Veterans Affairs, Veterans Health Administration Registered Nurse - Clinical Analyst/EPRP in Lexington, Kentucky
Summary The registered nurse is directly responsible to the Chief, Quality, Performance and Patient Safety. The registered nurse is knowledgeable of patient care processes and has exceptional expertise in objective analysis, presenting factual, comprehensive summaries and facilitating satisfactory resolutions for the organization. The nurse has excellent interpersonal skills, discretion, and integrity. Responsibilities This position serves as the designated EPRP Liaison/Coordinator and in that capacity has primary responsibility for facility EPRP program oversight and coordination responsibilities. The EPRP Liaison implements this program in accordance with VHA, Network and facility requirements. The specifics of this program are outlined in the External Peer Review Program Guide on the VHA Office of Reporting, Analytics, Performance, Improvement and Deployment (RAPID) Office of Performance Measurement (10A8). In this role he/she is responsible for: Requesting/maintaining access to Quality Insight VHA EPRP Secure site Orienting the Abstractor to the VAMC staff and process Assisting in gaining local computer access Assisting in providing medical record information not found in CPRS Scheduling with Abstractor any onsite/virtual visits as needed Negotiates an annual Data Accountability agreement with the EPRP abstractor Monthly review of Data Accountability Checklists (DACs) within the 4-day timeframe and providing any missing information, to support that the record meets the measurement requirement to the Abstractor for any changes DAC reconciliation process with Abstractor Understanding and following the reconsideration process when additional supporting documentation is found within the allocated timeframe or when the facility disagrees with the data the Abstractor has entered Organizing and overseeing Exit conference Communication of changes to current, new or deleted metrics to the subject matter experts Facilitate and/or lead Process improvement teams to address any gaps in performance Works closely with the subject matter experts to develop actions plans to improve and meet the metrics within the EPRP program Monitor implementation of actions plans and provide appropriate feedback to subject matter experts and leadership team Provides a data resource for multiple VHA reporting systems, (i.e.) Combined Measure Master report (CMM), Combine Composite Report (CCR), Quarterly Composite Report (QCR), HEDIS report, Gender report, CBOC report and electronic Quality Measurement (eQM) And other duties as assigned This clinical analyst also routinely provides clinical review, analysis and facilitate resolution for performance measures, SAIL and the Director's Performance Plan. In this role, he/she is responsible for: Collaborating with other facilities within and outside the VISN to obtain and share "Best Practices" on Performance metrics Disseminate changes to the SAIL report to the facility subject matter experts and the leadership team Increasing awareness of the SAIL report to the front-line staff and how they may impact individual metrics Facilitate and/or lead Process Improvement teams to address gaps in performance Trending and analyzing quarterly data from SAIL report and reporting this information to the leadership team Facilitates and/or leads implementation of the Director's Performance Plan Organizing and overseeing Internal and VISN9 Operations/Performance review calls Collecting and maintaining facility response for the Director's Performance Plan on VISN9 share point site Keeping facility and leadership abreast of any changes that occur to the Director's Performance plan Assisting Performance Champions in the development and sustainment of specific actions plans related to the Performance Pla Serving on designated Committees as the Quality Department representative The incumbent has a working knowledge sufficient to provide support as required to the patient safety programs. The incumbent supports overall external review program readiness (e.g. TJC, CRR, OIG CHIP, etc.) and performance improvement and is responsible for timely completion of special project assignments from the Chief, Quality and/or Quad members. Direct care responsibilities are limited to those consistent with his/her nursing competencies and assigned by the Quad and/or Chief, Quality, Performance & Patient Safety. The registered nurse is accountable and responsible for possessing the knowledge and skills to properly use equipment and maintain clinical and technical skills applicable to the area of assignment. The registered nurse is also responsible for maintaining general competency in: Quality Improvement; Systems Redesign/Lean Accreditation Readiness; Data Management; Risk Management; Utilization Management; and Patient Safety Pay Scale: NF23 Work Schedule: Monday - Friday 8:00 am - 4:30 pm Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information COVID-19 Vaccination Requirement As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work,etc.), subject to such exceptions as required by law. If selected, you will be required to be vaccinated against COVID-19 and submit documentation of proof of vaccination by November 22, 2021 or before appointment or onboarding with the Department of Veterans Affairs (VA), if after November 22. VA will provide additional information regarding what information or documentation is needed and how you can request a legally required exception from this requirement. Please contact the Human Resources Point of Contact listed at the top of the JOA. Testing Designated Position: 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. Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.