Infection Prevention Manager

Performance Improvement Analyst

To analyze and organize the data necessary to prepare feedback and summary reports for various hospital departments, medical staff and improvement teams. To organize and analyze the data required to facilitate implementation of the Performance Improvement Plan and adjunctive quality improvement collaboratives. To provide oversight and direction to the Transition Care Coordinators and Clinical Quality Analysts to maintain efficiency regarding data collection, reporting and submission requirements.

Job Description:

Minimum Qualifications:

1. Bachelor of Science in health science or health care related field required

2. Experience, training and/or documented course work in TQM/CQI/Performance Improvement.

1. Candidate to have 3 or more years of data engineering and analysis experience with 1 or more in a clinically relevant area.

2. 1-year experience creating relational databases in Microsoft Access or Excel or other related databases.

3. At least 3 years' experience in quality assurance, quality management, or similar functions required

4. Excellent computer skills required to include word processing programs and graphics.

5. Skills in advanced statistical programs: spreadsheet programs, database programs, and etc., experience.

Preferred Qualifications:

1. Advanced degree preferred.

1. Experience in health care setting preferred.

Core Duties and Responsibilities:

1. Streamline quality initiatives and care throughout the service line.

2. Work process solutions, including oversight of Clinical Quality Analysts

3. Assist with Budget process and electronic submission

4. Coordinate department staff meetings as necessary

5. Maintain Kronos

6. Manipulates and works with a variety of data (i.e., clinical, financial, quality, utilization, outcome, etc).

7. Using above tools facilitates the work of multi-disciplinary teams of improve patient outcomes.

8. Ensure compliance w/TJC, core measure requirements by ensuring data is submitted timely as required, submission of new indicators & tracking progress toward improvement.

9. Ensure compliance with other accrediting body requirements (CMS, Premier HQI, AHA).

10. Write PC programs, Spreadsheet Macros, and design database structures as needed to address Quality Improvement projects and issues.

11. Maintain report writing skills on all salient systems as needed.

Physical Requirements:

1. Must be able to move freely throughout the hospital in order to reach patients and respond to emergencies.

2. Hearing, speaking, and visual abilities must be within or correctable to normal ranges.

3. Must be able to read and write legibly in English.

Working Environment:

Will be exposed to high stress levels related to workload. May be exposed to contagious diseases.

Skills and Abilities:

1. Must be able to handle and maintain confidential information.

2. Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex situations

3. Must have the ability to work successfully under highly stressful conditions and must be capable of adapting to varying workloads and work assignments on a constant basis.

4. Must have the ability to make sound, independent judgments based upon scientific and regulatory principles, and also be able to collaborate successfully with other multi-disciplinary team members in an appropriate fashion.

5. Must have strong verbal and written communication skills.

6. Must have the ability to comprehend and perform oral and written instructions and procedures.

7. Must have math skills to work with statistics, data collection, etc.

8. Must be able to organize, prioritize and complete assigned tasks.

9. Must be able to work extended hours.

Scheduled Weekly Hours: 40

Shift: Full time

Exempt/Non-Exempt: Exempt

Company: WH Wheeling Hospital Inc.

Cost Center: 405 WH Quality Management

Address: 1 Medical Park Drive Wheeling West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.