Clin Improve Quality Spec I

Lebanon, PA | Professional | Tracking Code: 61007

Job Description:

Under general supervision, performs a variety of duties including, but not limited to, planning, coordination, consultation, design and collaboration related to the reporting and/or abstraction, quality assessment and analysis of data from sources such as health care information databases and systems including, but not limited to, the electronic health record (EHR) Quantros, GWTG Registries, PHC4 Web, , Premier, Metrics Dashboard and publicly reported data and related websites. Develops queries of computer databases to measure performance. Works collaboratively with the Hospital leadership, Service Lines, and regional colleagues in continuous quality improvement for excellent patient care. Validates all reportable data results through qualitative and quantitative analyses to confirm findings accuracy. Presents data in appropriate formats. Prepares and organizes information for meetings and audit visits and assists in coordination of deliverables. Meets all regulatory required data entry and filing deadlines. Participates in development and implementation of quality assessment indicators.


Duties and Responisbilities


  1. Provides timely, high quality data reporting and abstraction and related clinical information collection.
  2. Coordinates clinical data and audit finding needs to improve patient care delivery, identifies opportunities for improvement and achieves desired patient outcomes.
  3. Performs structured audits of medical records. Reviews records for completeness, accuracy, legibility, follow up of abnormal test results and other indicators.
  4. Compiles data for and prepares regularly scheduled or special reports.
  5. Explains data results as necessary.
  6. Evaluates procedures, resolves problems and implements changes to improve production.
  7. Verifies the data integrity for statistical analysis.
  8. Establishes data bases as needed by leadership.
  9. Provides consultation and recommendations based on analytical results to improve business processes or outcomes with the provision of on-going education and support.
  10. Formulates validation inter-rater reliability and quality assurance strategies and methods to ensure accurate and reliable data, ensuring appropriate departmental/service line/project and corporate standards are met and the data is correct (may include report generation and comparison). Proactively corrects errors as identified.
  11. Works with customer to define informatics and reporting requirements, including System leadership.
  12. Collaborates with appropriate Service Lines/IS team for any identified problems and/or outcomes for further investigation or recommended action.
  13. Participates as a professional team member in professional committee and survey discussions by attendance and active, thoughtful participation.




  • Notes:
    • Other combinations of formal education, training and experience may be considered.


  • Minimum Experience:
    • 3 years
    • Min Field Of ExpertiseHealthcare quality assurance; experience in a managed care setting desirable
    • Pref Cert/RegistrationRegistered Health Information Administrator (RHIA); Certified Health Data Analyst (CHDA); Certified Professional Healthcare Quality (CPHQ); licensure as a medical professional or registration and current RN license in PA


  • Minimum Education:
    • Bachelor’s Degree


  • Skills:
    • OtherMedical record review and reporting, abstracting & coding; database & advanced Microsoft Office and other computer skills absolutely required; excellent professional written and verbal communication skills, Excellent teamwork skills; knowledge of appropriate tools & methodologies, knowledge of medical terminology, ability to work independently and as an integral part of a collaborative team, knowledgeable in the application of performance improvement models, able to conceptualize and convey the importance/impact of data integrity in terms of patient management, study results, cost efficiency, quality of service, and the goals of clinical improvement and related project management., PDSA knowledge
    • The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Angela Seaman
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Formed in 1813, Lebanon is a quaint city of 25,700 residents. The area, rich in heritage and the small-town charm of yesteryear, features sites on the National Register of Historic Places, museums, scenic parks and recreation facilities, performing arts theaters, artists' studios, a farmers' market and dining establishments for all tastes.

Life in Lebanon County offers affordable housing and options for pursuing higher education. Residents can find local employment in manufacturing, retail, arts and entertainment, healthcare and service sectors. Located in southcentral Pennsylvania, Lebanon is within an easy driving distance to Harrisburg, Lancaster, Reading and York. (Patient population: 140,000)