Quality Improvement Coordinator - Rehab Services

Philadelphia, PA, US, 19104

Location: LOC_CSH_MAIN-Children's Seashore House 

Req ID: 133725

Shift: Days

Employment Status: Regular - Full Time 

Job Summary

Responsible for the coordination and facilitation of patient safety and quality improvement work that supports Rehabilitation Services initiatives and regulatory requirements impacting patient outcomes. Provides coordination and facilitation of the collection, analysis, trending and benchmarking of data and outcomes across the Center. Collaborates with Rehab leadership and the Office of Patient Safety & Quality to assure coordination of design and implementation of initiatives as established.

Job Responsibilities

  • Quality Improvement
    • Collaborates with the Office of Patient Safety and Quality to ensure alignment between the organization’s quality initiatives and the Center’s quality improvement plans. 
    • Actively represents the Center through participation in organization-wide quality committees.  Co-leads the Center’s Quality Committee meetings.
    • Benchmarks internal and external best practices in the planning and implementation of performance improvement initiatives.  Collaborates with the Center’s leadership team to evaluate Center practices and processes to inform the development of annual quality improvement goals.
    • Partners with the leadership team and staff to ensure that a consistent approach and methodology are used for patient safety, process innovation and quality improvement initiatives.  Ensures the development of quantifiable measures, accurate data collection, monitoring, analysis and submits results to the organization’s data tracking system. 
    • Ensures that successful Quality Improvement initiatives are sustained and monitored via appropriate data monitoring systems.
    • Provides regular outcomes reporting to Center leadership and staff

Job Responsibilities (Continued)

  • Regulatory Compliance
    • Ensures that the organization’s rehabilitation services meet minimum standards for Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
      • Acts as the liaison to CARF for survey readiness, standards updates, etc.
      • Directs initial CARF accreditation survey preparedness resulting in accreditation (if the organization is not currently accredited), as well as successful maintenance and reaccreditation surveys.
      • Develops, implements and reviews/revises practice guidelines, care standards and quality measures, consistent with CARF requirements. 
      • Ensures appropriate education regarding CARF standards and quality measures of all rehabilitation staff, as well as other regulatory leaders and counterparts across the organization
      • Requests appropriate budgeted resources to achieve and/or maintain CARF accreditation
    • Collaborates with the Center’s leadership team and the Office of Patient Safety and Quality to assure the Center’s compliance with all other applicable regulatory and accrediting agencies.
    • Regularly reviews regulatory and accreditation resources and updates and ensures Center implementation and compliance.
    • Benchmarks externally for accreditation best practices and makes recommendations to Center leadership, as well as the Office of Patient Safety and Quality, new and value-added accreditation opportunities.
    • Ensures survey readiness through the coordination of Organization- and Center-level internal reviews, including mock surveys, rounding, tracers, data reporting and staff education.

Job Responsibilities (Continued)

  • Planning
    • Makes quality and safety initiative recommendations to leadership in order to ensure a consistent and robust presence on the Center’s annual plan.
    • Works with Center leadership on the attainment of the annual operating plan initiatives

Required Education and Experience

Required Education: Master’s Degree


Required Experience: Minimum of 6 years of experience as a licensed health care practitioner. Minimum of one-year experience as a Patient Safety or QI Coordinator with responsibility for multiple areas or divisions

Preferred Education, Experience & Cert/Lic

Preferred Education: Master’s degree in business or healthcare administration. 


Preferred Experience:

  • Experience in a rehabilitation or academic medical center, preferably in the areas of quality improvement or regulatory standards. 
  • Experience as a licensed rehab clinician (occupational therapist, physical therapists, speech-language pathologist, nurse, etc.)


Preferred Licenses/certificates/registrations: Certificate in healthcare quality (CPHQ, or similar)

Additional Technical Requirements

  • In- depth knowledge of patient safety and quality improvement process, concepts, including data collection, analysis, and methodology
  • Experience with development and implementation of patient safety, quality initiatives and performance/process improvement initiatives
  • Ability to lead and facilitate diverse groups. Ability to collaborate effectively and work independently
  • Exceptional analytical, interpersonal, communication and assessment skills
  • Emphasizes team goals with a common purpose and seeks win-win solutions.
  • Takes ownership for projects programs and services and accepts accountability for results.
  • Strong sense of ethics consistent with those of The Children's Hospital of Philadelphia                                                                                                                                                               

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products.

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

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CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 




Nearest Major Market: Philadelphia

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