**Work Shift:** Day Shift **Time Type:** Full time **Department:** CC017661 Medical Staff Support Services **Summary:** Medical Staff Services dept - Mon-Fri 8am-5pm hybrid option (combination of in-office and remote) - 2 years relevant work exp required - RN, CPMSM or CPCS licensure/certifications preferred Provides consultation, facilitation, education, and data analysis support for the improvement of patient safety and outcomes through the professional practice program. Manages the focused and ongoing professional practice activities of the medical staff and Advanced Practice Professionals with their planning, design, implementation, assessment, and improvements based on research and national standards. **Additional Information:** **Medical Staff Services department** **Mon-Fri 8am-5pm hybrid option (combination of in-office and remote)** **2 years relevant work exp required** **RN, CPMSM or CPCS licensure/certifications preferred** **Required Education:** High school diploma or GED or equivalent **Recommended Education:** Bachelor's degree in a related field of study. **Required Work Experience:** High School Diploma/GED and 2 years of relevant experience, or 4 years of experience in lieu of a diploma/GED. **Recommended Work Experience:** **Required Certifications:** **Recommended Certifications:** Certified Professional Medical Services Management (CPMSM) - National Association Medical Staff Services (NAMSS), Certified Provider Credentialing Specialist (CPCS) - National Association of Medical Staff Services, Registered Nurse (RN) license - Arkansas or Compact State **Description** 1. Responsible for the establishment and management of the hospital-wide Professional Practice Evaluation (PPE) process for all privileged providers utilizing screening criteria for monitoring and evaluation of clinical and professional performance. 2. Serves as the primary contact to incorporate all aspects of patient care administered by privileged providers in order to produce a thorough evaluation of their clinical practice, including performance data within specified metrics and outliers. 3. Ensures timely completion of focused professional practice evaluations (FPPE) on privilege specific measures to verify appropriate clinical competence. 4. Conducts data collection for ongoing professional practice evaluation (OPPE) and is responsible for providing feedback to the medical staff in compliance with The Joint Commission standards by preparing statistical reports. 5. Analyzes and stratifies data; identifies trends, patterns, and areas for improvement; uses data from quality improvement tools to interpret variation. 6. Accountable for the data import/export/integrity of confidential provider quality data and understands the impact of data on the individual practitioners. 7. Responsible for education and training of Leadership Council and Credentials Committee of the Medical Staff in their role as Professional Practice Evaluation Committee. 8. Works collaboratively to manage development and analysis of clinical indicators specific to privileges to measure the quality and safety of care and services provided to patients. 9. Leads discussions with individual departments and key stakeholders to improve metric tracking, delivery of reports, and remedy issues. 10. Responsible for establishing scheduled project reviews, measurable project goals and objectives, and monitoring progress toward achievement. 11. Serves as a coach/mentor to meet the educational needs of medical staff and hospital departments in areas related to Professional Performance Evaluation. 12. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff. 13. Conducts data collection for Ongoing Professional Practice Evaluation (OPPE) utilizing appropriate sources (i.e. PHIS, medical records, billing, OR Manager, Safety Tracker, surveys). 14. Performs other duties as assigned. Arkansas Children’s (https://www.archildrens.org/about-us) is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas. Arkansas Children’s is driven by four core values—safety, teamwork, compassion and excellence—which inform every action. Arkansas Children’s Hospital has received Magnet Status (https://www.archildrens.org/about-us/magnet-recognition) from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report (https://www.archildrens.org/about-us/awards-and-recognition) for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology. For more than a century, Arkansas Children’s has met the unique needs of children. But we’re more than just a hospital treating sick kids—our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow. Arkansas Children’s Little Rock campus includes a 336-bed hospital with the state’s only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children’s Northwest (https://www.archildrens.org/locations/arkansas-childrens-nw) provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state. _“Arkansas Children’s is a place of hope and comfort for children and parents. When you are at children’s, you are part of an elite team united with a common goal of saving children and making their lives better.”_ Michael – Business Operations Manager “Arkansas Children’s Hospital is a prestigious institution that cares for children.” Linda – Information Systems Analyst “We are an organization of care, love, and hope while we champion children.” Angela – Parking and Fleet Coordinator “Care, love, and hope for children!” Kathy – Administrative Assistant “When I think of my time here at Arkansas Children’s Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!” Nick – Supply Assistant Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.