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healthcare-career-matrix by liwenting

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									                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             American Society for Quality Confidential
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           6e75c6a0-1f93-466b-ae2d-978236c6d1ae.xls



                                                                                                                                                                                                                                                            LEADERSHIP                                                                                                                                                                                                                                                                                                        OPERATIONS                                                                                                                                                                                                                                 CONTINUOUS IMPROVEMENT/PERF EXCELLENCE                                                                                                                                                                                                                                                       REGULATORY /COMPLIAN
                        HEALTHCARE: Quality Job
                        FunctionFunction
                        & Competency Matrix                                                                                                                                                                                                            Leadership Team                                                                                                                                                                                                                                                                                                  Facilities, resources, ADT,                                                                                                                                                                                                                      Business Excellence, Six Sigma, Project Management                                                                                                                                                                                                              Gen. Product, Serv/stands. (Reg) C




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Organization Change Managers
                                                                                                                                                                                                                                                                                                                                                                             Hospital Quality Council Chair/
                                                                                                                                                                                                                                                       COO Chief Operations Officer,




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Auditor - Internal (QC/QA Mgt)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Auditor - External (Regulatory)
                                                                                                                                                                                                                       CIO Chief Information Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Safety and Quality MD leader
                                                                                                     CEO, Chief Executive Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Director of Quality, PI, Safety
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Departmental Administrators
                                                                                                                                    CFO, Chief Financial Officer




                                                                                                                                                                                                                                                                                                                                                                                                               Hospital Department Heads
                                                                                                                                                                                                                                                                                       CMO Chief Medical Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Advanced Practice Nurses
                                                                                                                                                                                                                                                                                                                                               Hospital Director (Hospital
                                                                                                                                                                                                                                                                                                                   CNO Chief Nursing officer
                                                                                                                                                                                            CAO Chief Administrative




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Lead Auditor (Regulatory
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Quality Improvement /PI




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Consultant (Regulatory)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Utilization Management
                                                                                                                                                                                                                                                                                                                                                                                                                                           Medical Staff Executive




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Six- Sigma Black Belt,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Hospital Administrator




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Specialist/Coordinator
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Operations Managers




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Six Sigma Green Belt
                                                                                                                                                                   Chief Strategy Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Facilities/Engineering
Legend:




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Quality Coordinators
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Discharge Planners
                                                                                                                                                                                                                                                                                                                                                                                                                                           Committee Leaders




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Infectionus Control
 A=awareness: is familiar with content but does not necessarily apply on a daily basis




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Project Managers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Master Black Belt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Clinical Directors




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Nurse Managers




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Case Managers
 W=working knowledge: is familiar with and able to apply content to situations




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           PMO Director
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Data Analyst
 E=expert: is very comfortable, skilled and competent in area of expertise




                                                                                                                                                                                                                                                                                                                                               Admistrator)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Specialists



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Facilators




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Auditor)
                                                                                                                                                                                                                                                       VP Ops
                                                                                                                                                                                            Officer
Auditing
                 Types                                                                               A                              E                              W                               W                   E                                       A                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             A                          W                        A                A                    W                          A               A                        E                              E                                       E                   W                  A                W                        A                      W                  A                    W                  A                   A                         W                          E                              E                       E                                  E
                 Roles and Responsibilities                                                          A                              W                              W                               W                   W                                       W                       W                           W                                   A                     W                                 A                                 W                   W                      W                        A                             A                          W                        A                A                    W                          A               A                        W                              W                                       W                   W                  A                A                        A                      A                  A                    W                  A                   A                         A                          E                              E                       E                                  E
                 Planning and Implementation                                                         W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 A                                 W                   W                      W                        A                             A                          W                        W                W                    W                          W               W                        E                              E                                       E                   W                  A                A                        W                      W                  W                    W                  W                   A                         A                          E                              E                       E                                  E
                 Reporting and Follow-up                                                             W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                W                    W                          W               W                        E                              E                                       E                   W                  A                E                        W                      W                  W                    W                  W                   A                         W                          E                              E                       E                                  E
Continuous Improvement Tools
                 Improvement Models & Methods (PDCA, Six Sigma, Lean, Kaizen)                             A                              A                             A                             A                       A                                    A                         A                           A                                A                   W                                      A                              A                    A                       A                         A                           A                           A                    W                   A                 W                          W               W                        W                              W                                         E                   E                E                    E                        E                  W                    A                  W                  W              W                                  E                  W                                W                   W                                  W
                 Basic Seven Quality (pareto, histogram, fishbone/cause&effect, checksheet,
                 scattergrams, control charts, flow charts)                                          W                                   E                         W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                              A                    W                   A                 W                          W               W                             E                               E                                   E                   E                E                    E                        E                  W                    E                  W                  W              W                              W                      W                                  E                       E                                  E
                 Seven Management and Planning Tools (affinity diagram, relationship
                 diagram, tree diagram, matrix, L-shape matrix, Process Decision Program
                 Chart, arrow diagram)                                                               W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                W                    W                          W               W                        W                              W                                         E                 W                  E                    E                        E                  E                  E                    W                  W              W                              W                      W                                  E                       E                                  E
                    Benchmarking                                                                     W                              W                              E                               W                   E                                       W                       W                           E                                   E                     E                                 W                                 W                   E                      E                        W                             E                          W                        W                A                    W                          W               W                        W                              W                                         E                 E                  E                    E                        E                  W                  W                    A                  W              A                              E                      W                                  E                       E                                  E
                    Elements of corrective and preventive action (Correction/Containment, Root
                    Cause Analysis, Recurrence Prevention, Verification & Validation)
                                                                                                     A                              A                              A                               A                   A                                       A                       W                           W                                   W                     W                                 W                                 W                      A                   W                        W                             W                          A                        W                   A                 W                            A             A                             E                               E                                 E                     E                E                    E                    W                      W                  W                    W                    A            W                                  E                  W                                W                   W                                  W
                  Voice of the Customer                                                              W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                      E                   W                        W                             W                          W                        E                   E                 W                            E             W                             E                               E                                 W                     E                E                    E                    E                      E                  W                    A                    A            E                                  E                  W                                W                   W                                  W
Process & Product Management
                  Capability Analysis (Performance vs Spec, Indices)                                      A                              A                             A                             A                       A                                 W                            A                      W                                     A                   W                                      A                              A                    A                       A                         A                        W                              A                      A                 A                 W                            A                 E                    W                              W                                         E                   A                E                    E                        A                    w                W                      A                  A                 A                         W                          W                              E                       E                                  E
                  Statistical Process Control (Objectives & Benefits, Common & Special
                  Causes, Variable Selection, Rational Subgrouping)                                  W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 A                   W                      A                        W                             W                          W                        W                W                    W                          W               W                        E                              E                                       E                   W                  E                    E                    W                      W                    E                  W                    A                 A                         W                          E                              E                       E                                  E
                  Process Analysis (SIPOC)                                                           W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                W                    W                          W               W                        W                              W                                       W                   W                  E                    E                    W                      W                    A                  A                    A                 A                         W                          E                              E                       E                                  E
                  Material Control (Traceability, Segregation, Classification of Defects, Material
                  Review Board)                                                                           N                              A                            N                             N                       N                                    N                         N                           N                                 N                         A                                A                              A                    A                       A                         A                           A                          N                       A                 N                  A                           N             W                             A                               A                                   A                   A                E                W                            A                     A                 A                    A                  A                 A                             A                      A                            W                   W                                  W
                  Measurement, Inspection & Testing (Basic Concepts, NDT, Inspection
                  Planning)                                                                          A                              A                              A                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   A                      A                        A                                A                       A                        A                   A                      A                     A                   E                         A                         A                                       A                   A                  E                W                            A                     A               A                    A                    A                 A                             A                  W                                W                   W                                  W
                  Metrology (Calibration, Measurement methods, Measurement Tools)                    N                              N                              N                               N                   N                                       N                       N                           N                                   N                     N                                 N                                 N                   A                      A                        A                                A                       A                        A                   A                      A                     A                   E                         N                         N                                       N                   N                  E                W                            A                     A               A                    W                    A                 A                             A                  W                                E                   E                                  E
                  Quality Characteristic Classification                                              W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                                A                       W                        W                   A                      A                     W                   E                         A                         W                                       W                   W                  E                W                            A                     E               W                    W                    A                 A                             A                  W                                W                   A                                  W
Innovation and Creativity
                  TRIZ                                                                               A                              A                              W                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   A                      A                        A                             A                          A                        A                A                    A                          A               A                        A                              A                                       A                   W                  E                W                        A                      W                  A                    na                 A                   A                         W                          A                            A                   A                                  A
                  Axiomatic Design                                                                   W                              A                              A                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   A                      A                        A                             A                          W                        W                A                    A                          E               A                        A                              A                                       A                   W                  E                W                        A                      W                  A                    na                 A                   A                         W                          E                            E                   E                                  E
                  Systems Thinking                                                                   W                              W                              E                               W                   W                                       W                       W                           E                                   E                     E                                 W                                 W                   W                      W                        W                             W                          W                        W                W                    W                          W               W                        E                              E                                       W                   E                  E                E                        W                      E                  A                    A                  W                   A                         E                          E                            W                   W                                  W
                  Quality Function Deployment                                                        A                              W                              A                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   A                      A                        A                             A                          A                        A                A                    W                          A               W                        W                              W                                       W                   W                  E                E                        W                      E                  W                    na                 A                   A                         W                          E                            W                   W                                  W
                  Types & Tools (Brain Storming, 6 Thinking Hats )                                   W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   A                      A                        W                             A                          A                        A                A                    W                          A               W                        W                              W                                       W                   W                  E                W                        W                      W                  A                    W                  W                   E                         W                          E                            E                   W                                  E
Leadership
                  Organizational structures & cultures                                                    E                         E                                  E                           E                   E                                       E                       E                                E                              E                     E                                 E                                 E                   W                      W                        W                             W                          A                        W                W                    W                          W               W                        E                                    E                                 W                   W               W                   W                        W                      E                  A                    W                  W                   E                         W                      A                                A                   A                                  A
                  Roles and Responsibilities (leaders & managers)                                         E                         E                                  E                           E                   E                                       E                       E                                E                              E                     E                                 E                                 E                   E                      E                        E                             E                          W                        W                A                    W                          W               W                        E                                    E                                 A                   E               W                   E                        W                      E                  A                    W                  W                   E                         W                      E                                E                   E                                  E
                  Change Management                                                                       E                         W                                  E                           W                   W                                       W                       W                                E                              W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                A                    W                          A               W                        E                                    E                                 E                   A               W                   E                        W                      E                  A                    A                  A                   E                         E                      E                                E                   E                                  E
                  Ethics                                                                                  E                         E                                  E                           E                   E                                       E                       E                                E                              E                     E                                 E                                 E                   E                      E                        E                             E                          W                        E                W                    W                          E               W                        E                                    E                                 E                   E               W                   E                        W                      E                  W                    A                  W                   E                         W                      E                                W                   W                                  W
                  Empowerment, Motivation, Influencing                                                    E                         E                                  E                           E                   E                                       E                       E                                E                              E                     E                                 E                                 E                   E                      E                        E                             E                          W                        E                A                    W                          A               E                        W                                    E                                 W                   W               E                   W                        W                      E                  A                    A                  W                   E                         W                      E                                E                   E                                  E
                  Prioritization                                                                          E                         E                                  E                           E                   E                                       E                       E                                E                              E                     E                                 E                                 E                   E                      E                        E                             E                          W                        W                A                    W                          W               E                        W                                    E                                 W                   A               E                   E                        W                      E                  A                    W                  E                   E                         A                      W                                W                   A                                  W
                  Corporate Social Responsibility                                                         E                         E                                  E                           E                   E                                       E                       E                                E                              E                     E                                 E                                 E                   E                      E                        E                             E                          W                        W                W                    W                          E               E                        E                                    E                                 E                   W               E                   W                        W                      W                  W                    W                  W                   E                         W                      E                                E                   E                                  E
Management
                  Principles, theories                                                               E                              E                              E                               E                         E                                 E                       E                           E                                   E                     E                                 E                                 E                   E                      E                        E                             W                          E                        E                W                    W                          W               E                        E                              W                                       W                   A               E                   W                        W                         E               W                    A                  W              W                              A                      E                                E                   E                                  E
                  Time Management                                                                    E                              E                              E                               E                         E                                 E                       E                           E                                   E                     E                                 E                                 E                   E                      W                        E                             W                          W                        W                W                    W                          W               E                        E                              E                                       W                   A               E                   E                        W                         E               W                    A                  E              W                              W                      E                                E                   E                                  E
                  HR Management                                                                      W                              E                              W                               W                         E                                 W                       A                           W                                   W                     W                                 W                                 A                   E                      W                        W                             W                          W                        W                A                    W                          W               W                        W                              W                                       A                   W               E                   W                        A                         E               W                    A                  W              E                              W                      A                                A                   A                                  A
                  Finance Management                                                                 W                              E                              E                               W                         E                                 W                       A                           W                                   W                     A                                 A                                 W                   E                      W                        A                             W                          W                        W                A                    A                          W               W                        W                              W                                       W                   W               E                   W                        A                         E               E                    A                  W              A                              W                      E                                E                   W                                  E
                  Knowledge Management                                                               W                              E                              E                               W                         E                                 W                       W                           W                                   W                     A                                 A                                 W                   W                      W                        A                             W                          W                        W                W                    W                          W               A                        A                              E                                       E                   E               E                   W                        A                         E               W                    A                  W              W                              W                      E                                E                   E                                  E
                  Communication Skills                                                               W                              E                              E                               W                         E                                 W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                A                    W                          W               W                        W                              E                                       E                   A               E                   W                        W                         E               W                    W                  W              E                              W                      W                                W                   W                                  W
                  Supplier Management                                                                W                              W                              W                               W                         A                                 E                       A                           A                                   W                     A                                 W                                 A                   A                      W                        A                             A                          A                        A                A                    A                          A               W                        A                              A                                       W                   A               W                   W                        A                         A               A                    A                  W              A                              A                      A                                A                   A                                  A
Project Management
                  Project planning and estimation tools                                              E                              E                              E                               E                   E                                       E                       E                           E                                   E                     E                                 E                                 E                   E                      E                        E                             E                          E                        E                W                    W                          W                   E                    E                              E                                       E                   W               E                   E                        W                      E                  W                      A                  E            W                              W                      W                                W                   W                                  W
                  Project Integration & Scope Management                                             E                              E                              W                               E                   W                                       E                       W                           W                                   W                     E                                 W                                 W                   W                      W                        W                             W                          A                        W                A                    W                          W                   E                    E                              E                                       W                   E               E                   W                        W                      W                  A                      A                  E            W                              W                      W                                W                   W                                  W
                  Project Time & Cost Management                                                     W                              E                              W                               E                   W                                       W                       A                           W                                   W                     W                                 W                                 W                   W                      E                        E                             E                          A                        W                A                    W                          W                   E                    E                              E                                       W                   W               W                   W                        A                      W                  A                      A                  E            W                              W                      W                                W                   W                                  W
                  Project Quality Management                                                         A                              W                              W                               W                   W                                       W                       W                           W                                   W                     E                                 E                                 E                   W                      W                        W                             W                          A                        W                A                    W                          W                   E                    E                              E                                       E                   E               E                   W                        W                      W                  W                      A                  E            W                              E                      E                                E                   E                                  E
                  Project Risk Management                                                            W                              E                              W                               W                   W                                       W                       A                           E                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                A                    W                          A                   E                    E                              W                                       W                   W               E                   W                        W                      W                  A                      A                  E            E                              E                      E                                E                   E                                  E
                  Project Procurement Management                                                     W                              W                              A                               W                   W                                       E                       A                           W                                   W                     W                                 W                                 W                   W                      E                        E                             E                          A                        W                A                    W                          A                   E                    W                              W                                       W                   W               W                   W                        A                      W                  A                      A                  E            A                              W                      E                                E                   E                                  E
                  Project Communications Management                                                  W                              W                              E                               W                   E                                       W                       W                           E                                   W                     W                                 W                                 W                   W                      W                        W                             W                          A                        W                W                    W                          A                   E                    E                              E                                       W                   W               E                   W                        W                      W                  A                      A                  E            E                              W                      W                                W                   W                                  W
                  Measure and monitor project activity                                               W                              E                              E                               W                   E                                       E                       W                           E                                   W                     E                                 E                                 E                   W                      W                        W                             W                          W                        W                W                    W                          W                   E                    E                              E                                       W                   W               E                   E                        W                      E                  W                      A                  E            W                              E                      W                                W                   W                                  W
                  Project documentation                                                              W                              W                              W                               W                   W                                       W                       W                           W                                   E                     E                                 E                                 W                   W                      W                        W                             W                          E                        E                W                    W                          E                   E                    E                              E                                       E                   E               E                   E                        W                      E                  W                      A                  E            W                              E                      E                                E                   E                                  E
Quality Basics
                  Benefits of Quality                                                                     E                              E                             E                             E                       E                                    E                         E                           E                                E                         E                                E                              E                 W                      W                             E                        W                          W                        W                   A                 W                          W               W                             E                               E                                   E                 W                  E                    E                    W                         E               W                      A                W                   E                         W                          E                              E                       E                                  E
                  Quality Philosophies, Models & Theories (Juran, Crosby, Deming,
                  Feigenbaum)                                                                        A                              A                              W                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   W                      A                        A                             A                          A                        W                W                    W                          A               W                        A                              E                                       W                   W                  E                    E                    W                         E               A                    A                    A            W                              E                          E                            E                   E                                  E
                  Terms, Concepts, and Principles                                                    E                              E                              W                               E                   E                                       E                       E                           E                                   E                     E                                 E                                 E                   W                      W                        E                             W                          W                        W                A                    W                          W               W                        E                              E                                       E                   E                  E                    E                    W                         E               W                    A                    A            W                              E                          E                            W                   W                                  W
                  Quality standards, requirements, and specifications                                A                              A                              A                               A                   A                                       A                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          A                        W                W                    W                          A               W                        E                              E                                       A                   W                  E                    E                    A                         E               W                    A                    A            W                              E                          E                            W                   W                                  W
                  Quality planning                                                                   W                              E                              E                               E                   E                                       E                       E                           E                                   E                     E                                 E                                 E                   W                      W                        E                             E                          W                        W                W                    W                          A               W                        E                              E                                       E                   W                  E                    E                    W                         E               W                    W                    A            W                              W                          E                            W                   W                                  W
                  Documentation systems                                                              A                              A                              A                               A                   A                                       A                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          A                        W                W                    A                          A               W                        W                              W                                       A                   W                  E                    E                    A                         E               W                    W                    A            W                              E                          E                            E                   E                                  E
                  Barriers to Quality                                                                W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          A                        W                W                    W                          A               W                        E                              E                                       A                   W                  E                    E                    W                         E               A                    A                    A            W                              W                          E                            E                   E                                  E
Management of the Quality System
                  Elements of the Quality System                                                     W                              W                              W                               W                   W                                       W                       W                           W                                   W                     E                                 W                                 W                   W                      E                        W                             W                          E                        E                W                    W                          W               E                        E                              E                                       E                   W               E                   E                        W                      E                  W                    W                  A              A                              W                      E                                E                   E                                  E
                  Documentation of the Quality System                                                W                              W                              W                               W                   W                                       W                       W                           W                                   W                     E                                 W                                 W                   W                      A                        A                             A                          W                        A                A                    W                          A               E                        A                              A                                       W                   W               E                   W                        W                      W                  A                    A                  A              A                              A                      E                                E                   E                                  E
                  Quality Standards and Other Guidelines                                             A                              A                              A                               A                   A                                       A                       A                           W                                   A                     W                                 A                                 W                   W                      W                        A                             A                          E                        W                E                    W                          E               E                        E                              E                                       W                   A               E                   W                        W                      W                  W                    E                  A              A                              W                      E                                E                   E                                  E
                  Deployment techniques                                                              W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          A                        W                A                    A                          W               W                        W                              W                                       E                   E               E                   W                        W                      W                  A                    W                  A              E                              W                      E                                E                   E                                  E
                  Quality Audits                                                                     W                              E                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   A                      A                        W                             A                          W                        A                W                    A                          W               W                        W                              W                                       W                   A               E                   W                        A                      W                  W                    E                  A              W                              W                      E                                E                   E                                  E
                  Quality Training                                                                   A                              A                              A                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   W                      W                        A                             W                          W                        W                A                    W                          A               A                        A                              A                                       A                   W               E                   W                        W                      W                  A                    W                  A              E                              W                      W                                A                   A                                  A
                  Management Reviews                                                                 W                              E                              E                               W                   W                                       W                       A                           E                                   E                     W                                 E                                 W                   W                      E                        E                             E                          A                        W                A                    W                          A               W                        E                              E                                       W                   W               E                   W                        W                      E                  A                    W                  W              E                              W                      W                                W                   W                                  W
                  Quality Information System (QIS)                                                   W                              W                              A                               W                   E                                       W                       A                           W                                   W                     W                                 W                                 A                   W                      A                        W                             W                          W                        A                W                    A                          E               A                        W                              W                                       A                   W               W                   W                        A                      E                  A                    E                  W              A                              W                      W                                E                   E                                  E
                  Strategic Planning                                                                 W                              W                              E                               W                   E                                       E                       E                           E                                   E                     E                                 E                                 E                   E                      E                        E                             E                          W                        E                W                    W                          A               W                        E                              E                                       W                   W               E                   W                        A                      W                  A                    A                  W              E                              W                      W                                W                   W                                  W
Training Development and Delivery
                  Training Plans                                                                          A                              A                             A                             A                       A                                    A                    W                           W                                   W                     W                                 W                                 W                      E                   W                        W                             W                          W                        W                   A                 W                            A                 A                    W                              W                                       W                   W               W                   W                        W                      W                    A                  W                  W                   E                         E                          E                            A                         A                            A
                  Needs Analysis                                                                          A                              A                             A                             A                       A                                    A                    A                           A                                   W                     W                                 E                                 E                      E                   W                        E                             W                          W                        W                   A                 W                            A                 A                    E                              A                                       W                   W               W                   W                        A                      W                    A                  W                  A                   E                         E                          E                            A                         A                            A
                  Training Materials/Curriculum Development and Delivery                                  A                              A                             A                             A                       A                                    A                    A                           A                                   A                     A                                 A                                 A                      A                   W                        A                             A                          W                        W                   A                 W                            A                 A                    A                              A                                       E                   A               E                   W                        A                      W                    A                  W                  A                   E                         E                          E                            E                         E                            E
                  Training Effectiveness and Evaluation                                                   A                              A                             A                             A                       A                                    A                    A                           A                                   A                     A                                 A                                 A                      A                   W                        A                             W                          A                        W                   A                 W                            A                 A                    W                              W                                       E                   A               E                   W                        W                      W                    A                  W                  A                   E                         W                          A                            W                         A                            W
                  Adult Learning Theories                                                                 A                              A                             A                             A                       A                                    A                    A                           A                                   A                     A                                 A                                 A                      A                   W                        A                             W                          A                        W                   A                 W                            A                 A                    W                              W                                       E                   A               W                   W                        A                      W                    A                  A                  A                   E                         W                          E                            E                         E                            E
Product and Process Design
                  Classification of Quality Characteristics                                          W                              W                              W                               W                   W                                       W                       W                           W                                   W                          N                            W                                 W                   W                      W                        W                             W                          W                        W                W                         A                     W                   E                    W                              W                                       W                   W                  E                E                        W                      W                    A                  A                  A                   A                         W                      W                                W                   W                                  W
                  Design Inputs and Reviews                                                          A                              A                              A                               A                   A                                       A                       A                           A                                   A                          A                            A                                 A                   A                      A                        A                             A                          A                        A                A                         A                     A                   E                    W                              W                                       W                   W                  E                W                        W                      W                    A                  na                 W                   A                         W                      W                                W                   W                                  W




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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           American Society for Quality Confidential
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         6e75c6a0-1f93-466b-ae2d-978236c6d1ae.xls



                                                                                                                                                                                                                                                          LEADERSHIP                                                                                                                                                                                                                                                                                                        OPERATIONS                                                                                                                                                                                                                                 CONTINUOUS IMPROVEMENT/PERF EXCELLENCE                                                                                                                                                                                                                                                       REGULATORY /COMPLIAN
                       HEALTHCARE: Quality Job
                       FunctionFunction
                       & Competency Matrix                                                                                                                                                                                                           Leadership Team                                                                                                                                                                                                                                                                                                  Facilities, resources, ADT,                                                                                                                                                                                                                      Business Excellence, Six Sigma, Project Management                                                                                                                                                                                                              Gen. Product, Serv/stands. (Reg) C




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Organization Change Managers
                                                                                                                                                                                                                                                                                                                                                                           Hospital Quality Council Chair/
                                                                                                                                                                                                                                                     COO Chief Operations Officer,




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Auditor - Internal (QC/QA Mgt)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Auditor - External (Regulatory)
                                                                                                                                                                                                                     CIO Chief Information Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Safety and Quality MD leader
                                                                                                   CEO, Chief Executive Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Director of Quality, PI, Safety
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Departmental Administrators
                                                                                                                                  CFO, Chief Financial Officer




                                                                                                                                                                                                                                                                                                                                                                                                             Hospital Department Heads
                                                                                                                                                                                                                                                                                     CMO Chief Medical Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Advanced Practice Nurses
                                                                                                                                                                                                                                                                                                                                             Hospital Director (Hospital
                                                                                                                                                                                                                                                                                                                 CNO Chief Nursing officer
                                                                                                                                                                                          CAO Chief Administrative




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Lead Auditor (Regulatory
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Quality Improvement /PI




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Consultant (Regulatory)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Utilization Management
                                                                                                                                                                                                                                                                                                                                                                                                                                         Medical Staff Executive




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Six- Sigma Black Belt,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Hospital Administrator




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Specialist/Coordinator
                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Operations Managers




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Six Sigma Green Belt
                                                                                                                                                                 Chief Strategy Officer




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Facilities/Engineering
Legend:




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Quality Coordinators
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Discharge Planners
                                                                                                                                                                                                                                                                                                                                                                                                                                         Committee Leaders




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Infectionus Control
 A=awareness: is familiar with content but does not necessarily apply on a daily basis




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Project Managers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Master Black Belt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Clinical Directors




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Nurse Managers




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Case Managers
 W=working knowledge: is familiar with and able to apply content to situations




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         PMO Director
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Data Analyst
 E=expert: is very comfortable, skilled and competent in area of expertise




                                                                                                                                                                                                                                                                                                                                             Admistrator)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Specialists



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Facilators




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Auditor)
                                                                                                                                                                                                                                                     VP Ops
                                                                                                                                                                                          Officer
                   Technical Drawings and Specifications                                                N                              N                         N                                N                  N                                         N                         N                           N                                 N                        N                                N                               N                 N                      N                            N                         N                          N                        N                N                         A                     N                   E                    N                              N                                       N                    N              W                   A                        A                      A                    N                  na                 W                   A                            N                   W                                W                   W                                  W
                   Design Verification & Validation                                                     A                              A                         A                                A                  A                                         A                         A                           A                                 A                        A                                A                               A                 A                      A                            A                         A                          A                        A                A                         A                     A                   E                    A                              W                                       W                    A              W                   W                        A                      W                    A                  na                 W                   A                            A                   W                                W                   W                                  W
                   Testing                                                                              A                              A                         A                                A                  A                                         A                         A                           A                                 A                        A                                A                               A                 A                      A                            A                         A                          A                        A                A                         A                     A                   E                    A                              A                                       E                    A              W                   E                        W                      W                    A                  na                 W                   A                            A                   W                                W                   W                                  W
                   Reliability and Maintainability                                                      A                              A                         W                                A                  W                                         A                         A                           A                                 A                        A                                A                               A                 W                      W                            A                         W                          W                        W                W                         A                     W                   E                    W                              W                                       W                    E              W                   E                        W                      W                    A                  na                 W                   A                            A                   W                                W                   W                                  W
Basic Statistics (Data Analysis)
                   Terms and definitions                                                           W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                W                    W                          W               W                        W                              W                                       W                   W                  E                    E                    W                      E                    E                  W                  W              W                              E                      W                                W                   W                                  W
                   Data types and collection methods                                               W                              W                              W                               W                   W                                       W                       A                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                W                    W                          W               W                        W                              W                                       W                   W                  E                    E                    W                      E                    E                  W                  A              W                              E                      W                                E                   W                                  W
                   Basic distributions                                                             A                              W                              W                               A                   W                                       A                       A                           A                                   A                     A                                 A                                 A                   W                      W                        A                             W                          W                        W                A                    W                          W               W                        W                              W                                       W                   W                  E                    E                    W                      E                    E                  W                  A              W                              E                      W                                E                   E                                  E
                   Probability                                                                     W                              W                              W                               W                   W                                       W                       A                           W                                   A                     W                                 A                                 A                   W                      W                        A                             W                          A                        A                W                    W                          W               W                        W                              W                                       W                   W                  E                    E                    W                      E                    E                  W                  A              W                              W                      W                                E                   E                                  E
                   Sampling                                                                        W                              W                              W                               A                   W                                       A                       A                           A                                   A                     A                                 A                                 A                   W                      W                        A                             W                          W                        W                W                    W                          A               W                        A                              W                                       W                   W                  E                    E                    W                      E                    E                  W                  A              A                              W                      W                                W                   W                                  W
                   Regression and correlation                                                      W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      A                        W                             W                          A                        A                A                    W                          W               A                        E                              E                                       W                   W                  E                    E                    A                      W                    E                  W                  A              A                              W                      W                                W                   W                                  W
                   Hypothesis testing                                                              W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      W                        W                             W                          W                        W                A                    W                          W               A                        W                              W                                       W                   A                  E                    E                    A                      W                    E                  W                  A              A                              A                      W                                W                   W                                  W
Advanced Statistics (Quantitative Methods and Tools )
                   Analysis of variance (ANOVA)                                                    W                              E                                  A                           W                   W                                       W                       W                           W                                   W                     W                                 A                                 W                   W                      W                        A                                A                           A                    A                A                    W                          W                   A                    W                              W                                       W                     A                E                    E                        A                  W                    E                  W                    A                 A                         W                      W                                W                   W                                  W
                   Contingency tables                                                              W                              W                                  A                           W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   E                      W                        W                                A                           A                    W                W                    W                          W                   A                    W                              W                                       W                     A                E                    E                        A                  W                    E                  W                    A                 A                         W                      W                                W                   W                                  W
                   Process and Performance Capability (capability studies, performance vs.
                   specifications, capability indices, performance indices)                             A                              A                             A                             A                       A                                    A                         A                           A                                A                         A                                A                              A                    A                       A                         A                           A                           A                      A                 A                 W                          W               W                        W                              W                                       W                     A                E                    E                        A                  W                    E                  W                    A                 A                             A                  W                                W                   W                                  W
                 Design and Analysis of Experiments (terminology, one-factor, full-factorial, 2-
                 level fractional factorial)                                                            A                              A                             A                             A                       A                                    A                         A                           A                                A                   W                                      A                              A                    A                       A                         A                           A                           A                      A                 A                 W                          W                   A                    W                                    A                                 W                     A                E                    E                        A                  W                    E                    A                  A                 A                             A                  W                                W                   W                                  W
Teams and Team Processes
                 Types of teams                                                                    W                              W                              W                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   W                      A                        W                             W                          A                        W                   A                 W                            A                 A                    W                              W                                         E                   E                E                    E                        E                     E                 A                    A                W                   E                             E                  W                                A                   A                                  A
                 Stages of team development                                                        A                              A                              A                               A                   A                                       A                       A                           A                                   W                     W                                 A                                 A                   A                      A                        A                             W                          A                        W                   A                 W                            A                 A                    E                              W                                         E                   E                E                    E                        E                     E                 A                    A                W                   E                             E                  E                                A                   A                                  A
                 Team-building techniques                                                          W                              A                              A                               W                   W                                       W                       W                           W                                   W                     W                                 W                                 W                   A                      A                        W                             W                          A                        W                   A                 W                            A                 A                    W                              W                                         E                   E                E                    E                        E                     E                 A                    A                W                   E                             E                  W                                A                   A                                  A
                 Team roles and responsibilities                                                   A                              A                              A                               A                   A                                       A                       A                           A                                   A                     A                                 A                                 A                   A                      W                        A                             W                          W                        W                   A                 W                            A                 A                    W                              W                                         E                   E                E                    E                        E                     E                 A                    A                W                   E                             E                  E                                W                   W                                  W
                 Team performance and evaluation                                                   W                              A                              A                               W                   A                                       A                       A                           W                                   W                     W                                 W                                 W                   A                      W                        W                             W                          W                        E                   A                 W                            A                 A                    W                              W                                         E                   E                E                    E                        E                     E                 A                    A                W                   E                             E                  E                                A                   A                                  A
Customer Service
                 Customer Relationship Management CRM (customer focus, relationships,
                 needs, satisfaction, QFD, CPVM, deploying VOC information & managing
                 multiple customers)                                                               W                              W                                  E                           W                         A                                    A                         A                      W                                     A                   W                                 W                                   A                 W                      W                             A                           A                           A                      A              W                         A                       A                 A                    W                              W                                       W                   W                  E                W                            A                  W                    A                    A                  A                 E                             A                      A                              A                 W                                        A

                    Customer Identification and Segmentation (internal and external customers)          A                              A                         W                                 A                 W                                       W                            A                      W                                   W                           A                           W                                   A                 W                      W                        W                             W                              A                      A              W                    W                            A                 A                         A                         W                                       W                   W                  E                W                        W                      W                    A                    A                W              W                                  A                      A                              A                 W                                        A




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 2 of 4
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             American Society for Quality Confidential
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           6e75c6a0-1f93-466b-ae2d-978236c6d1ae.xls



REGULATORY /COMPLIANCE                                                                                                                                                   EDU/TRAIN                                                                                                      PATIENT CARE                                                                                                               SYSTEMS AND DOCUMENTATION SUPPORT




oduct, Serv/stands. (Reg) Compliance                                                                                                                                          ORG DEV                                                                    Service Delivery, Advocacy,Marketing                                                                                                               EMR/ Systems & Procedures/ Knowledge Mngmt.




                                                                                                                                                                                                                                                                                                                                                                          Health Information Technologist
                                                                                                                                                                                                                                                          Human Resources recruitment
                                                                                                                                                                                           Clinical Educators/Unit based




                                                                                                                                                                                                                                                                                                               Unit secretaries/ Health Unit
                                                                                                                                                             Director of Development and




                                                                                                                                                                                                                           CME Specialists (Continuing
                                            Safty Engineer (QC/QA), fire




                                                                                                                                                                                                                                                                                                               Coordinators, Administrative




                                                                                                                                                                                                                                                                                                                                                                                                                                     Health Information Director
                                                                                                                                                                                                                                                                                                                                                                                                            JCAHO & Mandatory Data
                                                                                                        Quality Control Technician
                                                                           Quality Control Specialist




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Value Analysis (product)



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Clinical Documentation
                                                                                                                                                                                                                                                                                                                                               patient advocate/service
                                                                                                                                     NES Nursing Education




                                                                                                                                                                                                                                                                                        Marketing Strategist
                                                                                                                                                                                                                           Medical Education )




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Systems Analyst
                                                                                                                                                                                                                                                                                                                                                                          Analysts (RHIT)




                                                                                                                                                                                                                                                                                                                                                                                                            reporting Mngr




                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Billing/ coding
                             Risk Manager
             Statisticians




                                                                                                                                                                                                                                                                                                               Assistants,
                                                                                                                                     Specialists




                                                                                                                                                                                           Educators




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Specialist
                                                                                                                                                             Training
                                            safety




                                                                                                                                                                                                                                                                                                                                                                                                                                     RHIA
             A                 E                    W                      E                            E                                  W                         W                             W                               A                           A                           N                               A                       N                               W                                E                        W                     W                 W                                E                  A
             A                 E                    A                      E                            W                                  A                         A                             A                               A                           A                           N                               A                       N                               W                                E                        W                     W                 A                                E                  A
             A                 E                    W                      W                            E                                  A                         A                             A                               A                           A                           N                               A                       N                               W                                E                        E                     W                 A                                W                  W
             W                 E                    W                      W                            E                                  W                         W                             W                               W                           A                           N                               A                       N                               W                                E                        E                     W                 A                                W                  W

               A             W                      W                           A                            E                             W                           A                           W                                 A                         A                           N                               A                        A                                A                            W                          W                        A              W                                W                     A

             W               W                      W                      W                            W                                    A                         A                              A                              A                         A                        W                                  A                   W                                   W                                E                          A                      A              W                                W                     A



             W               W                      W                      W                            W                                  W                         W                             W                               W                      A                                 A                              A                   W                                   W                              W                          W                        A              W                                W                  W
             E               E                      W                      A                            E                                  A                         A                             A                               A                      W                                 E                              A                   W                                   W                              E                          E                        A              A                                A                  W



             W                 E                    W                      W                            E                                  A                         A                             W                               W                      E                             A                                  A                   A                                   W                              W                          W                     A                      A                           A                  E
             W                 E                    E                      A                            W                                  W                         W                             W                               W                      W                             W                                  A                   W                                   W                              E                          E                     W                      E                           W                  W

               E               A                      E                    W                                 E                              N                          N                             N                               N                        N                            N                               N                       N                                 N                              A                          N                     N               W                                  A                   A

               E             W                      W                      W                            W                                  W                         W                                A                            W                      W                                 A                              A                        A                              W                              W                          W                        A              E                                  A                   A
               E             E                      E                      A                            W                                  W                         A                                A                            A                      A                                 A                              A                        A                              A                              W                          W                        A              W                                  A                   A

               A               A                      E                         A                       W                                   N                          N                             N                               N                        N                            N                               N                       N                                 N                              N                          N                     N               W                                  A                   A

             A               W                        E                    W                            W                                   N                          N                             N                               N                        N                            N                               N                       N                               N                              N                          N                     N                 W                                  A                   A
             A               A                        E                    A                            W                                   N                          N                             N                               N                        N                            N                               N                       N                               N                              N                          N                     N                 A                                  N                   A
             W               E                        E                    W                            E                                   A                          A                             A                               A                        A                            A                               N                       N                               W                              W                          W                     W                 A                                  N                   A

             A               A                      A                      A                            A                                  W                         W                             A                               W                      W                             W                                  N                        A                              A                              A                          A                     A                 A                                A                  A
             A               W                      A                      A                            A                                  W                         W                             A                               W                      W                             A                                  N                        A                              A                              W                          A                     A                 A                                A                  A
             W               W                      W                      W                            W                                  E                         E                             W                               E                      W                             E                                  A                        A                              W                              E                          W                     W                 W                                W                  W
             W               E                      W                      W                            E                                  A                         A                             W                               A                      W                             W                                  A                        A                              W                              W                          W                     W                 A                                A                  A
             W               A                      W                      W                            A                                  W                         W                             W                               W                      W                             W                                  A                        A                              A                              W                          A                     A                 A                                A                  A

             A               A                      A                      A                            A                                  A                         W                             W                               A                      E                             E                                W                     A                                   W                              W                          W                     A                 W                                W                  A
             A               E                      A                      A                            E                                  W                         E                             W                               W                      E                             E                                W                     A                                   W                              E                          E                     A                 W                                A                  A
             A               W                      A                      W                            A                                  A                         W                             W                               A                      E                             E                                A                     A                                   W                              W                          E                     A                 W                                A                  A
             W               E                      A                      W                            A                                  W                         W                             W                               W                      E                             W                                A                     W                                   W                              E                          E                     W                 W                                W                  A
             A               W                      A                      A                            A                                  W                         W                             W                               A                      W                             W                                A                     A                                   A                              W                          W                     A                 W                                W                  A
             A               W                      W                      W                            A                                  W                         W                             W                               A                      W                             W                                W                     A                                   A                              W                          W                     A                 A                                A                  A
             W               E                      W                      W                            W                                  W                         W                             W                               W                      E                             E                                A                     E                                   A                              W                          W                     W                 A                                A                  W

             W               E                      A                      A                            W                                  W                           E                           W                               W                      E                             W                                A                     A                                   W                              W                          E                     A                 A                                A                  W
             W               W                      A                      W                            W                                  W                           E                           W                               W                      W                             W                                W                     W                                   W                              W                          E                     A                 W                                W                  W
             A               W                      A                      A                            W                                  A                           E                           W                               A                      E                             W                                A                     W                                   A                              W                          E                     A                 A                                A                  E
             W               W                      A                      A                            W                                  A                           E                           A                               A                      W                             A                                A                     A                                   A                              W                          E                     A                 E                                A                  E
             A               E                      W                      W                            E                                  W                           E                           A                               A                      W                             E                                A                     W                                   A                              E                          E                     A                 W                                E                  E
             A               E                      W                      W                            W                                  W                           E                           W                               W                      W                             E                                W                     E                                   A                              E                          W                     W                 W                                W                  W
             A               A                      A                      A                            A                                  A                           A                           A                               A                      A                             W                                A                     A                                   A                              A                          A                     A                 E                                A                  W

             W               E                      W                      W                            W                                  W                         E                             W                               W                      E                             A                                A                          A                              W                              E                          A                     A                 W                                A                  E
             A               W                      W                      W                            W                                  W                         W                             W                               A                      A                             W                                A                          A                              A                              W                          A                     E                 W                                W                  E
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             American Society for Quality Confidential
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           6e75c6a0-1f93-466b-ae2d-978236c6d1ae.xls



REGULATORY /COMPLIANCE                                                                                                                                                   EDU/TRAIN                                                                                                      PATIENT CARE                                                                                                               SYSTEMS AND DOCUMENTATION SUPPORT




oduct, Serv/stands. (Reg) Compliance                                                                                                                                          ORG DEV                                                                    Service Delivery, Advocacy,Marketing                                                                                                               EMR/ Systems & Procedures/ Knowledge Mngmt.




                                                                                                                                                                                                                                                                                                                                                                          Health Information Technologist
                                                                                                                                                                                                                                                          Human Resources recruitment
                                                                                                                                                                                           Clinical Educators/Unit based




                                                                                                                                                                                                                                                                                                               Unit secretaries/ Health Unit
                                                                                                                                                             Director of Development and




                                                                                                                                                                                                                           CME Specialists (Continuing
                                            Safty Engineer (QC/QA), fire




                                                                                                                                                                                                                                                                                                               Coordinators, Administrative




                                                                                                                                                                                                                                                                                                                                                                                                                                     Health Information Director
                                                                                                                                                                                                                                                                                                                                                                                                            JCAHO & Mandatory Data
                                                                                                        Quality Control Technician
                                                                           Quality Control Specialist




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Value Analysis (product)



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Clinical Documentation
                                                                                                                                                                                                                                                                                                                                               patient advocate/service
                                                                                                                                     NES Nursing Education




                                                                                                                                                                                                                                                                                        Marketing Strategist
                                                                                                                                                                                                                           Medical Education )




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Systems Analyst
                                                                                                                                                                                                                                                                                                                                                                          Analysts (RHIT)




                                                                                                                                                                                                                                                                                                                                                                                                            reporting Mngr




                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Billing/ coding
                             Risk Manager
             Statisticians




                                                                                                                                                                                                                                                                                                               Assistants,
                                                                                                                                     Specialists




                                                                                                                                                                                           Educators




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Specialist
                                                                                                                                                             Training
                                            safety




                                                                                                                                                                                                                                                                                                                                                                                                                                     RHIA
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