The Registered Nurse Accreditation Coordinator is accountable to the Director of Performance Management. The Registered Nurse Accreditation Coordinator is accountable to the Director of Performance Management. He/she is responsible for the following: Implements, maintains and evaluates the organizational accreditation readiness system, promoting continuous readiness for all regulatory requirements. Provides access to and education about regulations/ standards to stakeholders across the organization. Works with stakeholders to implement corrective actions for elements not meeting regulatory criteria. Works with the Director of Performance Management and others to promote quality in clinical practice by collaborating in the development of guidelines and criteria for measuring the quality and appropriateness of patient care delivered. Analyzes data and reports information to identify the need for change in subscribed areas that may include the need to minimize risk and ensure effectiveness of clinical quality improvement. Provides support to CQI as an approach to assess and improve the quality of patient care. Applies CQI tools in data collection and identifies barriers to the achievement of quality improvement in circumscribed facility wide programs or committees, or in individual services. Advises and assists the Director of Performance Management in policy review, formulation, communication, implementation and evaluation and in setting of institutional priorities related to committees, services and/or program elements. Monitors individual services, program elements and/or committees for compliance with policy. Identifies patterns and/or trends and ensures that the identification of issues to modify and improve the program to facilitate accomplishment of quality management goals and objectives. Assist in medical center activities and preparations for Joint Commission and other external reviews. Monitors the follow-up to recommendations specific to utilization of risk resulting from Joint Commission and other external review visits, and formulates communication through the Director of Performance Management to the Joint Commission and other external agents regarding these reviews. Identifies statistical deviations of variances which affect assigned areas and/or might merit additional study. Utilizes clinical research results as a basis for identifying clinical issues that are appropriate for study. Researches, interprets, identifies, develops, and presents elements of educational programs for healthcare professionals and supports services regarding areas supported. Acquires and maintains current knowledge relevant to the principles, practices and techniques associated with nursing and other clinical professions through literature and periodical review, workshop attendance, and/or the use of sound benchmarking practices. Serves as consultant on clinical issues and/or continuous improvement initiatives. Participates on teams to evaluate the quality of services provided with the facility, the network and/or other facilities as requested. Work Schedule: Full Time, Day Shift, Monday - Friday 8:00 am - 4:30 pm Telework: Ad hoc telework may be considered after successful orientation Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.