RN - Quality/Patient Safety Program Manager

    Dignity Health
    1050 Linden Ave, Long Beach, CA 90813
    Full-time
    Similar jobs pay $28.68 - $45.16

    Job Description

    Founded as a faith-based hospital in 1923 by the Sisters of Charity of the Incarnate Word, Dignity Health - St. Mary Medical Center is a 389-bed, acute care, nonprofit hospital located in Long Beach, California. The hospital offers a full complement of services, including a Level II trauma center, cardiac and vascular center, surgical weight loss, maternity and the CARE Center, which is a recognized PrEP center of excellence. The hospital shares a legacy of humankindness with Dignity Health, one of the nation's five largest health care systems. Visit https://www.dignityhealth.org/socal/locations/stmarymedical for more information.

    Responsibilities

    Job Summary:

    The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.

    Core Duties:
    • Assists in the design, planning, implementation and coordination of QM, PS and PI activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, and root cause analyses and medical staff improvement (e.g. peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review.
    • Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
    • Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
    • Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.
    #DHLeader

    Qualifications

    Minimum Qualifications:
    • Experience - One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting.
    • Education- Bachelor's degree or five (5) years of related job or industry experience in lieu of degree.
    • Licensure - Current RN license in State of California. Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
    Preferred Skills:
    • Knowledge of quality management methods, tools, and techniques and ability to create and support an environment that meets the quality goals of the organization
    • Knowledge of the critical interdependencies among system elements that help and hinder performance and ability to plan and design solutions that synchronize resources to achieve business results.
    • Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.
    • Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks.
    • Knowledge of purpose and impact of The Joint Commission; to continuously improve the healthcare for the public, in collaboration with other stakeholders, by evaluating health care providers and inspiring them to excel in providing safe and effective care at the highest quality and value and the Center for Medicare and Medicaid Services (CMS). This also includes (PTAC) Professional Technical Advisory Committees.
    • Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business.
    Job Summary:

    The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.

    Core Duties:
    • Assists in the design, planning, implementation and coordination of QM, PS and PI activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, and root cause analyses and medical staff improvement (e.g. peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review.
    • Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
    • Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
    • Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.
    #DHLeader

    Qualifications

    Minimum Qualifications:
    • Experience - One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting.
    • Education- Bachelor's degree or five (5) years of related job or industry experience in lieu of degree.
    • Licensure - Current RN license in State of California. Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
    Preferred Skills:
    • Knowledge of quality management methods, tools, and techniques and ability to create and support an environment that meets the quality goals of the organization
    • Knowledge of the critical interdependencies among system elements that help and hinder performance and ability to plan and design solutions that synchronize resources to achieve business results.
    • Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.
    • Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks.
    • Knowledge of purpose and impact of The Joint Commission; to continuously improve the healthcare for the public, in collaboration with other stakeholders, by evaluating health care providers and inspiring them to excel in providing safe and effective care at the highest quality and value and the Center for Medicare and Medicaid Services (CMS). This also includes (PTAC) Professional Technical Advisory Committees.
    • Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business.
    Posting ID: 555225976Posted: 2020-06-30