Director Patient Care Services, Quality, Standards & Practice Mount Sinai Brooklyn Nursing Administration Full-time Day

Roles and Responsibilities

Clinical/Technical/Service

1. Responsible to support the mission of the Beth Israel Medical Center and the philosophy and objectives of the Department of Patient Care Services
2. Acts as an organizational leader in Continuums commitment to diversity and inclusion by participating in and showing a commitment to activities that promote cultural competency and open dialogue in the workplace
3. Directs the nursing quality improvement activities through effective utilization of services initiation and maintenance of quality standards and program development
4. Directs the review revision and development of Patient Care Services practices and standards of care
5. Coordinates PCS activities for performance improvement at all divisions including inpatient and outpatient activities
6. Plans develops implements and evaluates goals and objectives for performance improvement program within the framework of the Department of Patient Care Services
7. Ensures that the PCS performance improvement program meets regulatory agency professional hospital and department standards
8. Develops and/or implements a system whereby the quality and effectiveness of care is defined monitored maintained and/or improved
9. Ensures the integrity of PCS quality iniatives. Participates in hospital quality improvement programs
10. Oversees and recommends to nursing leadership improvement strategies to address compliances with CMS/Joint Commission Core Measures
11. Collaborates with administration department heads and medical staff to plan problem-solve implement and evaluate programs and decisions which affect the delivery of patient care and acts as a liaison to the Medical Center wide Quality Improvement Department
12. Works with nursing staff to Identify problems execute resolutions and sustain improvements this includes follow up for corrective actions in all quality initiatives
13. Makes recommendations to the Vice President Patient Care Services regarding departmental policies practice issues as related to performance improvement strategies system-wide practice iniatives and standards of care
14. Collaborates with other departments/disciplines in pursuit of Standard and Practice Committee activities
15. Plans organizes and directs the activities of Standards Committee(s) and CHP Practice Committee
16. Organizes resources materials and budgetary considerations needed to actualize the activities of Standards and Practice Committees
17. Ensures that PCS policies and procedures are in conformance with requirements outlined by regulatory agencies such as CMS OMH NYS /NYC DOH and Joint Commission
18. Collaborates with and directs the activities of Standards Committee and CHP Practice Committee membership in the development revision and monitoring of BIMC specific and CHP system wide quality patient care practice and procedure initiatives
19. Fosters the use of evidenced based policy/procedure development/revision
20. Fosters the growth and development of the committee members and committee structure
21. Participates in intra and inter departmental committees and meetings including participation in Sentinel Event RCA forums. Identifies areas of nursing performance improvement
22. Fosters a professional practice environment through the encouragement and facilitation of collegial interdisciplinary relationships peer review nursing research innovative concepts of nursing practice and joint practice arrangements through affiliating universities
23. Acts as a preceptor for graduate students
24. Communicates appropriate information to subordinates and keeps peers and superiors apprised of needs and current developments
25. Demonstrates organization in written and oral communication
26. Participates in the development and monitoring of the supply expense and capital budget of the division
27. Assumes first line hospital administrative coverage on a rotational basis
28. Assumes relief coverage for Vice President Patient Care Services as assigned
29. Maintains confidentiality in the management of information
30. Demonstrates the knowledge and skills necessary to understand provision of care based on physical psychosocial educational safety and related criteria appropriate to all patients served

Age Specific Competencies (Neonate/Infant Pediatric Adolescent Adult Geriatric)

1. Identifies physical behavioral and emotional characteristics typical for the age group
   1. Modifies approaches based on patient age-specific needs and responses to treatment
   2. Provides care for patients based on age-specific needs
   3. Uses communication techniques which are age appropriate

B. Organizational/Managerial

1. Participates in the development of other staff members specifically in the area of performance improvement regulatory compliance and PCS practice standards
2. Pursues continuing education in areas of evidence based practice standards nursing research and relevant clinical practice

C. Educational/Professional Development

1. Collaborates with educators to plan implement and evaluate divisional and/or unit departmental educational programs
2. Assesses own individual learning needs and takes action to maintain professional growth
3. Meets regulatory licensure and annual health assessment requirements
4. Identifies learning strengths and needs

D. Communication/Relationships

1. Demonstrates a professional courteous and respectful attitude in dealing with patients families and significant others
2. Displays courtesy tact and patience during interactions with all members of the hospital staff and extended community
3. Adheres to Continuums legal and ethical standards
4. May be required to perform other duties as assigned

Items 1-39 are essential functions of this position under the Americans with Disabilities Act

Doctoral degree in Nursing Hospital or Business Administration or related field preferred. Eligibility for joint appointment with University and currently registered or otherwise duly authorized to practice as a Registered Nurse in New York State.