Clinical Outcomes Specialist
Company: Houston Methodist Hospital
Location: Sugar Land
Posted on: April 17, 2024
Job Description:
At Houston Methodist, the Clinical Outcomes Specialist is
responsible for supporting regulatory and/or accreditation quality
reporting requirements, internal quality initiatives, clinical
outcomes processes, and clinical benchmarking endeavors of the
entity. This includes concurrent and/or retrospective data
abstraction, data management, data analysis, report generation,
results presentation and dissemination, and education of medical
staff, entity staff and management.PEOPLE ESSENTIAL FUNCTIONS
- Communicates and disseminates timely data analysis and findings
to management and appropriate entity and/or medical staff
committees.
- Communicates timely and relevant feedback to team, management,
entity, and/or medical staff as it pertains to assignment, errors
in coding, performance/process improvement initiatives, ongoing
projects and other related issues; follows-up on and closes the
loop of each communication to ensure timely resolution or
escalation if necessary.
- Adheres to agreed upon escalation process for communication
within the department, entity and/or medical staff.
SERVICE ESSENTIAL FUNCTIONS
- Supports Department with data abstraction for regulatory and/or
accreditation requirements and performance/process improvement
projects.
- Interprets and analyzes data to determine trends, identify
potential causative factors and opportunities for improvement.
Incorporates analyses into routine monthly or ad hoc reports, using
statistical tools/graphic models appropriate for data and intended
audience. Presents the information to various committee or
performance improvement teams.
- Serves as a resource, consultant, and expert for assigned
registry or measure sets for the Department, entity leadership, and
staff.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Accurately abstracts data through concurrent and/or
retrospective medical record review; organizes and inputs data into
appropriate database in accordance with specifications manual or
coding instructions; adheres to volume requirement and submission
deadlines; if required, meets registry volume requirement for
follow-up phone calls to clinics, patients or families within the
required time frame.
- Clarifies interpretation of specifications manual/coding
instructions/abstraction guidelines with appropriate registry or
measure set support team and disseminates information to team,
entity and/or medical staff as needed.
- Reviews and validates accuracy and completeness of abstracted
data on an established and agreed upon schedule and prior to
submission; adheres to established department internal and external
validation process to ensure quality, accuracy, and integrity of
data.
- Supports RCAA/FMEA process as requested when patient outcomes
suggest possible system failures.
FINANCE ESSENTIAL FUNCTIONS
- Manages department resources and assignment effectively and
efficiently as evidenced by prudent use of office supplies, timely
data abstraction, data entry, and data submission.
- Reports case reviews with incorrect diagnosis or procedure code
and refers cases to Coding team for review and re-coding as
appropriate.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Maintains knowledge of guidelines governing data abstraction,
regulatory, and accreditation requirements; stays current with
clinical knowledge for specialty area by participating in internal
or external educational opportunities.
- Makes recommendations to team, department, or entity committees
on how to improve processes and performance based on registry or
clinical guidelines.
This job description is not intended to be all-inclusive; the
employee will also perform other reasonably related business/job
duties as assigned. Houston Methodist reserves the right to revise
job duties and responsibilities as the need arises. EDUCATION
- Bachelor of Science in Nursing required
WORK EXPERIENCE
- Three years of direct patient care in acute care hospital or
ambulatory environment required
- Previous performance improvement experience preferred
LICENSES AND CERTIFICATIONS - REQUIRED
- RN - Registered Nurse - Texas State Licensure and/or Compact
State Licensure within 60 days OR
- RN-Temp - Registered Nurse - Temporary State Licensure within
60 days
LICENSES AND CERTIFICATIONS - PREFERRED
- CPHQ - Certified Professional in Healthcare Quality (NAHQ)
KNOWLEDGE, SKILLS, AND ABILITIES
- Demonstrates the skills and competencies necessary to safely
perform the assigned job, determined through on-going skills,
competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the
English language necessary to perform the essential functions of
this job, especially with regard to activities impacting patient or
employee safety or security
- Ability to effectively communicate with patients, physicians,
family members, and co-workers in a manner consistent with a
customer service focus and application of positive language
principles
- Ability to review medical information from multiple computer
sources, abstract pertinent information, and assimilate findings
based upon defined measurement guidelines
- Detail oriented
- Intermediate computer and analytical skills
- Skill in general use of Excel spreadsheet, relational database,
presentation and word-processing software and the Internet;
proficiency with MS Word, Excel, PowerPoint, and Outlook essential
for success in this position
- Excellent time management and organizational skills
- Ability to work independently and with teams
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during
emergencies (ie. DIsaster, Severe Weather Events, etc) regardless
of selection below.
- On Call* No
TRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area
No
- May require travel outside Houston Metropolitan area Yes
Company Profile:
Houston Methodist Hospital is recognized by U.S. News & World
Report as the No. 1 hospital in Texas (two-way tie) and one of
America's "Best Hospitals." As a full-service, acute-care hospital
located in the Texas Medical Center and the flagship hospital of
Houston Methodist, it has evolved into one of the nation's largest
nonprofit teaching hospitals and a leader in innovative medical
research with a comprehensive residency program. Two of Houston
Methodist's primary academic affiliates are among the nation's
leading health care organizations: Weill Cornell Medicine and New
York-Presbyterian Hospital. Houston Methodist also has affiliations
with Texas A&M University and the University of Houston. With
948 operating beds, 85 operating rooms and more than 8,400
employees, Houston Methodist Hospital offers unparalleled care for
thousands of patients from around the world.
Houston Methodist is an equal opportunity employer inclusive of
women, minorities, disabled persons and veterans.
Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which
Houston Methodist is firmly bound. Houston Methodist will not
engage in discrimination against or harassment of any person
employed or seeking employment with Houston Methodist on the basis
of race, color, religion, sex, sexual orientation, gender identity,
national origin, age, disability, status as a protected veteran or
other characteristics protected by law. VEVRAA Federal Contractor -
priority referral Protected Veterans requested.
Keywords: Houston Methodist Hospital, Missouri City , Clinical Outcomes Specialist, Healthcare , Sugar Land, Texas
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