Our pre-employment assessment is changing as of 10/29. If you are applying to newly posted positions, you will need to take the revised assessment.

Job Details

Quality Improvement Team Leader for Mortality

Requisition #: 199223
Location: Johns Hopkins Hospital, Baltimore, MD 21201
Category: Allied Health/Clinical Professional
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Nov. 18, 2019

The Quality Improvement Team Leader (QITL) for Mortality leads Johns Hopkins Hospital (JHH) activities to continually improve mortality performance. The primary measurement of mortality is a risk-adjusted index of the observed mortality divided by the expected mortality. This position leads improvement activities for observed mortality as well as expected mortality. Observed mortality improvement involves the development, implementation and oversight of quality improvement projects to eliminate preventable harm and improve patient outcomes. Expected mortality improvement projects involve systematic actions to improve clinical documentation and coding to fully communicate the severity of illness and risk of mortality.

The QITL for Mortality is a senior member of the JHH Quality Improvement and Systems Engineering Department. The QITL collaborates with physician and nursing leaders, and the managers and staff of Clinical Documentation Excellence, Clinical Analytics, Health Information Management, Information Technology and other organizations as required.

Full-time, Day Shift

8:00 a.m. - 4:30 p.m.

Work Location: Johns Hopkins Hospital, East Baltimore Campus, Baltimore, MD 21287


Master’s degree or Masters Candidate required in the fields of Nursing, Public Health, Health Policy, Business Administration, Health Administration, or a field related to quality engineering or business process improvement. Completion of an accredited Nursing, Pharmacy, Medical Doctor, Doctor of Osteopathy or Physician’s Assistant program preferred. Substantial record of participating in educational programs involving quality improvement tools/methods, leadership, teaching, problem solving, and project management is strongly preferred.

Required Licensure, Certification, Etc.:

Employees who are clinical are required to have a license in the State of Maryland as a Registered Nurse (RN), Pharmacist, a Medical Doctor (MD), a Doctor of Osteopathy (DO), or a Physician Assistant (PA), for examples. The Johns Hopkins Hospital is committed to the highest professional standards in healthcare quality. All Quality Improvement (QI) Team Leaders must attain National Association for Healthcare Quality (NAHQ) Certified Professional in Healthcare Quality (CPHQ) professional certification within two years of employment in the Team Leader role, and then maintain the certification as required.


  • Must possess advanced leadership, facilitation, teaching, presentation, written and verbal communication skills necessary to collaborate with senior clinical and administrative leaders to define and execute QI initiatives throughout multi-disciplinary teams;
  • Advanced presentation skills - ability to promote Quality Improvement initiatives and outcomes to a variety of audiences including departmental, senior leadership and other key stakeholders;
  • Ability to:
  • Work with departmental quality improvement committees to execute effective performance improvement projects;
  • Facilitate, influence and negotiate individual and group decision-making;
  • Function effectively in a fluid, dynamic, and rapidly changing environment;
  • Analyze, synthesize, and summarize information to develop recommendations for improvement;
  • Establish goals that require planning and coordination of work assignments

Work Experience:

Five (5) years of experience applying the skills described above is required. At least three (3) years of this experience (preferably in a health care organization) must involve the application of scientific quality improvement methods in the workplace, specifically:

- Leading or actively participating in quality improvement projects/activities using quality tools to analyze problems (e.g. fish-bone diagrams, root cause analysis, fault tree analysis, failure mode and effect analysis, flow-charting, pareto analyses), and applying six sigma, lean,, Toyota Production System, or PDSA/PDCA for the overall project;

- Applying quality measurement methods in projects such as sampling, frequency/distributional analysi, reliability analysis, and statistical process control;

- Executing small tests of change, building small tests of change into implementation, spreading changes across the larger organization, and sustaining change over time;

- Working with front-line staff (people who touch the work process) to analyze problems, test changes, efficiently measure results, and implement changes;

- Teaching quality improvement methods to participants in teams;

- Facilitating or staff groups to execute projects using quality improvement methods;

- Working with senior organizational leaders to commission quality improvement projects, report on results, solve problems, implement organization-wide, and sustain changes;

At most, two (2) years of experience of the required five (5) years may be in the general skill areas described above specifically:

- Facilitating or teaching, or teaching groups or teams;

- Performing quantitative analysis to support problem solving, decision making, or improvement activities;

- Working with, and communicating with organizational leadership to identify and analyze problems and solving problems;

- Using personal leadership skills to solve problems where one does not have formal authority;

A minimum of five (5) years of clinical experience as a Staff Nurse, M.D., Pharmacist, D.O., or PA is preferred. Experience in the assigned specialty is preferred.

Requires experience commensurate with latest regulatory agency requirements pertaining to Quality Improvement; demonstrated experience in applying Quality Improvement methodology. Requires a minimum of two (2) years of experience in Project Management (this experience can overlap with other experience).

"Johns Hopkins Hospital is a Smoke Free Campus"

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.


Learn More About
Johns Hopkins Medicine.