QUALITY COORDINATOR - MICHIGAN ARTHROPLASTY REGISTRY

General Purpose of Job:

The Quality Coordinator has responsibility for the development, implementation, and monitoring of quality improvement and patient safety activities for a designated quality collaborative/registry.

The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) is a group of Orthopaedic surgeons and medical professionals dedicated to improving the quality of care for patients undergoing hip and knee replacement procedures in Michigan. It is a Blue Cross Blue Shield of Michigan-funded Collaborative Quality Initiative (CQI). The Quality Coordinator is responsible for collecting, analyzing and reporting clinical data elements on eligible cases as well as, participate in project training sessions, attend the MARCQI collaborative meetings (3 times a year), and maintain regular contact (email, phone, conference calls, webinars, etc.) with the clinical champion and coordinating center. By collecting data, analyzing data, and reporting data back to the providers, quality improvement initiatives based on the registry data are implemented.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Collecting, analyzing and reporting clinical data elements on eligible cases as required for participation in the Michigan Arthroplasty Registry a Collaborative for Quality Improvement (MARCQI), a Blue Cross Blue Shield of Michigan-funded Collaborative Quality Initiative (CQI).
• The Quality Coordinator will be required to independently manage the case load and report data to MARCQI according to established standard and deadlines.
• The Quality Coordinator will actively engage in MARCQI activities and identify opportunities to improve the quality of care in the inpatient setting by working with physicians, nurses, other clinicians, and administrators to develop strategies to improve performance.
• Other responsibilities will include attending consortium-wide meetings and data abstractor meetings as a representative of the institution, acting as a resource regarding the consortium within the institution, maintaining regular contact with the MARCQI clinical champion(s) and other members of the team at the institution, preparing for and being available for site audits by the MARCQI Coordinating Center, resolving data discrepancies, and responding to MARCQI Coordinating Center requests in a timely fashion.
• Employees in this role typically analyze, compare and evaluate various courses of action and have the authority to make independent decisions on matters of significance, free from immediate direction, within the scope of their responsibilities.
• Maintains current knowledge of laws, regulations, healthcare trends and accreditation standards; provides education, and coordinates the preparation, monitoring, and developing of mechanisms to comply with standards and surveys.
• Acts as a consultant, educator, and facilitator for quality improvement and patient safety initiatives for hospital staff and physicians that include, but are not limited to:




• Quality improvement and patient safety
• Adverse Event Analysis, Peer Review
• Morbidity and Mortality
• Clinical documentation
• Multi-disciplinary quality improvement team activities




• Identifies/develops aggregate summaries of Quality Improvement data and information as needed, that includes but is not limited to:




• Departmental quality improvement activities
• Medical staff quality improvement activities
• Committee quality improvement activities
• Outside organizational information
• Benchmark activities
• Public reporting of quality data