Position Specific Summary:
The Childrens Surgery Program Manager (CSPM) at UI Stead Family Childrens Hospital (SFCH) is a recognized leader in pediatric surgical quality improvement and patient safety. This role is vital to the hospitals commitment to achieving and maintaining Level I Pediatric Surgery Center Verification status as granted by the American College of Surgeons (ACS) and to advancing the six domains of high-quality childrens surgical care as defined by the Agency for Healthcare Research and Quality (AHRQ).
The CSPM initiates and coordinates process improvement and patient safety initiatives for all pediatric surgical patients while fostering teamwork a robust safety culture and service excellence. This individual oversees quality outcome and process measures supervises the collection analysis and reporting of surgical safety data and contributes to the design implementation and evaluation of system-level and patient care improvements. The CSPM Medical Director of Childrens Surgery/Chief of Surgery Medical Director of Childrens Anesthesia and the Associate Director of Nursing for Quality Safety and Evidence-Based Practice works in close partnership to support the quality of pediatric surgical care and the ongoing achievement of ACS Level I Pediatric Surgery Center Verification.
The CSPM serves as a strategic partner in the vision and execution of pediatric surgical quality improvement and patient safety initiatives leading efforts to maintain Level I Pediatric Surgery Center Verification and ensure compliance with ACS CSV standards. The role provides oversight of projects and programs across all phases of care coordinating clinical management implementing protocols and guidelines and monitoring patient outcomes. The CSPM supports data collection ensures high-quality reporting for ACS NSQIP Pediatric and leads multidisciplinary performance improvement efforts. This position also supports education and outreach facilitates staff development and promotes evidence-based practices across the region. Administratively the CSPM manages operational personnel and quality aspects of the program serves as a liaison to integrates pediatric surgical services within broader institutional systems. Additionally the CSPM contributes to research/EBP protocol design and scholarly activities while engaging in community state and national efforts to advance pediatric surgical care systems.
Key Areas of Responsibility
Serve as a quality improvement leader by promoting and supporting use of QI principles methods and tools to improve processes and patient outcomes
Identify clinical outcome and process compliance trends prioritize and recommend improvements
Develop and support system-wide dashboards and scorecards incorporating clinical process and outcome metrics tailored to strategic or operational quality improvement and patient safety goals
Design solutions to address opportunities based on benchmarking networking goal comparison data analysis and corrective actions
Provides guidance facilitate and work cooperatively with physicians/clinicians administration allied health and support staff involved in the quality and performance improvement process to improve pediatric patient safety and clinical quality throughout the enterprise
Lead and support a culture of patient safety clinical improvement and evidence-based practice including appropriate process measures to decrease frequency and severity of patient safety events
Assists with serious safety event review and root cause analysis including subsequent action plan development implementation and evaluation
Facilitates patient and family centered care while engaging parents and family in patient safety and quality improvement work
Provide leadership for instruction and education of leadership and management in quality improvement and patient safety methodologies including evidence-based change management
Percent of Time: 100% - 40 hours per week
Schedule:Monday - Friday day shift
Location:UI Health Care Main Campus
P&S Pay Plan:5B Highlights:
Required Qualifications:
Demonstrated excellent communication skills both written and verbal are required
Desired Qualifications:
Application Process:In order to be considered applicants must upload a resume or CV (under submission relevant materials) that clearly address how they meet the listed required and desired qualifications of this position.
Job openings are posted for a minimum of 7 calendar job may be removed from posting and filled any time after the minimum posting period has ended.
Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background questions contact Megan Garton at
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