•Leverage analysis of data to drive improvement efforts and stakeholder engagement to proactively meet departmental goals in alignment with strategic priorities.•Performance and process improvement, project management, and leveraging methods of change management to support operational and clinical quality initiatives.•Leadership of cross-functional teams (e.g., leadership, other stakeholders, including those for whom there is no direct line of authority) making recommendations or… Show more •Leverage analysis of data to drive improvement efforts and stakeholder engagement to proactively meet departmental goals in alignment with strategic priorities.•Performance and process improvement, project management, and leveraging methods of change management to support operational and clinical quality initiatives.•Leadership of cross-functional teams (e.g., leadership, other stakeholders, including those for whom there is no direct line of authority) making recommendations or clarifying information to assist in closing gaps that are identified.•Facilitation of comprehensive Root Cause Analysis and action planning with active listening to the voices of internal and external stakeholders, leveraging cause and effect analysis tools, researching best practices, guidelines, and hospital policies. •Direct activities that support compliance with voluntary, mandatory, and contractual reporting requirements.•Skilled in quality data analysis and data aggregation, communicating data with simple visuals and knowledge of control and run charts.•Ability to connect process and interventions to outcomes measures for assessment of effectiveness and recommendations for modifications or enhancements utilizing PDSA.•Proven ability to work collaboratively with Physician leadership and other clinical leadership to address quality & safety concerns.•Work closely with the Data Analytics & Quality team to educate Physician quality leaders and support the implementation and use of new departmental scorecards. •Validation of externally abstracted clinical information as applied to Core measures (Sep1 Bundle Compliance) and Patient Safety Indicators, analysis of data collected from electronic health records, and external database tools.•Dissemination of actional feedback and learning opportunities for care teams through creation and distribution of Sep1 Bundle compliance reports. Show less

Critical Care Nursing Medical ICU at Level 1 Trauma Center