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Professional Practice Evaluation Coordinator - Perform. Improvement, FT (5550)

Children's Hospital & Medical Center - Omaha Omaha, NE

Job Description

Just like the children we serve, Children's is growing quickly and hiring a Professional Practice Evaluation Coordinator to provide ongoing coordination and support for Focused Professional Practice Evaluation (FPPE), Ongoing Professional Practice Evaluation (OPPE), Professional Practice Evaluation Committee, Physician Peer Review, and Resident Review Subcommittees of the Medical Executive Committee in a manner that fulfills the mission and vision of the organization while complying with regulatory and accreditation standards related to performance improvement, professional practice evaluation and peer review activities. Responsibilities include coordination of case reviews, management of data and databases related to quality variance reporting for providers, clinical volume metrics, and quality indicators used for the re-appointment of medical staff.  In addition, is responsible for the development of reports, retrieval of patient records, management of aggregate, individual providers, and medical staff department level data; insuring accuracy, reliability, and timeliness. 

Essential Functions/Competencies

% of Time



Coordinates the Physician Peer Review processes for identified cases, including notification of the physician reviewer(s), provision of the appropriate record, and preparation of follow-up correspondence and other required documentation.

  • Prepares/reviews peer review database and reports; assigns to appropriate committee and physician(s) for review.
  • Prepares and distributes case review notification letters.
  • Obtains required patient records and prepares review packages for MD review, as needed.
  • Drafts follow-up letters to responsible individuals/departments in support of committee recommendations, obtains appropriate signatures prior to mailing, maintains documentation for future committee action.


Manages data and reports for Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE).

  • Collaborates with the Med Staff Office, PI, and IT Departments to gather required individual provider PI Profile data/information.
  • Queries the profile database and verifies individual provider data.
  • Conducts preliminary analysis of PHIS and Quantros data reports.
  • Monitors defined success metrics by service.
  • Submits completed individual provider profiles to Medical Staff Office for credentialing and privileging.
  • Maintains confidential individual provider’s paper PI file.


Coordinates the development, utilization, and maintenance of data within the peer review and variance databases.

  • Collects, evaluates, and maintains provider-specific data concerning provider practice and performance, including patient injuries, complaints, compliments, claims, quality indicators and other risk-related data.
  • Enters data for the PI profile into the peer review database accurately and timely.
  • Verifies data included in reports and prepares documents for distribution by established deadline.
  • Serves as an organizational expert in the maintenance and use of the provider PI profile databases and software.
  • Facilitates and provides hands-on training and support in the use of the provider PI profile databases and software. 
  • Manage and maintain the Quantros variance reporting system inclusive of tracking and analyzing event entries daily, assigning follow-up, entering enhancement/correction data, and identifying patterns and trends in collaboration with the Quality and Patient Safety Systems Coordinator, Patient Safety Coordinator, and Manager of Quality and Patient Safety.
  • Ensures optimal use of the peer review database and the variance database functionality to support hospital goals and implement strategies to prevent future harm.


Facilitates Professional Practice Evaluation Committee, Physician Peer Review, and Resident Review Subcommittee meetings.

  • Accurately records committee activities and routes pertinent information, action items, and recommendations to the appropriate individuals, departments, and/or committees.  Tracks follow-up activities.
  • Prepares triggered cases for  committee screening.
  • Prepares appropriate reports from committee actions for presentation at other committees.
  • Prepares and distributes meeting materials as appropriate.  Sends appropriate notifications and reminders in a timely manner.
  • Schedules meetings as assigned/requested, coordinating room reservations, and related arrangements. 


Regular attendance at work is an essential function of the job.


Perform physical requirements as described in the Physical Requirements section.



Performs other duties as assigned.




  • Excellent critical thinking skills to include data gathering, fact-finding, and report generation using word processing, spreadsheets, and database tools
  • Ability to pay close attention to details
  • Proficiency with computer programs including working knowledge of Microsoft Office applications
  • Knowledge of medical terminology and abbreviations
  • Ability to collect, analyze, and display data
  • Excellent interpersonal, written, and oral communication skills
  • Strong analytical and organizational skills
  • Must be a team player and have proven success applying a collaborative and professional approach and ability to work in conjunction with physicians, managers/directors, PI colleagues, and customers in a supportive way to communicate sensitive information
  • Ability to maintain confidentiality of patient and medical staff matters
  • Must be able to work independently or with very general direction


  • Bachelor’s degree in healthcare or relevant degree required or equivalent work experience
  • Minimum three years' hospital or other health care experience required
  • Experience with database data entry and retrieval required
  • Experience with performance improvement and/or medical staff office support functions and The Joint Commission accreditation process preferred



  • Current and valid Nebraska RN license/RN Compact license required, if position filled by a nurse

Job Details

Date Posted October 5, 2017
Date Closes January 3, 2018
Requisition 957614-13710
Address 8401 West Dodge Rd
Located In Omaha, NE
Work At Durham
Department Performance Improvement
Job Type Full-time Employee
Compensation Salary, Based on Experience
Hours 40 hours per week
SOC Category 11-9111.00 Medical and Health Services Managers
Zipcode 68114

This job offers the following benefits

  • 403(b) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • Business Travel Accident Insurance
  • Dental
  • Dependent Life Insurance
  • Employee Assistance Program (EAP)
  • Group Homeowners and Auto
  • Group Legal
  • Life Insurance
  • Long-Term Disability
  • Maternity / Paternity / Family Leave
  • Medical
  • Prescription Drug Plan
  • Short-Term Disability
  • Supplemental Insurance
  • Vision
  • Voluntary Life Insurance
  • Bereavement Pay
  • Cafeteria / Food
  • Continuing Education Program
  • Credit Union
  • Discounts on Employer Merchandise & Services
  • Employee Referral Program
  • Financial Planning
  • Free Parking
  • Health Fair
  • Nursing Facilities
  • Paid Holidays
  • Paid Vacations
  • Tuition Reimbursement
  • Wellness Program
  • Workout Facilities
  • Achievement Awards
  • Bonus Plan
  • Merit Increases

This job requires the following skills

  • Business - Communication
  • Data Entry
  • Microsoft Office

This job is related other jobs in these career categories

Course(s) relevant to the skills listed for this position

At a Glance
Enjoy these benefits
  • 403(b) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • And More ...