Peer Review RN Program Manager - job 1 of 2

The Peer Review RN Program Manager at Virginia Mason Franciscan Health is responsible for coordinating and overseeing multiple peer review programs, supporting ongoing evaluations of practitioners with clinical privileges, and ensuring compliance with regulatory standards. Their role includes data analysis, quality improvement initiatives, and collaboration with provider teams to enhance performance and documentation practices.

To qualify for the Peer Review RN Program Manager position at Virginia Mason Franciscan Health, candidates need a Bachelor's degree in healthcare administration, nursing, or a related field. Additionally, current licensure as a Registered Nurse in Washington state and five years of related work experience showcasing knowledge in peer review systems and regulatory compliance are required.

Peer review at Virginia Mason Franciscan Health plays a crucial role in enhancing patient safety by identifying and addressing clinical performance issues, promoting education, and facilitating quality improvement initiatives. It helps ensure that medical staff adhere to established care standards and regulations, ultimately leading to better patient outcomes.

A Peer Review RN Program Manager analyzes quality indicators and occurrence screen data from various sources to identify trends that indicate high-quality outcomes or areas needing improvement. This data supports decision-making processes and helps prioritize quality enhancement initiatives within the organization.

Virginia Mason Franciscan Health is committed to delivering top-tier healthcare and exceptional patient experiences. Its collaborative and innovative environment empowers the Peer Review RN Program Manager to make a significant impact on healthcare quality and patient safety, along with a strong focus on continuous improvement and professional development.

To ensure effective peer review processes, I focus on establishing clear protocols, engaging stakeholders in discussions, and promoting a culture of transparency and continuous feedback. I leverage data analysis to identify trends and areas for improvement, ensuring that all findings contribute to quality enhancement initiatives.

My experience includes overseeing Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE) by analyzing practitioner performance and compliance with standards. I facilitate these evaluations through data collection and analysis, ensuring a comprehensive assessment that drives quality improvement.

When conflicts arise during peer review, I prioritize open communication and active listening to understand different perspectives. I aim to mediate discussions constructively, focusing on evidence-based facts and best practices to resolve issues while maintaining a positive working environment.

In a peer review setting, I utilize various tools, including Excel for data management, statistical software for advanced analytics, and visualization tools to present findings. I also employ clinical quality measurement systems that align with regulatory standards to monitor performance metrics effectively.

I stay updated with current regulatory requirements by subscribing to industry newsletters, attending relevant workshops and webinars, and engaging with professional organizations. Regularly reviewing updates from the Joint Commission and CMS helps ensure compliance in all peer review activities.

Education is integral to the peer review process, as it empowers practitioners with the knowledge to improve their performance. I incorporate training sessions and workshops to communicate lessons learned from peer reviews, ensuring continuous professional development and fostering a culture of learning.

In my previous role, I encountered resistance from medical staff regarding changes in the peer review process. I addressed this challenge by organizing a meeting to discuss their concerns, providing data that supported the changes. By fostering a collaborative atmosphere, we achieved a constructive resolution together.

My approach to overseeing peer review staff involves clear communication of expectations, providing mentorship, and fostering a collaborative environment. I believe in empowering team members to take initiative, while also offering guidance and support to help them grow in their roles.

To ensure quality improvement initiatives are successfully implemented, I set specific, measurable goals and provide continuous training and support to staff. I also utilize feedback mechanisms to monitor progress, adjust strategies as necessary, and celebrate achievements to maintain motivation among the team.

One of the biggest challenges in the peer review process can be ensuring consistent engagement from all team members and overcoming potential biases. To address this, I emphasize the importance of an objective, data-driven approach and encourage an open dialogue to maintain focus on patient safety and quality care.