Registered Nurse - Performance Measures Coordinator Quality Nurse

<p>Performance Measures Coordinator Quality (PMC) Nurse is responsible for utilizing nursing process and practice principles to ensure delivery of safe high quality, patient­ centered care. The Nurse serves as a clinical and administrative resource responsible for supporting delivery of safe, high-quality, data-driven care across the Veterans Health Care System of the Ozarks and is strategically aligned in the Quality and Patient Safety Service, directly reporting to the Medical Center Director.</p><h3>Major Duties</h3><p>The Performance Measures Coordinator functions as the Strategic Analytics for Improvement and Learning (SAIL) Coordinator, and the facility External Peer Review Program (EPRP) Liaison. The PMC reviews, compiles and validates data required for mandatory reporting and internal quality oversight ensuring data accuracy for SAIL, EPRP, Inpatient Evaluation Center {IPEC), MISSION Act Quality Standards Tracking Report, Combined Measure Master (CMM), and other enterprise dashboards. Familiarity with the purpose and functions of external review organizations and the impact performance measures and performance metrics have on outcomes of reviews (e.g. The Joint Commission (TJC), Veteran Integrated Service Network {VISN) Clinical Reviews, EPRP, CMS Care Compare, and Facility Performance Plans). Other duties include but not limited to the following: Demonstrates leadership, experience, and creative approaches to improvement in quality of­ care outcomes. Responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level. Collects data, monitors compliance with relevant policies, directives, and standards, provides reports detailing trends, implementing, modifying, and administering, a comprehensive performance improvement program area. They participate in several facility councils, committees, and workgroups. Executes the position responsibilities demonstrating effective leadership, detailed planning, professional communication, creative and innovative approaches to the improvement of quality and patient safety. Performs duties directly contributing to high quality and safe patient care within the Veterans Health Administration(VHA). The PMC directly supports facility leadership in areas of planning, organization, development, direction, and evaluation of the performance improvement program within the facility. Works closely with the Systems Redesign Coordinator and High-Reliability Organization (HRO) Lead to ensure policies and procedures are developed to support the principles of continuous process improvement and HRO. Serves as Chairperson of the SAIL Committee fulfilling all associated responsibilities of coordination of committee agendas, meetings, action plans, and minutes. Serves as the Health Care System's authoritative consultant on all Performance Measures and Performance Metrics that impact organizational outcomes. Monitors national, VISN, and local performance dashboards and measure sets, identifying trends, variation, and areas of vulnerability requiring leadership attention. Interprets complex regulatory, accreditation, and policy requirements related to performance measurement and ensures the accurate application of standards. Conducts detailed analysis of clinical, operational, and administrative data to guide decision-making by Senior Leadership and Service Chiefs. Provides expert guidance to Senior Leadership and Service Chiefs on compliance with mandated performance standards. Advises facility leaders on risks, opportunities, and strategic actions required to improve performance and maintain system reliability. Participates in executive-level meetings and committees, presenting data and recommending actions that support high-reliability transformation. Leads and supports systemwide improvement initiatives by integrating performance measure data with quality improvement methodology. Conducts education and coaching for staff, supervisors, and managers on performance improvement tools, measurement systems, and interpretation of results. Assesses organizational workflow, identifies barriers to achieving targets, and collaborates with services to redesign processes. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 7:30am - 4:00pm, 7:00am -3:30pm, or 8:00am - 4:30pm Telework: Available, per supervisor's discretion. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement. Must be able to independently operate Government Vehicle. Must provide clean driving record report from the DMV during the pre-employment process.