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Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester.

Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.

General Summary:

Responsible for facilitating and coordinating the Key Elements of the Stroke Certification process, including development and review of protocols, initial and ongoing training, performance improvement and community outreach. This will be achieved by collaborating with the Emergency Department, ED Director, EMS, hospital department directors and staff. This position may be held in conjunction with other roles within the hospital.

Requirements:

The ideal candidate will have Program Coordinator/Leadership experience.

5 years’ Clinical experience to include telemetry.

Familiarity with the Neuroscience patient population and Stroke evidenced based medicine requirements. Excellent customer service skills. Ability to work independently & be self-directed.

Ability to coordinate & work with Teams at varying levels across the organization. Proficient in a variety of software and computer programs to include but not limited to Cerner, Outlook, Excel and PowerPoint. Knowledge of Process Improvement/Quality management methodologies to include statistical analysis.

Proficiency in ASA, AHA, GWTG Stroke data collection, data definitions and abstraction guidelines. Proven superb organizational, communication and presentation skills.

Knowledge of regulatory compliance & experience in facilitating and coordinating the Key Elements of the Stroke Certification process, including development and review of protocols, initial and ongoing training, performance improvement and community outreach.

1. Serves as the key contact for Stroke cases and ensures that the patient population served has a safe, high quality, efficient delivery of care throughout the continuum from EMS to post discharge through compliance with TJC elements of performance and adherence to ASA/ AHA clinical practice guidelines. Ensure Neurologists and Mid-levels are entering Stroke Order Sets based on ASA/AHA Clinical practice guidelines.
2. Directs and oversees the Stroke program in collaboration with the Stroke Medical Director. Facilitates achieving and maintaining Joint Commission certification as an Advanced Primary Stroke Center via regulatory standard compliance. Establishes, coordinates and facilitates plan to maintain Advanced Primary Stroke Certification in collaboration with Stroke Medical Director. Responsible for Intracycle data input, preps team and coordinates Intra-cycle call. Coordinates and directs data pull for on- Site certification Visit, conducts Joint Commission presentation and accompanies reviewer during on-site visit.
3. Serves as the primary point person for Neurologists with a goal to continue to grow volume and identify ways to support physicians in gaining cases.
4. Collaborates with the ED Medical Director, Stroke Medical Director, EMS, Nursing Directors, Radiology, Laboratory and other hospital departments to develop and implement patient care pathways based on current research/standards of care. Collaborates with medical and hospital staff to provide multidisciplinary care to stroke patients.
5. Ensures personnel providing care in the Stroke/Neuro units obtain and maintain required competencies in collaboration with Education Department.
6. Develops and implement process improvement initiatives for Stroke Certification in collaboration with ED Director, ED Manager, Stroke Team and the Quality Management Director.
7. Performs daily concurrent and retrospective review of patients treated with Stroke Clinical Pathways for appropriateness, response times, performance and outcomes as applicable in collaboration with members of the interdisciplinary patient care team.
8. Analyzes data and prepares reports on clinical care reviews, reviewing with ED Director, ED Assistant Director, Stroke Medical Director and appropriate committees as scheduled. Reports data to STEMI Team/Stroke Team.
9. Plans, develops, initiates and evaluates yearly Stroke performance improvement plan. Provides performance improvement analysis and collaborates with Physicians and staff to implement process improvement initiatives.
10. Collects and analyzes stroke program patient data to assist with documentation, clinical care, and improved outcomes. Responsible for input & maintenance of Stroke Log including DTN, turnaround times, CT/MRI results. Tracks, trends and shares results with Neurologists, ED physicians, Radiology, Laboratory and ED to determine cause for variance. Assists Quality Department as required in tracking and trending, maintenance of related databases, i.e. AHA Get with the Guidelines, Joint Commission Core Measures, and CMS. Presents trends to appropriate committees.
11. Participates in concurrent quality improvement program for stroke conditions with EMS personnel by review of patient level data.
12. Promote education related to Stroke and cardiac conditions to identified units and other hospital personnel.
13. Support and collaborate with Hospital/Education and Marketing to develop community outreach/educational programs. Conduct at least 2 community education events per year with a goal of providing community education, promoting our programs and growing volume.
14. Utilize an organized and systematic plan for Stroke Care Core Measure related data abstraction, aggregation and analysis. Works collaboratively to identify actionable items with PCI abstractor who oversees data abstraction, aggregation and analysis. Consistently utilizes error prevention processes during review and adapt analysis. Report all actual/possible adverse events which may be identified during record review in relation to Stroke Reviews. Work’s in collaboration with Patient Safety Officer and DCQI to assist in facilitating root cause analyses as needed.
15. Facilitates the identification and interpretation of Stroke related information, especially related to practice/compliance patterns, outcomes and trends, including historical and benchmark comparisons.
16. Utilize the result of research findings in presentation of information and analyses of data. Disseminate information regarding clinical practice guidelines or research.
17. Complete special studies, focus reviews or investigations and prepare reports regarding Stroke Certification as requested.
18. Chairs Stroke Team (Neuro PI) Meetings. Ensures timely and accurate communication of Stroke Certification related information to all participants as required. Prepare agendas and recording of minutes of Stroke Team.
19. Writes, reviews and updates Stroke policies in collaboration with Stroke Teams. Develops performance improvement program plans, policies, protocols, and pathways to support timely and effective care for Stroke patients. Assures compliance with other regulatory and accrediting standards, all hospital and department policies and procedures with regard to patient safety and well-being and patient privacy.
20. Represents the Stroke program in various hospital, community, and Tenet committees to enhance optimal stroke care management.
21. Support Quality PI initiatives related to other service lines such as Radiology, Oncology, Behavioral Health or Medicine
    1. Facilitate PI meetings
    2. Coordinate and participate in PI projects
    3. Prepare reports and presentations for committees
    4. Complete chart reviews and auditing for PI projects
    5. Promote regulatory compliance across hospital departments.
22. Additional Responsibilities:
    1. Provide advice, support and expertise in strategic planning, scope of service, equipment specifications, space requirements, and resource allocations.
    2. Provide input into and assist in setting priorities for both capital and operating budgets.
    3. Other duties as may be assigned.

Qualifications:

Education required: Graduated from a state approved school of nursing, academic degree in nursing Bachelor's or Master's degree.

Certifications required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy; CPR.

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.