Clinical Quality Analyst, Cardiovascular Health

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Day - 08 Hour (United States of America)

Clinical Quality Analyst, Cardiovascular Health
Full-Time, Telecommute Opportunity!
Location: Palo Alto, California

About Stanford Health Care:
At Stanford Health Care, the possibilities to explore your interests and advance your profession are limitless. Whether you're starting the journey as a new graduate nurse or a highly experienced nurse, Stanford can be the catalyst to empower and transform your career. Our highly engaged healthcare teams provide the needed structure and opportunities to achieve your desired professional growth. Browse our wide range of nursing specialties and practice areas. We'd love the opportunity to bring you on as part of the Stanford Health Care team.

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This is a Stanford Health Care job.

A Brief Overview
Under the direction of the manager of clinical operations, the clinical quality analyst is responsible for the maintenance and complex abstraction of the CVH related registries including (but not limited to) the Society of Thoracic Surgeons National Database, Society of Thoracic Surgeons and Society of Cardiovascular Anesthesiologists Anesthesia Database, American College of Cardiology National Cardiovascular Data Registries, American Heart Association Get With The Guidelines Registries, the Vascular Quality Initiatives Registry, California CABG Outcomes Reporting Program, and associated STEMI registries. The clinical quality analyst is responsible for providing overall statistical and analytical support to the cardiovascular health destination service line to support clinical outcomes measurement and quality initiatives. They are responsible for complex case abstraction, descriptive and inferential statistical data analysis, registry submissions, data reporting, and report generation to stakeholders throughout the destination service line. The clinical quality analyst is responsible for validation of documentation including clinical data and adverse outcome documentation by working with bedside MD's and RN's to clarify, verify, and document clinical data and outcomes for registry, coding, and quality improvement purposes. Presents QI reports on specific patient populations and explains all variances. Prepares and delivers presentations on a regular basis to a variety of different stakeholders (ie providers, administration). The Clinical Quality Analyst is responsible for mentorship, education, and data quality checks of the quality analysts and quality coordinators.

Stanford Health Care

What you will do
  • Maintain the CVH related registries including (but not limited to) the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database, the STS and Society of Cardiovascular Anesthesiologists (SCA) Anesthesia Database, the California CABG Outcomes Reporting Program (CCORP), the American College of Cardiology (ACC) National Cardiovascular Data Registries (NCDR) CathPCI Registry, the ACC NCDR EP Device Implant Registry, the American Heart Association (AHA) Get With The Guidelines (GWTG) Heart Failure Registry, the AHA GWTG AFIB Registry, the AHA GWTG Coronary Artery Disease Registry, the Vascular Quality Initiatives (VQI) Registry, and any required county STEMI registries.
  • Responsible for mentorship and education for the quality analysts and quality coordinators.
  • Responsible for completing data quality checks of the quality analysts and quality coordinators.
  • Collects and analyzes clinical and service performance on groups of patients regarding physician practice patterns, clinical pathways, and clinical and service quality improvement opportunities.
  • Responsible for tracking, abstraction, verification, documentation, and data submittal for CVH related registries.
  • Uploads data to CVH related registry database at regular intervals.
  • Responsible for analysis, reporting, and presentation of CVH related registry data to various stakeholders. Provides explanation of data elements, outcome reports, and benchmarking reports.
  • Designs the content and format of quality related reports to be produced on a regular basis for the department/service line. Documents the production of standard reports for service line.
  • Provides clinical expertise in understanding and using SHC data systems and acts as a resource person in the interpretation ad use of data generated by the CVH Quality group. Provides reports and presentations on a regular basis and answers questions regarding clinical outcomes and performance.
  • Works on chart documentation and HIM coding issues to accurately capture severity of illness, risk adjustment, and reimbursement. Identifying coding corrections to improve above metrics.
  • Collaborates with clinical staff, providers, and operational leadership across the organization on process improvement and quality improvement where CVH registries are affected.
  • Responsible for collection, verification, documentation, and submission of STEMI data to insure compliance with county guidance and California law.
  • Responsible for conducting data cleanup to prepare for data submissions to various databases or state and county partners.
  • Assist with the creation, implementation, and maintenance of clinical data collection forms to support all CVH related registries and CVH clinical teams.
  • Conduct quarterly meetings with key stakeholders to review regular registry reports, discuss data trends, and propose quality improvement / performance improvement initiatives.
  • Provide data support for any accreditation or certification related events.
  • Provide data support as needed for regulatory requests, research requests, or quality/performance improvement requests.
  • Work with clinical staff to identify and resolve problems regarding data quality and integrity.
  • Utilizes Microsoft programs and registry approved software and databases to produce quality reports that provide necessary data to improve clinical performance and outcomes.
  • Attend required CVH related registry meetings, events, and calls.
  • Provide monthly updates to quality analysts and quality coordinators regarding CVH related registry changes and updates. This includes updates and changes to cardiovascular clinical data repository.

Education Qualifications
  • Bachelor's Degree from an accredited university in a clinical health care related field (ie RN, NP, PA, PharmD, MD, DO, Perfusion) Required

Experience Qualifications
  • Clinical experience in an inpatient health care setting Preferred

Required Knowledge, Skills and Abilities
  • Knowledge of cardiovascular health related practice, procedures, anatomy, physiology, medications, devices, standard of practice, and expected or adverse outcomes.
  • Knowledge and understanding of CVH related registry data elements and definitions used in data collection, analysis, submittal, reporting, and presentations.
  • Knowledge and use of cardiovascular clinical data repositories.
  • Knowledge and understanding of current documentation and coding issues to ensure and teach optimal clinical documentation for accurate coding to give SHC the most accurate risk adjustment, severity of illness, and reimbursement.
  • Knowledge of quality and performance improvement practices/standards.
  • Knowledge of computer physician order entry systems
  • Ability to provide effective updates and education to quality analyst and quality coordinator staff.
  • Ability to explain, report, and present CVH related data in understandable manner to a variety of stakeholders.
  • Ability to query CVH related databases to answer provider, staff, and administration questions as well as recognize and identify opportunities for departmental and interdepartmental quality initiatives.
  • Proficiency in the use of MS Office applications as well as other software packages including database management packages.
  • Demonstrated skills in analytical assessment, basic inferential and descriptive statistics, oral and written communication, and collaboration are essential.
  • Ability to navigate EPIC or other computer physician order entry systems

Physical Demands and Work Conditions
Blood Borne Pathogens
  • Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

  • Know Me: Anticipate my needs and status to deliver effective care
  • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
  • Coordinate for Me: Own the complexity of my care through coordination


Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.