We are looking for a Director of Clinical Outcomes to join our team at Kansas Spine & Specialty Hospital!

Duties and Responsibilities:

PEOPLE

1. Nurtures the development of appropriate working relationships with facility administrators physicians department leaders and employees
2. Demonstrates effective verbal and written communication skills in keeping staff informed
3. Demonstrates skills as a team player and works closely with leaders to establish positive relationships
4. Educates staff on regulatory requirements
5. Remains composed and takes action to restore calm in stressful situations
6. Successfully implements change by managing conflict successfully through mediation
7. Utilizes sound judgment and critical thinking skills
8. Acts as a resource person on a consistent basis
9. Relates well to diverse groups of people throughout the organization
10. Builds rapport and forms constructive relationships
11. Is characterized by diplomacy and tact and able to diffuse tense situations
12. Can get things done through both formal and informal channels and influence
13. Ensures application of Just Culture principles and no-blame culture consistently to respond to events

SERVICE / LEADERSHIP

1. Participates in Employee Orientation as appropriate
2. Models appropriate interaction with staff to ensure high level of service in all areas of responsibility
3. Provides educational opportunities to clinical staff
4. Participates in the development and evaluation of professional practice by participating in department and/or hospital committees special projects and attendance at leadership meetings
5. Responsible for actively pursuing knowledge and compliance with TJC CMS and Texas Health and Human Services regulations
6. Fosters teamwork effective communication and collaboration among all departments
7. Assures customer complaints are addressed timely with follow through to resolution to foster an environment of Service Excellence. Responds to customer concerns (written verbal or in person) within 48-72 hours. Closes the loop timely with all parties when following up on complaints
8. Accepts accountability for assignments adapts to various working conditions and supports or assists coworkers when needed
9. Adapts to multiple demands ambiguity shifting priorities and rapid change in the health care setting
10. Shows resilience in the face of adversity and demonstrates a willingness to modify ones approach to reach stated goals
11. Utilizes the strength and talent of others to meet the needs of the department
12. Seeks assistance when needed
13. Demonstrates Managerial Courage by stating what needs to be said and providing action-oriented feedback to others.
14. Confronts situational problems directly and quickly with the ability to make unpopular decisions when necessary.
15. Collects sufficient information to make timely and effective decisions. Does not procrastinate when making difficult decisions.
16. Escalates concerns to Senior Leaders timely and in accordance with policy.

QUALITY

1. Supports culture of safety through development and support of Zero Preventable Harm Culture
2. Assists with collection and analysis of organizational metrics
3. Assists with collection and analysis of quality indicators
4. Work demonstrates accuracy thoroughness and evidence-based research
5. Stays abreast of The Joint Commission Standards Texas Department of Health and Human Services Texas Administrative Codes and CMS Regulations
6. Uses aggregate data to effectively analyze opportunities to reduce errors identify problem prone processes and make decisions for improving clinical outcomes
7. Maintains a safe environment through participation in drills safety rounds and survey readiness activities
8. Drives departmental processes and communication toward prioritizing quality outcomes including aggressive safety compliance. Routinely shares outcome metrics with all staff
9. Knowledgeable of core measures HCAHPS and publicly reported data
10. Performs clinical debriefings Code Blue debriefings Root Cause Analysis meetings and Proactive Risk Assessments
11. Assesses occurrence reports for trends and opportunities for improvement
12. Assist with OPPE and FPPE data collection
13. Track and trend safety events identifying opportunities for improvement and initiates actions plans based upon needs and acceptable standards of the organization.
14. Mitigate risk through proactive implementation of evidence-based practices to ensure best patient outcomes.
15. Participates with and notifies insurers as needed to ensure appropriate follow-up and actions are

FINANCE

1. Prevents readmissions by working with case management navigator and patients
2. Work is completed in a cost-efficient manner
3. Performs other administrative duties as required
4. Maintains most cost-effective strategies to meet budgetary expectations. Consistently evaluates for strategies to reduce lengths of stay
5. Monitors HAC HAI and Meaningful Use and Pepper reports for potential penalties
6. Reduces financial risk to the organization through proactive risk management/patient safety and quality programs.

GROWTH

1. Provides monthly staff education activities based on needs assessment / leadership requests
2. Shows willingness to take on additional assignments to assist others in the facility
3. Keeps abreast of current developments in quality and patient safety
4. Pursues opportunities for continuing education
5. Seeks personal specialty certification or educational opportunities
6. Seeks out opportunities for organizational and program excellence / quality recognition
7. Presents new and original ideas; researches evidence base practices
8. Exercises good judgment regarding what how and when to make major changes
9. Encourages and facilitates effective brainstorming

TEAM MEMBERSHIP EXPECTATIONS:

Performs effectively when ones success depends upon the performance and success of others. Functions

within a team and participates actively in meetings to produce results in a cooperative effort. Places shared

goals before ones own interests and builds relationships with others throughout the system. Derives a sense

of accomplishment from a team effort. Establishes action plans for self and others to ensure work is

completed efficiently. Practices active listening skills in one-to-one and group settings by paraphrasing and

acknowledging information. Displays patience to hear opposing viewpoints asks probing questions to

increase understanding and conveys understanding to others. Exhibits managing up co-workers and directing

staff to their appropriate leader(s). Supports new strategies programs and expectations publicly and always

demonstrates a unified alliance with all co-workers. Embraces new staff and peers with support and

understanding.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.

Qualifications:

• Demonstrates eligibility for employment in the U.S.
• Graduate of a school of professional nursing with current and valid licensure with the Kansas State Board of Nursing as a Registered Nurse.
• Bachelors in either Nursing or related health care field required.
• Masters Degree in Nursing/related health care field preferred
• BLS prerequisite
• Minimum of 10 years nursing experience in a hospital required; 5 years direct supervisory experience; and 3 years of performance improvement experience highly desired
• Specialty certification highly desired (RNC CNOR CPHRM CPHQ CPPS etc.)
• Familiarity with Kansas Board of Nursing professional nursing standards and the ANA Scope of Service standards and performs in accordance with them.
• Understanding of Kansas Administrative Regulations promulgated by the Kansas Department of Health and Environment as they pertain to Hospital Operations Quality Infection Prevention Employee Health Risk Management and Outpatient Surgery requirements.
• Knowledge of commonly used concepts practices and procedures within Quality Safety Infection Prevention and Control Employee Health and Risk Management.
• Knowledge of state federal and accrediting body regulations and standards related to healthcare. (CDC Guidelines The Joint Commission Standards CMS and KDPH)
• Ability to relate and work effectively with others.
• Ability to read write and communicate effectively in English with additional languages preferred.
• Demonstrates ability to comprehend written and oral instructions.
• Willingness to participate in goal-setting and educational activities for his/her own professional advancement and that of others.
• Must be computer literate with basic computer skills that are required to perform essential job-related duties including Microsoft Suite Excel and Powerpoint.

Knowledge Skills & Abilities:

Under the supervision of the Chief Nursing Officer the Director of Clinical Outcomes oversees performance improvement infection prevention employee health and risk management initiatives in compliance with all regulatory requirements. Responsible for driving positive patient experience outcomes and establishes and promotes collaborative and effective relationships with physicians patients families vendors and additional members of the healthcare team. Educates members of the healthcare team on Quality Improvement and drives improvement using the PDSA (Plan-Do-Study-Act) model. Keeps current with health care trends related to population care quality safety and performance improvement. Leads and directs quality improvement activities that produce better patient care and more efficient operations. Tracks and presents results of improvement efforts event reports and ongoing measures of clinical processes to hospital and corporate leaders. Stays current with NAHQ (National Association for Healthcare Quality) and AHRQ (Agency for Healthcare Research and Quality) and IHI (Institute for Healthcare Improvement) and SP (Surgery Partners) standards. Familiar with ECRI (Emergency Care Research Institute) and ISMP (Institute for Safe Medication Practices) evidence-based safety recommendations. Helps to advance excellence in the facility by producing evidence that makes healthcare safer higher quality more accessible equitable and affordable. Responsible for all regulatory oversight and management of the facility. Assists in Quality Strategic Planning for the facility.

Projects a professional demeanor and appearance while maintaining the confidentiality of patients coworkers and facility information and adhering to all HIPAA requirements and guidelines. Reports in good faith any known or suspected activity that appears to violate laws rules regulations or the SP Code of Conduct. Fulfills annual continuing education requirements.

Personal attributes include the ability to be self-directed; demonstrates accountability professionalism and receptiveness to change; seeks guidance direction and assistance when needed. Works under stress and in situations that demand patience stamina endurance and tact while providing impeccable service. Fosters an attitude of teamwork and willingness to assist others. Sets priorities responds timely to issues which require a decision and ensures desired results are achieved by means of consistent follow through. Collaborates with appropriate departments to develop multidisciplinary approach to patient care and teaching. Displays excellent organizational and time management skills in all daily activities. On call activities are expected.

Physical Requirements:

May be expected to lift up to 10 - 20 pounds occasionally. Work is of light demand; walking standing and sitting most of the time while on duty. Visual and auditory acuity and manual dexterity essential to performing designated duties required. Optimal auditory acuity required. Manual dexterity involving the handling of office equipment is essential to performing assigned duties. Physical conditions are clean neat and well lit. Climate control and ambient temperature variances may be experienced. Hours of duty may be irregular or unexpectedly extended due to the requirements of the job.

Benefits:

• Comprehensive health dental and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity (EEO) & Americans with Disabilities Act (ADA) Statement

Our hospital is committed to fostering an inclusive and diverse workplace. We provide equal employment opportunities to all employees and applicants without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other characteristic protected by applicable law. Additionally we are dedicated to providing reasonable accommodations to qualified individuals with disabilities in the application and employment process. If you require assistance or an accommodation due to a disability please contact Human Resources so that we may engage in an interactive process to determine an appropriate accommodation.

Required Experience:

Director