Clinical Outcomes Specialist

At Houston Methodist the Clinical OutcomesSpecialist is responsible for supporting regulatory and / oraccreditation quality reporting requirements internal qualityinitiatives clinical outcomes processes and clinical benchmarkingendeavors of the entity.

This includes concurrent and / orretrospective data abstraction data management data analysis reportgeneration results presentation and dissemination and education ofmedical staff entity staff andmanagement.

PEOPLE ESSENTIALFUNCTIONS

• Communicates anddisseminates timely data analysis and findings to management andappropriate entity and / or medical staffcommittees.
• Communicatestimely and relevant feedback to team management entity and / ormedical staff as it pertains to assignment errors in codingperformance / process improvement initiatives ongoing projects andother related issues;

followsup on and closes the loop of eachcommunication to ensure timely resolution or escalation ifnecessary.

Adheres toagreed upon escalation process for communication within thedepartment entity and / or medicalstaff.

SERVICE ESSENTIALFUNCTIONS

• SupportsDepartment with data abstraction for regulatory and / oraccreditation requirements and performance / process improvementprojects.
• Interprets andanalyzes data to determine trends identify potential causativefactors and opportunities for improvement. Incorporates analysesinto routine monthly or ad hoc reports using statisticaltools / graphic models appropriate for data and intended audience.

Presents the information to various committee or performanceimprovement teams.

Servesas a resource consultant and expert for assigned registry ormeasure sets for the Department entity leadership andstaff.

QUALITY / SAFETYESSENTIALFUNCTIONS

Accuratelyabstracts data through concurrent and / or retrospective medicalrecord review; organizes and inputs data into appropriate databasein accordance with specifications manual or coding instructions;

adheres to volume requirement and submission deadlines; if requiredmeets registry volume requirement for followup phone calls toclinics patients or families within the required timeframe.

• Clarifiesinterpretation of specifications manual / codinginstructions / abstraction guidelines with appropriate registry ormeasure set support team and disseminates information to teamentity and / or medical staff asneeded.
• Reviews andvalidates accuracy and completeness of abstracted data on anestablished and agreed upon schedule and prior to submission;

adheres to established department internal and external validationprocess to ensure quality accuracy and integrity ofdata.

Supports RCAA / FMEAprocess as requested when patient outcomes suggest possible systemfailures.

FINANCE ESSENTIALFUNCTIONS

• Manages departmentresources and assignment effectively and efficiently as evidencedby prudent use of office supplies timely data abstraction dataentry and datasubmission.
• Reports casereviews with incorrect diagnosis or procedure code and refers casesto Coding team for review and recoding asappropriate.

GROWTH / INNOVATIONESSENTIAL FUNCTIONS

• Maintainsknowledge of guidelines governing data abstraction regulatory andaccreditation requirements; stays current with clinical knowledgefor specialty area by participating in internal or externaleducationalopportunities.
• Makesrecommendations to team department or entity committees on how toimprove processes and performance based on registry or clinicalguidelines.

This job description isnot intended to be allinclusive; the employee will also performother reasonably related business / job duties as assigned.

HoustonMethodist reserves the right to revise job duties andresponsibilities as the needarises.

EDUCATION

Bachelorof Science in Nursingrequired

WORKEXPERIENCE

• Three years ofdirect patient care in acute care hospital or ambulatoryenvironmentrequired
• Previousperformance improvement experiencepreferred

LICENSES ANDCERTIFICATIONS REQUIRED

• RNRegistered Nurse Texas State Licensure and / or Compact StateLicensure within 60 days OR
• RNTemp Registered NurseTemporary State Licensure within 60 days

LICENSESAND CERTIFICATIONSPREFERRED

CPHQ CertifiedProfessional in Healthcare Quality (NAHQ)

KNOWLEDGE SKILLSAND ABILITIES

• Demonstratesthe skills and competencies necessary to safely perform theassigned job determined through ongoing skills competencyassessments and performanceevaluations
• Sufficientproficiency in speaking reading and writing the English languagenecessary to perform the essential functions of this job especiallywith regard to activities impacting patient or employee safety orsecurity
• Ability toeffectively communicate with patients physicians family members andcoworkers in a manner consistent with a customer service focus andapplication of positive languageprinciples
• Ability toreview medical information from multiple computer sources abstractpertinent information and assimilate findings based upon definedmeasurementguidelines
• Detailoriented
• Intermediatecomputer and analyticalskills
• Skill in generaluse of Excel spreadsheet relational database presentation andwordprocessing software and the Internet; proficiency with MS WordExcel PowerPoint and Outlook essential for success in thisposition
• Excellent timemanagement and organizationalskills
• Ability to workindependently and withteams

SUPPLEMENTALREQUIREMENTS

WORKATTIRE

• UniformNo
• Scrubs No
• Businessprofessional Yes
• Other (department approved)No

ONCALL*

• Notethat employees may be required to be oncall during emergencies (ie.DIsaster Severe Weather Events etc) regardless of selectionbelow.
• On Call*No

TRAVEL

Travelspecifications may vary bydepartment

• May requiretravel within the Houston Metropolitan areaNo
• May require travel outside HoustonMetropolitan areaYes

CompanyProfile :

Houston MethodistHospital is recognized by U.S. News & World Report as the No. 1hospital in Texas (twoway tie) and one of Americas Best Hospitals.

As a fullservice acutecare hospital located in the Texas MedicalCenter and the flagship hospital of Houston Methodist it hasevolved into one of the nations largest nonprofit teachinghospitals and a leader in innovative medical research with acomprehensive residency program.

Two of Houston Methodists primaryacademic affiliates are among the nations leading health careorganizations : Weill Cornell Medicine and New YorkPresbyterianHospital.

Houston Methodist also has affiliations with TexasA&M University and the University of Houston. With 948operating beds 85 operating rooms and more than 8400 employeesHouston Methodist Hospital offers unparalleled care for thousandsof patients from around the world.

HoustonMethodist is an equal opportunity employer inclusive of womenminorities disabled persons andveterans.

Equal EmploymentOpportunity

Houston Methodist isan Equal Opportunity Employer.

Equal employmentopportunity is a sound and just concept to which Houston Methodistis firmly bound. Houston Methodist will not engage indiscrimination against or harassment of any person employed orseeking employment with Houston Methodist on the basis of racecolor religion sex sexual orientation gender identity nationalorigin age disability status as a protected veteran or othercharacteristics protected by law.

VEVRAA Federal Contractorpriority referral Protected Veteransrequested.