Established in 2007, MGH/MGPO Center for Quality and Safety (CQS) supports the MGH and MGPO's goal of creating the highest quality, safest care environment for our staff and patients. The CQS employs an interdisciplinary team of clinicians, data analysts, researchers, project managers and informatics professionals. CQS serves as an institutional resource to further the MGH's goal of leading the nation in quality and safety and works particularly closely with the quality and safety departments throughout the institution and at the Partners Health System level.
Under the leadership of the Senior Director, Patient Safety the Staff Specialist will provide crucial support to the hospital's safety event reporting system and patient quality and safety program. The Patient Safety Staff Specialist will have a strong foundation in the basic functions of triaging, evaluating level of severity of an event, determining the appropriate action for follow-up, and producing written reports. In addition, this individual will identify trends and monitor event patterns, with the goal of assisting the quality assurance leaders to formulate and execute plans that improve the quality of care and promote interdisciplinary teamwork. The individual will require excellent interpersonal skills, maturity, clinical experience, a keen analytic skill set and strong project management skills, facility with the use of software applications (Word, Excel, and PowerPoint), and ideally possess knowledge of an electronic patient safety reporting system, specifically rL Solutions. Additionally, the Patient Safety Staff Specialist must display initiative with problem solving and follow-up and work in a coordinated, aligned manner with CQS and institutional leadership. He/She will report directly to the Senior Director, Patient Safety.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Safety Event Analysis and Follow-up
Triages safety reports submitted through the safety reporting system and determines the type of
Evaluates and classifies level of severity based on information available in reports and from quality chairs whose departments are involved in the event
Identifies questions to be addressed and advises quality chairs of expectations and timelines
Develops strong interpersonal rapport with assigned department quality chair partners (e.g. surgery, Pharmacy) for purposes of communication, collaboration, and education
Responsible for conducting and completing Root Cause Analyses of events, in conjunction with department quality chairs and subject matter experts
Facilitates external reporting of adverse events or serious near miss incidents for the Board of Registration in Medicine (BORIM), Massachusetts Department of Public Health (DPH), Food & Drug Administration (FDA/MEDSUN) and others as required
Develops process-owner groups for the purpose of analyzing their own safety reporting data and generating quality improvements. Assists these groups with identifying the data fields they require
Works with department personnel to identify appropriate access level to the safety reporting system
Monitors data fields in the system and recommends training or system changes internally and at the vendor level
Guides the information technology specialists in the development of standardized report templates and fields from which institution leaders can accomplish their own trending and analysis
Serves as part of a multi-disciplinary team to analyze systems failures revealed through the safety reporting system.
Participates in ad hoc medical record chart reviews as the primary means of investigating quality trends
Provides general project management support for selected MGH Center of Quality and Safety initiatives
Provides staff support for hospital improvement initiatives that may arise from safety reports
Manages programs and/or projects to enhance department/service operations
Researches and investigates department/service issues and problems.
Plans, implements and evaluates specific projects designed to enhance department effectiveness
Provides consultation to departmental quality chairs/representatives on annual quality measurement and improvement plans, including identification of measures to be tracked locally versus centrally
Provides analytic support and advice to quality chairs and analysts in the use, or development for use, of benchmarking information from both quantitative and qualitative safety information. This may include guiding staff in making data requests and defining problems to be solved.
Guides interpretation of aggregate data to formulate, focus and prioritize the need for hospital improvement initiatives and programs
Participates in and provides leadership within the council/committee structure to promote effective problem solving and decision making
Represents department/service on interdepartmental committees related to special projects
Establishes effective and collaborative working relationships with members of the hospital community, clinical departments, administrative departments, and quality and safety staff across the Partners Health System
Keeps current with emerging trends in hospital quality and safety initiatives integrating key concepts into analysis and reports
Provides consultation and serves as a resource to enhance professional development of MGH staff through education programs and personal coaching
Identifies current and future department/service development needs in collaboration with leadership and shares responsibility for meeting these needs.
Assumes responsibility for own professional development by participating in professional organizations and programs related to quality and safety
Identifies personal learning needs and goals, and designs a plan to meet them
Enhances own professional development and contributes to the achievement of departmental and service goals through such activities as participating in and/or conducting research; authoring articles for internal and external professional publications; developing innovative publications or programs for presentation at meetings and professional conferences
Completes annual competency and license renewal requirements
Other duties as requested, at the discretion of the CQS leadership
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Experience with systems development, database management, data analysis; operations or engineering background desirable
Strong computer skills with extensive knowledge of MS Office
Strong analytic skills
Superior organizational and interpersonal skills
Ability to balance multiple priorities and manage competing deadlines in a fast-paced environment
Ability to work well with individuals at all levels within the institution
Must be a team player and comfortable in a matrix leadership environment
Advanced communication skills and sensitivity to convey complex and often difficult messages to a multi-disciplinary team of event analysts and healthcare experts
Current Massachusetts licensure as a registered nurse.
Masters degree required; either bachelor or masters degree must be in nursing.
At least 5 years clinical experience as a nurse required
Experience with quality and safety initiatives
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.