Analysis for "Get with the Guidelines" Program; Works the expedition report weekly for Core Measures, SIMS criteria review, daily quality rounding with a report to Nursing Leadership,  Analysis for disease-specific Joint Commission certifications such as Stroke Ready. Assist with Peer Review and FPPE & OPPE.  Works with Employee Health to provide Vaccinations and screenings. Education to staff as needed.  The role may vary based upon the needs of the Quality Department. Minimum of one weekend and rotating Holidays required.