comparable levels of care for each location.
• Participates in root cause analysis for sentinel events as indicated.
• Provides vversight for assigned organization-wide measurement, assessment and improvement.
• Maintains documentation for all required organization-wide measurement.
• Assures actions are taken and improvement occurs.
• Provides oversight for organization wide and departmental continuous readiness calendars.
• Communicates with departments regarding requirements for continuous readiness calendars.
• Maintains documentation for the continuous readiness process for all assigned care locations.
• Coordinates various committees and task forces at all levels of the organization to ensure quality and patient safety.
• Provides input into the formulation of goals for the organization related to quality and patient safety.
• Insures action plans related to quality and patient safety are developed and implemented in a timely manner
• Provides patient safety education for organization wide orientation and other departments as needed.
• Serves as team leader, facilitator or member as assigned.
• Facilitates regulatory site visits.

REQUIRED

1. Bachelor of Science degree in Nursing or health care related field.
2. Demonstrated effective team leadership skills.
3. Minimum of 3 years combined experience in health care field in the following functions: Quality Improvement or TJC coordination, either in hospital or ambulatory settings.
4. Minimum of 3 years of experience in data analysis and report writing.
5. Provides clear, concise written and verbal communication skills, organizational ability, objective judgement, self-direction and motivation.
6. Ability to function effectively with a wide variety of disciplines, including physicians and nurses.
7. Make presentations on topics related to quality and regulatory issues.
8. Able to participate as part of a team to accomplish an assigned project.

PREFERRED

1. Master of Science degree
2. Supervisory experience
3. Training as team leader and facilitator
4. Certification in Health Care Quality.