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Watertown Regional Medical Center

Quality and Patient Safety Specialist- Quality (FTE 1.0)

Post Date:Mar 05, 2020Type:Full-Time
Start Date:3/5/2020Salary:
Location:US-WI-Watertown Job Reference:7471-1630

Minimum Education

□ Bachelor’s degree Preferred X Required

Bachelor’s degree in nursing preferred

2 years of hospital based experience required.

2 years of analysis/statistical experience preferred, in ahealth care field, or demonstrated competence in related field.

1 year of quality improvement experience preferred.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Job Description:
Watertown Regional Medical Center

Under the direction of and in collaboration with the Director ofQuality and Patient Safety, this position will serve as al change agent toenhance the effectiveness, efficiency, and efficacy of the current and futurecare provided by associates at Watertown Regional Medical Center (WRMC). Theincumbent will demonstrate a mastery of a variety of analytical methods andstatistical modeling along with reporting/data visualization techniques. Willdesign and implement project plans, methodologies, and create reporting anddata presentations appropriate for use by a wide variety of constituentsthroughout the WRMC enterprise. As a change agent, the incumbent will leadteams of associates to bring about process and practice modifications to ensureimprovements in care delivery that will result in enhanced outcomes,reduce/eliminate factors in care or systems that result in hospital acquiredharm and facilitate a culture which supports and safeguards patient safety atall levels of the organization’s operations. The incumbent will be able toexercise sound independent judgment and discretionary decision making, willdevelop and maintain positive, productive relationships with providers,associates and members of the administrative team.


Understands and supports the philosophy of care as is relates to coordinationof services and supports to meet patients' individual needs.

Understands and supports the continual goals of patient focused care andservices that ensure safety at all levels of the organization’s operations.

Collects outcome data as assigned. Audits records as required by CMS, TJC,other external bodies as well as internal and corporate requests.

Is familiar with DRG's and codes, according to the recognized classificationsystem.

Work collaboratively with the IT programmers to develop effective methods andprocesses to gather data from sources which will facilitate implementation ofthe coding for larger clinical projects.

Works with Director of Quality and Patient Safety to establish policies andprocedures to ensure sound methodologies for extracting data and designinganalyses to facilitate clinical and business decision making.

Develop systems to extract data for basic reporting and analysis as assigned.

Manages multiple complex, inter-departmental projects to ensure adequateplanning and control of scope, timeline and customer communication.

Develop expertise as it relates to the data from all types of clinicalspecialties and health care provider types.

Strategic Thinking: Proactively seeks to know the WRMC organizationalstructure, core leaders, decision makers, and relationships with otherfunctional areas. 

Manage engagements and task performance relating to qualityinitiatives.

Solution Development: Produces well-structured, high-quality requireddocuments. 

Researches and provides information required for solutionalternatives analysis and discussion. Accountable and responsible foroperationalizing quality initiatives with front line staff under thesupervision of the Director of Quality and Patient Safety WRMC ClinicalOperations: Understand WRMC's organizational structure, core leaders, decisionmakers as well as processes utilized in care delivery for patients.

Facilitate processes to assure standard quality and metrics are addressed.Establish cross-clinic department teams to share best practices that willimprove performance results. Develop relationships and processes to interactroutinely to meet metrics. Manage projects and process improvement.

LifePoint National Quality Program: Facilitates, supports, analyzes and reportsorganization-wide efforts related to the achievement of National QualityProgram (NQP) designation through collaboration to implement change strategies,through data analysis and reporting as assigned. 

WRMC Hospital Quality Initiatives: Participate in ongoing internal JointCommission activities for survey readiness and be accountable for bringingcorrective actions, as they apply to operations, to fruition. Lead andfacilitate processes for ongoing hospital and clinic tracer activities toensure continued survey readiness and proactive improvement identification andremediation. Collaborate with clinic Department Leadership on enterprise-wideteams to develop strategies for performance improvement in areas such as, butnot limited to, readmission reduction and suicide assessment/intervention, andprovide leadership to facilitate implementation those strategies.

Functions as a change agent and leads cross-sectional teams of associates, asassigned, to bring about process modifications to improve the functioning ofeach clinical site, resulting in enhancements to the quality of patient caredelivery and the promotion of processes and practices that ensure patientsafety at all levels of the enterprise’s operations.

Regularly reviews the quality performance of each unit/department with theDirector of Quality and Patient Safety.

Contact Information
Watertown Regional Medical Center

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