Description IntroductionAre you looking for a place to deliver excellent care patients deserve At Portsmouth Regional Hospital we support our colleagues in their positions. Join our Team as a(an) Sr Clinical Quality Specialist and access programs to assist with every stage of your career.BenefitsPortsmouth Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.Are you a continuous learner With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Sr Clinical Quality Specialist opening and continue to learn!Job Summary and QualificationsPOSITION SUMMARY: The Sr. Clinical Quality/Patient Safety Specialist is responsible to lead, coordinate and carry out an assigned portfolio of clinical quality functions to support the hospital’s quality plan and programs. The Sr. Specialist will use a broad and deep knowledge of practice and systems in the assigned responsibilities within the quality measurement, quality improvement, and regulatory readiness The Sr. Quality/Patient Safety Specialist will be involved in supporting the department’s quality work through such activities as concurrent and retrospective abstraction of records to evaluation compliance with national standards of care, and data reporting, collaboration with organizational leaders to lead and/or support clinical quality improvement committees, teams, organizational regulatory readiness and certification. The Specialists works as a member of a team of quality who develop areas of expertise and cross cover each other’s functions to assure that the department meets its internal and external reporting requirements. The Specialists is accountable to develop expertise in use of a variety of quality software programs and data reporting systems to achieve the goals of case review, data abstraction, management and reporting. The Sr. Specialist will actively provide support and carry out assigned functions within the Quality Department, participating in incident reviews, and case analysis as assigned. Essential Functions: • Participates in, takes lead, and/or supports a wide range of quality initiatives to further organization quality priorities and improvement of clinical processes and outcomes to address hospital needs and priorities • Communicates and promotes understanding of Joint Commission, National Patient Safety Goals, HCAPS, Leapfrog Group Safety and Corporate Quality Initiatives to hospital department representatives and utilizes data collection and analysis to monitor compliance and drive improvement • Provides leadership for organizational readiness and support for Joint Commission and QRS preparation, standards interpretation, surveys and response • Provides concurrent and retrospective reviews and abstraction to assess compliance with standards and works with department leaders, clinical and provider staff to improve achievement of evidenced based care reflected in quality measures • Performs focused chart reviews as assigned. • Performs basic data analysis and create graphs and charts to display data in support of improvement initiatives • Abstracts data, contributes to interrater reliability and validation studies for Core Measure and others data sets as needed, uses assigned Quality Metric applications. • Assists with orientation of new staff and physicians with respect to Joint Commission, CMS Core Measures, other quality initiatives as assigned. • Collaborates with department leaders and quality staff to conduct regular unit and department tracers, rounding and auditing to assure compliance with TJC and CMS regulations • Collaborates with Nursing Leaders to develop and implement strategies to improve Nursing Sensitive Indicators of Quality, including the development of unit-based quality champions. • Serves on and or leads quality related committees Serves as Quality representative for assigned Service Lines. • Develops and presents reports and presentations related to areas of responsibility within the Quality team. • Promotes internal and external customer satisfaction • Builds and promotes a culture of safety, service excellence and continuous improvement • Performs all other duties as assigned. SPECIFIC ELEMENTS & ESSENTIAL FUNCTIONS: Stroke Coordinator Responsibilities. The Stroke Coordinator is responsible for organizing and administering the stroke program. The Stroke Coordinator works collaboratively with patients and their families, healthcare providers, EMS, and community groups to facilitate Stroke Care and prevention throughout the continuum of care. The Stroke Coordinator collaborates with staff to identify and lead advanced clinical care for Stroke patients. Provides leadership and system planning to maintain Disease-Specific Care Certification. The Stroke Coordinator is responsible for maintaining appropriate education and certification so as to be a resource and the clinical lead for the care patients within the service line including but not limited to post endovascular thrombectomy and alteplase patients, as well as neurosurgical and neuro-interventional radiology patients. · Functions as a member of the healthcare team to facilitate and promote teamwork toward promotion of quality patient care. · Initiates and leads educational activities for Primary Stroke Certification stroke requirements. Attends local, regional, and national meetings as needed and defined by Primary Stroke certification standards. 3) Conducts mock Code Drills during normal and off shift hours to ensure staff preparedness. · Works to assure successful survey process outcomes for disease specific certification; role requires flexibility in hours due to survey preparedness. · Responsible for facilitating and coordinating the key elements of the Stroke Center Certification process including development and review of protocols and policies and attendance at off hour meetings. · Educates staff and physicians on standards compliance and assessment / treatment per evidence based practice for acute stroke patients. · Provides education to staff and physicians to meet Primary Stroke center Requirements. Educational opportunities exist both during normal and off hours. · Interacts with patients and families of acute stroke patients to determine care protocol compliance and patient satisfaction. 10) Initiates and manages databases for recording and reporting of data related to disease specific certification/accreditation. · 11) Aggregates and reports on data relevant to certification programs in relevant committees. · 12) Develops written reports related to assessments and recommends change in the clinical practice environment which may be required. · 14) Assists facility staff to achieve competencies around care of the stroke patient; utilizes a multidisciplinary education plan to include all disciplines who are involved in the care of the stroke patient including physicians. · 15) Works collaboratively with department directors to evaluate educational needs of staff and develops and implements plans to meet those identified needs in conjunction with the Professional Development department and unit Leadership teams. Utilizes innovative and diverse educational methods to best meet the needs of the staff. · 16) Assists in assuring that appropriate standards of care, practice and performance, and policy and procedures are in place through direct observation of clinical practice and collaboration with the management team. · 17) Communicates effectively, both written and verbally, with all members of the healthcare team, customers and key stakeholders. · 18) Assumes responsibility for own growth as a professional including participation in a professional organization, attendance to professional seminars and through formal educational activities. 19) Other duties as assigned What qualifications you will need:Bachelors Degree required1-3 years related experienceNew Hampshire Registered Nurse license or valid compact RN license requiredAt Portsmouth Regional Hospital, you're not just joining a hospitalyou’re becoming part of a mission-driven team that’s redefining healthcare excellence across the Seacoast region. As a 240-bed acute care facility in Portsmouth, NH, we proudly serve communities throughout New Hampshire, Maine, and Massachusetts. We’re the only hospital in the area to be recognized as an ACS Verified Level II Trauma Center and a Comprehensive Stroke Center, and we offer a robust heart and vascular programgiving our team the opportunity to work at the forefront of life-saving care.As part of the HCA Healthcare family, you’ll be supported by one of the nation’s leading healthcare systems, with a strong presence in New Hampshire that includes four hospitals, three freestanding emergency rooms, and over 70 care sites. Here, nearly 5,000 colleaguesincluding 1,500 nurses and 1,000 affiliated physicianscollaborate to deliver exceptional care and innovation every day. Whether you're at Portsmouth, Catholic Medical Center in Manchester, Parkland Medical Center in Derry, Frisbie Memorial Hospital in Rochester, or one of our emergency facilities in Seabrook, Dover, or Plaistow, you’ll find a culture that values your expertise, supports your growth, and empowers you to make a real difference.HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder If growth and continued learning is important to you, we encourage you to apply for our Sr Clinical Quality Specialist opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.