Responsible for coordination of patient safety and quality activities for organization. Works collaboratively with leaders, clinicians and other staff in the development and implementation of strategies to identify and reduce risks, improve quality and safety and meet regulatory requirements. Ensures implementation of an integrated quality and safety program to position organization as a national leader in quality and safety.
Job Responsibilities and Requirements:
Works with departments to mitigate the immediate risks to patients as a result of human or systems errors through various cause analysis approaches. Also provides proactive support through the tracking, trending and identification of systems opportunities that lead to patient harm, in addition to leading efforts for systems improvement to prevent such harms.
Proactively collects and reports data and opportunities for patient safety, quality, and regulatory initiatives as needed. Oversees the event reporting process and ensures timely investigative follow up of all responsible managers, analyzes trends/patterns in the event reporting data and reports findings to leaders as well as various teams and committees as deemed necessary by the organization. Works with departments to assist with changes in processes, policies, and workflows based on cause analysis findings. Monitors progress of changes at regular intervals to ensure effectiveness and sustainment of interventions.
Serves as a resource in conjunction with management regarding applicable Joint Commission standards as they relate to patient safety and requirements and other compliance regulations. Facilitates the development of strategies to remain compliant with all regulatory requirements and assists with developing and revising policies and procedures as needed.
Rounds routinely in all clinical care departments to assess and address quality, risk reduction and patient safety activities/concerns. Follows up with department managers and leadership regarding patient safety concerns as noted during rounding.
Participates/leads entity, regional and system quality and patient safety and committees, teams, workgroups and huddles. Serves as a quality and patient safety consultant to various other committees, teams and workgroups to ensure integration of quality and patient safety work across the continuum of care.
Facilitates and supports implementation of patient safety and quality program and just culture initiatives and assists with coordination of education for staff and clinicians as needed.
Facilitates teams to address opportunities for improvement as identified in the quality and patient safety data warehouses. Coordinates the development of evidence based, standardized care practices and performance improvement activities to achieve a high quality and highly reliable care delivery system.
Plans, prepares, and coordinates presentations and educational opportunities for new employees and providers regarding quality, risk and patient safety strategies.
Facilitates compliance with The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) and state quality assurance and performance improvements requirements by coordinating, organizing and communicating appropriate information to designated committees and leadership. Leads initiatives for high priority opportunities as identified by leadership.
Performs other duties as assigned.
No experience required
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Day Shift (United States of America)
48400037 Abdominal Transplant
Scheduled Weekly Hours:
SSM Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.