Quality Patient Safety Program Manager Licensed
Quality Patient Safety Program Manager Licensed
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
French Hospital Medical Center located in San Luis Obispo California has been named one of the Nations 100 Top Hospitals by Truven Health Analytics and is rated among the top hospitals in the nation for cardiac orthopedic and GI services. French Hospital has achieved the prestigious designation as a Primary Stroke Center by the Joint Commission. The Copeland Forbes and Rossi Cardiac Care Center provides the latest innovative cardiac and imaging technology. The hospital is also home to the unique Hearst Cancer Resource Center offering free education resources and support to cancer patients and their families. French Hospital Medical Center is a part of Dignity Healths Southern California Division and is a member of CommonSpirit Health the largest not-for-profit health care system in the nation boasting an integrated network of top quality hospitals with physicians from the most prestigious medical schools and comprehensive outpatient services - all recognized for quality safety and service. Each hospital is supported by an active philanthropic Foundation to help meet the growing health care needs of our communities. To learn more go here to Community. One Mission. One California
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.
Job Duties:
Assists in the design planning implementation and coordination of Quality Management Patient Safety and Performance Improvement 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 root cause analyses and medical staff improvement (e.g. case review for peer review OPPE FPPE).
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.
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Qualifications
Education and Experience:
- Licensed Registered Nurse Licensed Clinical Pharmacist or other Licensed Clinical Staff and three (3) years clinical experience in an acute care setting
Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction
One (1) year healthcare-related quality management/performance improvement experience (e.g. chart audit PI team member etc.)
Licensure and Certifications:
Current state license in a clinical field in state of practice
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
Required Minimum Knowledge Skills Abilities and Training
Knowledge and expertise of quality management/performance improvement methods tools and techniques (e.g. PDSA Tests of Change Six Sigma LEAN) and ability to create and support an environment that meets the quality goals of the organization
Current knowledge of data reporting and regulatory/accreditation requirements for acute and ambulatory care services and federal state and local healthcare related laws and regulations and the ability to comply with these in healthcare practices and activities
Knowledge of effective self-management practices and ability to manage multiple concurrent objectives projects groups or activities making effective judgments as to prioritizing and time allocation
Understanding of the necessity and value of accuracy and attention to detail. Must be able to review patient records and provide case summaries and maintain the confidentiality of the peer review process
Knowledge of the techniques and the ability to work with a variety of individuals and groups in a constructive and collaborative manner
Knowledge of the current situation or issue at hand; ability to take full personal responsibility or ownership for assignments activities decisions and results
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
Ability to work well under pressure and respond to changing needs and complex environments
Excellent communication skills (oral and written) presentation style including the ability to concisely present data to leaders clinicians and staff at all levels of the organization
Required Experience:
Manager
Employment Type
Unclear
