Full Time, Days

Capital Health is the region's leader in advanced medicine with significant investments in advanced technologies and the best physicians. Comprising its two hospitals (Capital Health Regional Medical Center in Trenton and the Capital Health Medical Center - Hopewell) and the Capital Health - Hamilton outpatient facility, Capital Health is a growing accredited healthcare organization. Capital Health has also received Magnet® status for the fourth consecutive time in recognition of its quality patient care, innovations in professional nursing practice, and nursing excellence. Only 29 organizations in the country have received Magnet status four times and five of those organizations are in New Jersey. In addition, our nursing team received special recognition for excellence in stroke and outpatient emergency care.

Responsibilities Include:

• Facilitating and supporting performance improvement (PI) and patient safety initiatives for assigned area to promote clinical excellence and patient safety.
• Performing complex analyses and trending of data through review of reported events, case screening and data abstraction.
• Preparing and designing meaningful reports that include statistical analysis, interpretation, monitoring and benchmarking of clinical data.
• Attending in-service training sessions and seminars to maintain and improve knowledge of performance improvement techniques.
• Designing and maintaining database system for compilation and reporting of program metrics with incorporation of benchmarks and comparative data.
• Developing meaningful dashboards and reports for departments, divisions, committees and staff.
• Utilizing with a high degree of competence PI methodology and PI tools, such as flow mapping, fishbones and root cause analyses, to facilitate and drive process improvement in an expert manner.
• Reviewing charts for quality concerns, including adverse occurrences. Establishing timelines and exercising discretion and judgment when identifying concerns for review to improve processes.
• Identifying cases for peer review and education to promote quality of patient care.
• Investigating quality-of-care concerns from providers, payers and patients/families.
• Supporting several medical staff departments and major clinical areas with performance improvement initiatives and quality outcomes.