Quality Analyst III - Quality Analytics - Greenville, NC

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Vidant Health



Vidant Health

About Vidant Health

Vidant Health is a regional health system serving 29 counties in eastern North Carolina. We are working every day to improve the health of the 1.4 million people we serve. Vidant Health is made up of 8 hospitals, physician practices, home health, hospice, wellness centers and other health care services. Vidant Medical Center is affiliated with the Brody School of Medicine at East Carolina University. As a major resource for health services and education, Vidant Health strives to support local medical communities and to work with providers throughout the region to deliver quality care. Our goal is to enhance services that are available locally and to eliminate barriers involving time, distance and lack of awareness that sometimes prevent patients from receiving the care they need.

Position Summary

  • Assures accurate and timely information is provided to customers using standard operating procedures for Office of Quality.
  • Establishes data dictionaries as appropriate and routinely validates data sources and outputs.


1. Assures accurate and timely information is provided to customers using standard operating procedures for Office of Quality.

2. Establishes data dictionaries as appropriate and routinely validates data sources and outputs.

3. Apply current, relevant performance methods to achieve successful outcomes.

4. Use evidence-based structured improvement methods for all quality improvement projects.

5. Promote the use of continuous improvement methods and science throughout the organization and system.

6. Collaborate with cross-functional teams to identify, define, and prioritize data elements and data collections methodology.

7. Implement processes to streamline data collection efforts.

8. Adheres and applies data evaluation tools for department audit methods to assure data integrity and drive better patient outcomes that meet customer needs.

9. Design and verify evaluation methodology to determine completeness and accuracy of data based on valid formulas.

10. Maintains and advances knowledge of quality databases, both internal and external.

11. Load and extract data from current quality databases.

12. Ensure validity of data through independent reviews and queries and validate the structural integrity of manual and electronic data sets.

13. Maintain knowledge of database specifications. Builds and modifies databases as appropriate.

14. Collaborate with Information Systems on database options, improvements, and solutions.

15. Vet vendor provided database options that will enhance organizational efficiency and provide recommendations for use and implementation of database possibilities.

16. Mines EHR data to proactively identify performance improvement needs.

17. Prepare appropriate context in the form of comparative data, historical data, or information gleaned from best practice literature.

18. Develop feedback loops to improve the capture of data for detected error patterns.

19. Produces routine reports from databases and assists leaders and department/divisional staff in developing customized reports.

20. Uses a variety of data sources effectively, acquires knowledge and skills to effectively produce data reports.

21. Measures and reports performance on a variety of patients¿ safety, quality, and experience indicators.

22. Designs proactive reports to meet future reporting needs.

23. Participates in data collection and submission for the quality scorecard, reports, and dashboards.

24. To ensure database integrity, serves as primary contact for database system issues and collaborates with IS to troubleshoot such issues.

25. Develop dashboards and scorecards to show internal data as well as benchmark comparisons.

26. Develop succinct talking points for relevant stakeholders (ed. Executives, physicians, managers, regulators).

27. Uses project management tools to communicate effectively with groups and individuals.

28 Extracts data from various systems and is able to problem solve data process/flow issues.

29. Recommend specific improvements to data-collection procedures.

30. Apply appropriate advanced statistical methods to quality and process improvements activities.

31. Scope project to define expected deliverables of the project before work begins.

32. Design and develop project plans including providing project coordination using project management tool, measurement plan, estimate costs to determine budget, incorporates evidence-based guidelines.

33. Communicates project progress to all stakeholders through the project.

34. Apply methods to identify and evaluate risks for harm by using assessment tools and methods appropriate for identification of potential and actual patient safety risks including RCA and FMEA; conducts fact-based investigations; monitors actions to prevent recurrence.

35. Forms collaborative relationships to assure timely and accurate access to data; uses project management tools to communicate effectively with groups and individuals; manage system level projects and lead workgroups; extracts data from various systems, using reporting tools and is able to problem solve data process/ flow issues; summarizes large data sets into actionable information, submits data to external parties on a regular basis.

36. Implement processes informed by data to meet the organization¿s mission, goals, and values of patient safety and quality.

37. Synthesize information from relevant resources including national organizations to demonstrate current practice and identify opportunities for improvement.

38. Identify sources of valid and reliable information and metrics to monitor performance trends.

39. Analyze information from disparate sources.

40. Analyze comparative data, benchmarks, and evidence-based practices for possible adaptation into the organization.

41. Supports Vidant Health public reporting of data and value based purchasing financial analysis.

42. Performs business plan and request for proposal quality analysis.

43. Use valid and reliable data to support opportunity recommendations and illuminate key trends for stakeholders.

44. Design solutions to address opportunities based on benchmarks, goal comparison, data analysis, and correction actions.

45. Advise on future data and information needs and resources to better support improvement initiatives.

46. Use benchmarks to drive performance improvement and make adjustments as required for ongoing success and sustained results.

47. Demonstrate expertise in the use of analytical and statistical approaches, tools, and techniques including understanding of how process goals are established, measured, and monitored.

48. Select specific visualization tools that best depict the accurate representation of the data analysis.

49. Maintain responsibility to manage databases including specifications, training, and communication related to those databases.

50. Apply techniques and tools to identify variation and its causes

51. Develop dashboards and scorecards using advanced visualization techniques and data capabilities.

52. Provide detailed documentation to ensure the reproduction of analytic findings.

53. Apply knowledge of the capability and functionality of analytics tools to participate in vendor/platform selection.

54. Serve as analytics platform administrator or content steward as required.

55. Develop analytic data marts using entity-relationship diagrams and equivalent tools.

56. Evaluate reports for accurate execution of statistical procedures and relevant business and clinical questions.

57. Develop regression models, including linear, multiple, and logistic regression methods.

58. Coach others on report building strategies.

59. Train others on procedures of specific analytics platforms that address the specific problem at hand.

60. Provide statistical mentoring and methodological support through analytical and statistical methods to achieve quality and process improvement work efforts.

61. Communicate improvement priorities and results using narrative and visual tools by creating graphs and charts that accurately reflect valid interpretation of findings.

62. Support a safety culture and infrastructure by engaging stakeholders to understand all perspectives when addressing patient safety issues

63.Demonstrate knowledge of regulations and standards applicable to healthcare setting.

64. Explain the impact and criticality of applicable regulations including consequences for quality and safe care.

65. Navigate authoritative resources to identity and interpret applicable standards.

66. Provide interpretation, advice, and implementation of the regulation or standard on care, treatment, and services within the organization, across the continuum, or within the industry.

67. Provide expert analysis to articulate the intent and value of the regulations.

68. Interpret new regulations and their impact in collaboration with relevant stakeholders.

69. Guide practice and operations with applicable regulations or standards by assessing policies and practice and conducting audits to ensure compliance

70. Apply risk assessment tools to quantify the cost of compliance and risks associated with noncompliance.

71. Implement processes that result in the organizational accreditation/regulatory/standards.

72. Stays current with best practice standards, guidelines, accreditation and regulatory standards

73. Independence and Leadership skills

Independently manages individual work

Demonstrates self-direction in area of assigned responsibility

Assists with department oversight to include peer coaching and mentoring

Helps lead the development of goals and strategies

Identifies improvement opportunities and leads improvement projects

Actively promotes collaboration and seeks to learn from others

Demonstrates ability and willingness to assume leadership responsibilities with the organization

Build effective relationships and collaborations with front-line staff and management to promote continued learning and support.

74. Accountability

Accepts responsibility for actions and decisions

Accountable for mistakes and correct for an effective program

Follows through on assignments, projects, or requests

Pays attention to details. Completes work, which is thorough and accomplishes desired results

Minimum Requirements

  • Masters degree in Information Systems, Decision Science, or Business, Public Health or related field.
  • Three to five years experience with database management, in financial services, information services, or planning.
  • >5 years experience in healthcare setting.
  • Certification in specialty preferred  in 3 years and recertified every 2 years.

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

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