RN Coordinator Practitioner Excellence

• DEPARTMENT: 18400 – Medical Staff
• LOCATION: 350 7th Street North, Naples, FL, 34102
• WORK TYPE: Full Time
• WORK SCHEDULE: 8 Hour Day

ABOUT NCH

NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.

NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.

Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH – for you and every person we serve together. Visit nchjobs.org to learn more.

JOB SUMMARY

The RN Coordinator Practitioner Excellence is responsible for supporting and coordinating the Medical Staff Peer Review process. The RN Coordinator Practitioner Excellence will work in close collaboration with Medical Staff leaders and other members of the Medical Staff Office on providing accurate clinical summaries, data trends, and providing detailed reports for analysis when indicated. This position will also monitor significant trends by analyzing aggregate data and monitoring the performance of all practitioners, identifying areas for performance improvement and the quality of care we provide. This includes clinical performance and escalating professional behavior concerns to the Director Practitioner Quality and Professionalism. The RN Coordinator Practitioner Excellence will be responsible for coordinating and managing all Medical Staff Peer Review meetings. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

– Other duties may be assigned.

· Identify cases meeting the criteria for clinical case review through pulling reports from various data systems and provide a preliminary analysis (RN level) of findings.

· Collect data as specified in the Professional Practice Evaluation (PPE) Policy for aggregation, analysis, and presentation including an annual summary to be presented to the Medical Board by Medical Staff Leadership.

· Collect data, as requested by hospital committees as defined in the PPE-Policy including but not limited to Physician Excellence Committee, Hospitalist Quality and Process Improvement Committee or others for ongoing trends or outlier status and to identify opportunities for improvement. Create charts and graphs to facilitate the communication of data trends.

· Maintains a file on each practitioner for tracking and trending variances through the peer review database.

· Creates and maintains records of the peer review discussion and outcomes.

· Maintains a close working relationship with the Committee Chairpersons and members.

· Follows the Peer Review Process as outlined in the Medical Staff PPE Policy and the Medical Staff Organization and Functions Manual.

· Prepare a summary of all the medical records and other relevant data sources to be reviewed by Medical Staff Committees.

· Responsible for setting the agenda, creating the presentation material, and recording minutes for the Medical Staff Committee meetings.

· Attends Medical Staff meetings to facilitate the peer review process as designated.

· Coordinate follow-up planning processes and activities including system opportunity initiatives from the recommendations from PEC, its members, or any of its subcommittee meetings.

· Coordinates activities with all hospital departments involved in data collection, scheduling of meetings, and interfaces with the Medical Staff Services Department to facilitate communication and appropriate meeting support.

· Expediate timely and accurate triage of Medical Staff related Risk Events Notices, including variance reports, patient grievances, and Amendment 7 requests.

· Knowledgeable of Evidence-based, CMS and TJC clinical metrics (i.e. Core Measures, AHRQ Patient Safety Indicators, Hospital Acquired Conditions)

· RN Coordinator Practitioner Excellence reports directly to the Director Practitioner Quality & Professionalism

EDUCATION, EXPERIENCE AND QUALIFICATIONS

· Graduate from an accredited school of nursing, BSN required.

· Licensed as a Registered Nurse (RN) in the State of Florida.

· Strong clinical background with a minimum of three years of recent acute care experience with a minimum of two years in Performance Improvement preferred.

· Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows.