Clinical Quality Leader II - Main Campus - Chicago

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POST DATE 10/11/2017
END DATE 2/14/2018

Northwestern Memorial Healthcare Chicago, IL

Chicago, IL
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)
Bachelors Degree



* Work cooperatively and collaboratively with physicians and staff at all levels of seniority to define and achieve common aims.

* Model, teach and improve a culture of safety and shared improvement.

* Partner with operational and medical leadership to identify, develop and implement successful communication, education, and process solutions to engage staff and produce improved processes and outcomes.

* Collaborate with medical staff leadership to select measures for Ongoing and Focused Professional Practice Evaluation (OPPE/FPPE).

* Select, investigate and prepare clinical cases referred for peer review for medical staff (as assigned).

* Coordinate peer review cases for individual department meetings and QI Subcommittee and assist department leadership with the completion of peer review minutes/forms (as assigned).

* Support medical and hospital staff in data collection and analysis to accurately detect patterns or trends in quality and patient safety information.

* Perform medical record reviews and other data collection activities that assist in identifying potential quality issues and opportunities for improvement in patient care services.

* Lead or participate in hospital wide committees/councils, performance improvement projects, and RCAs/FMEAs.

* Produce/assist in the production of committee meeting minutes, reports, dashboards, and related correspondence.


* Significant independence and autonomy in collaboration with department or service based committees as well as cross-departmental and hospital-wide initiatives.

* Participate as a change agent to systematically drive and implement change as prioritized by senior clinical leadership and quality / patient safety committees.

* Bring leadership and communication skills to interdisciplinary quality/patient safety efforts.

* Lead the planning, implementation and monitoring of the NMH Quality Plan in clinical interdisciplinary areas as assigned.

* Take leadership on peer review (as assigned) in collaboration with clinical colleagues and leadership.

* Take initiative and lead the development of plans in collaboration with clinical colleagues in multiple departments and disciplines convene, educate, facilitate consensus.

* Research and develop quality measurement, evaluation and improvement approaches demonstrate significant knowledge of current and future trends in quality measurement.

* Prepare assessments and recommendations for hospital-wide and senior committees.

* Contribute to organizational learning and dissemination through publication, presentation, collaboration with clinical colleagues on these efforts.

* Provide mentoring and coordination for designated efforts of other staff in the department and beyond, as well as students/interns as relevant.

* Work with external agencies such as QIO and payors on quality issues.


* Maintain familiarity with the core literature and resources, and national, state and local regulatory and accreditation requirements, e.g. those related to clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources.

* Apply professional clinical knowledge and other clinical standards, best practices, and interdisciplinary collaboration, relevant to assigned clinical area, to advance problem analysis and resolution and creative process redesign.

* Integrate and innovate tools to promote standardized evidence-based clinical practice as appropriate (i.e., standardized order sets).

* Facilitate the use of quality management principles and performance improvement tools.

* Assist clinical teams and leadership to respond to quality-related queries from external constituencies: patients, families, payers, media, researchers, etc.

* Assure compliance with relevant quality / process improvement regulatory and accreditation requirements.

* Master relevant clinical, quality measurement, patient safety and measurement as pertinent to assigned clinical area.

EOE Minorities/Women/Disabled/Veterans. VEVRAA Federal Contractor. REQUIRED QUALIFICATIONS:

* Bachelor s degree in Nursing or an Allied Health profession

* 8 or more years of recent experience in the acute or medical practice care setting and/or quality management/improvement organizations as relevant to targeted assignments

* Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) required within one year

* Clinical experience

* Quality management and improvement experience

* Advanced competence with Excel and data analysis

* Highly effective and experienced at facilitation of teams including complex multi-disciplinary projects

* Knowledgeable and skilled at managing disparate perspectives and conflict

* Excellent writing and presentation skills

* Medical record review/abstraction experience

* Working knowledge of performance improvement methodologies (i.e. DMAIC), analytic tools and methods; familiarity with basic statistics as related to healthcare quality

* Experience with implementation of quality/patient safety improvement

* Relevant computer skills (Excel, PowerPoint, Word, electronic medical records, clinical databases)

* Excellent leadership, facilitation, and communication (oral, written) skills

* Exceptionally strong interdisciplinary collaboration skills are needed


* Master s degree strongly preferred

* Evidence of advanced commitment to profession

* Knowledge of guidelines, healthcare standards, and regulations

* Experience with clinical outcomes, safety, and patient satisfaction data

* Evidence of publishable work (research, quality reports, clinical summaries)

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability or sexual orientation.