Under the general direction of the Director of Quality &Safety Systems, the Clinical Decision Support Analyst is responsible forsupporting the development and enhancement of a comprehensive system tomonitor, evaluate, and improve the quality and appropriateness of clinical careat St. Mary's Hospital. The individual in this role advises members of themedical staff, other clinicians, department directors, and administrationregarding effective approaches to 1) measure and improve clinical quality, and2) enhance the value of care for all our customers.
DATA MANAGEMENT/ANALYSIS: Promotes and facilitates decision-making by facts i. Identifies, monitors, analyzes, and reports key performance data to stakeholders ii. Serves as point-of-contact and subject matter expert for assigned clinical populations iii. Manages new report requests 1. identifies stakeholder requirements 2. identifies stakeholder goals for reporting 3. collaborates with requestor to identify report format for optimal data display iv. Designs, develops, and distributes new and ad-hoc reports v. Utilizes appropriate statistical approach to measurement performance 1. measures of central tendency 2. statistical process control/control charts 3. Pareto charts vi. Extracts and transforms data into actionable information for presentation, decision-making, and process improvement vii. Identifies opportunities for improvement and recommends solutions
DATA MANAGEMENT/ANALYSIS: Assures data integrity i. Accurately abstracts information from the medical record and other clinical data repositories ii. Screens data for validity and reliability iii. Provides technical consultation and/or leadership for the design, build, and validation of clinical databases and repositories, including electronic health records, such that clinical data for improvement activities and public reporting can be accurately and efficiently retrieved 1. Provides and tests operational definitions for denominators including exclusion criteria 2. Tests data entry and retrieval interfaces
PERFORMANCE IMPROVEMENT: Supports medical and interdisciplinary patient review committees through chart review and monitoring practice activities and patterns.
PERFORMANCE IMPROVEMENT: Refers issues related to quality of patient care to appropriate patient review committee and/or the Medical Staff Office.
PERFORMANCE IMPROVEMENT: Collaborates with the Medical Staff Office for the physician re-appointment process, the Medical Staff Office and the Department of Patient & Family Services for utilization review and analysis, other performance improvement committees (e.g. Infection Control Committee, Pharmacy and Therapeutics, Medication Process Improvement Team, Quality Improvement Committee, etc.) and report findings as appropriate to assigned patient review committees. Assures timely review of patient care issues.
PERFORMANCE IMPROVEMENT: Leads, facilitates and/or participates in interdisciplinary and/or cross-continuum quality improvement teams: i. Conducts background research, including data collection trending, and analysis ii. Performs research and literature reviews as needed to support quality evaluation iii. Provides consultation to team members for data analysis, interpretation and decision-making by facts
PERFORMANCE IMPROVEMENT: Supports evidence-based practices for the development of practice guidelines, protocols and outcomes studies.
PROJECT MANAGEMENT: Provides leadership for projects related to: i. Quality improvement initiatives ii. Implementation and management of quality/value measurement databases (e.g. Virtual Performance System, Press Ganey Patient Satisfaction Measurement System, DMR Physician Satisfaction Measurement System, and Kronos Visionware).
PROJECT MANAGEMENT: Manages assigned projects throughout all project phases: i. Planning (Plan) ii. Execution (Do) iii. Evaluation (Study) iv. Control/Maintenance (Act).
PROJECT MANAGEMENT: Assures communication of project status to administration and other stakeholders.
PROJECT MANAGEMENT: Assures that organizational learning is captured and applied to future projects. Perform other duties as assigned.
Bachelor's Degree in health information management, health-care profession, informatics, health statistics - or equivalent experience is required.
A minimum of 3 years of experience in clinical decision support including quality improvement, operations improvement, utilization review, or health information services is required.
Certification asRHIA/RHIT/CCS and/or quality professional (e.g. CPHQ – Certified Professionalin Healthcare Quality) is desirable, but not required.
St. Mary's Hospital – Madison –
St. Mary's is a 440-bed tertiary referral hospital offeringinpatient and outpatient treatment and diagnostic services in primary care andnearly all specialties. Medical/surgical areas of special focus include theFamily Birth Center, pediatrics, Neuroscience Center, geriatrics, orthopedics,emergency services and more. St. Mary's is affiliated with the University ofWisconsin School of Medicine's three-year family practice residency program. Since1912, St. Mary's has provided service to much of south-central Wisconsinincluding Dane County and 17 other nearby counties. In the growing city of SunPrairie, northeast of Madison, St. Mary's Emergency Clinic provides services tomore than 30,000 residents.
You’ve known us as many names throughout St. Louis, and now, we’re bringing our hospitals, doctors, home care and other services together under one name – SSM Health. With seven hospitals, 350+ physicians, more than 40 physician locations and 12,000 employees, we are part of something bigger and better. We’re connected to a wealth of resources, expertise and advance technology to help you, your fa...mily and our community live long, healthy lives.
We’ve grown and changed a lot over our 143-year history. Our name may be changing but our mission remains the same