Aurora Health Care · 1 month ago
WI Quality and Cancer Program Accreditation Coordinator
Milwaukee, WI
Full-time
Onsite
Mid Level
$34/hr - $52/hrAurora Health Care is focused on maintaining continuous accreditation readiness for its facilities. The WI Quality and Cancer Program Accreditation Coordinator oversees accreditation compliance, analyzes performance metrics, and develops action plans to enhance quality and patient safety culture.
Health Care
Responsibilities
Leads continuous accreditation readiness efforts and coaches others in the development of accreditation improvement capabilities
Provides direction to department and facility leadership in the planning of a systematic, organization-wide approach to continuous accreditation readiness
Maintains expert competence in accreditation standards and communicates relevant changes to appropriate leaders and staff
Maintains a close working relationship with facility leadership to optimize the quality and patient safety culture and to support constant state of readiness for accreditation reviews
Facilitates assessments, develops, implements and evaluates corrective action plans based on past surveys and preparatory tracer activities
Compiles and distributes compliance reports including appropriate action plans to oversight councils
Supports and guides the facility in continuous survey readiness efforts
Participates in the review, analysis and development of plans
Prepares reports and presentations
Coordinates department and facility accreditation compliance meetings, analyzes trends of performance metrics, identifies opportunities for improvement, develops action plans, measures success of these action plans, creates the records and follow-up metrics for each meeting and activity
Re-assesses approach to maximize success
Assists leadership in defining key performance indicators and developing measurement tools to evaluate quality improvements
Utilizes facilitation skills (both team and individual), data analysis and statistical process control to effect improvement in quality and clinical outcome
Consults with and trains staff to implement monitoring and measurement tools, and data analysis techniques
Provides education and training on accreditation compliance and accreditation matters
Collaborates with staff to facilitate improvement teams to achieve facility and System quality and patient safety goals
Assists with system and regional quality initiatives
Qualification
Required
Oversees the daily continuous accreditation readiness for assigned facility(s)
Coordinates department and facility accreditation compliance meetings
Analyzes trends of performance metrics
Identifies opportunities for improvement
Develops action plans
Measures success of these action plans
Creates the records and follow-up metrics for each meeting and activity
Leads continuous accreditation readiness efforts
Coaches others in the development of accreditation improvement capabilities
Provides direction to department and facility leadership in the planning of a systematic, organization-wide approach to continuous accreditation readiness
Maintains expert competence in accreditation standards
Communicates relevant changes to appropriate leaders and staff
Maintains a close working relationship with facility leadership
Optimizes the quality and patient safety culture
Supports constant state of readiness for accreditation reviews
Facilitates assessments
Develops, implements and evaluates corrective action plans based on past surveys and preparatory tracer activities
Compiles and distributes compliance reports including appropriate action plans to oversight councils
Supports and guides the facility in continuous survey readiness efforts
Participates in the review, analysis and development of plans
Prepares reports and presentations
Re-assesses approach to maximize success
Assists leadership in defining key performance indicators
Develops measurement tools to evaluate quality improvements
Utilizes facilitation skills (both team and individual)
Uses data analysis and statistical process control to effect improvement in quality and clinical outcome
Consults with and trains staff to implement monitoring and measurement tools
Provides education and training on accreditation compliance and accreditation matters
Collaborates with staff to facilitate improvement teams to achieve facility and System quality and patient safety goals
Assists with system and regional quality initiatives
Works in an office environment
Requires walking, standing, long periods of sitting and computer use
Intact sense of sight and hearing required
Travels to facilities as needed
Must have current state driver's license
Bachelor's Degree required
Preferred
Master's Degree preferred
RN or other clinical licensure preferred
Certification in healthcare quality, patient safety or related accreditation entity preferred, required within 1 year of employment
Company
Aurora Health Care
At Aurora Health Care, helping people live well is what drives us – it’s our purpose and what we do every day.
Founded in 1984
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Kristie Geil DNP, RN, CENP
Area VP/CNO Aurora Health Care, South Wisconsin, VP/CNO Aurora Medical Center Kenosha
Carla LaFever
Chief Clinical Services Officer
Recent News
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