Duke University

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Onsite - Monday - Friday 

General Description of the Job Class 

Partner with developing strategic initiatives for the Heart Center Clinical Service Unit (HCCSU) related to quality and safety; access and growth; finance; and workforce development.

Partner in the oversight of quality and safety in the Heart Center service line.

Facilitate improvement in clinical quality, patient experience, and operations.

Duties and Responsibilities of this Level

• Plan activities aimed at improving the hospital, HCCSU, and departmental performance in operations or clinical quality.
• Serve as a resource for Heart Center staff and leadership for quality and safety-related initiatives.
• Utilize various performance improvement tools and methods, including Learning from Defects (LFD) and Root Cause Analysis (RCA). Incorporate findings and action plans into master CSU Improvement center.
• Serve as project manager for interdisciplinary teams.
• Design and implement strategies to ensure departmental compliance with external and internal regulatory requirements including the Joint Commission, Infection Control, OSHA, DHSR, etc.
• Oversight of quality, safety, and regulatory audits including process, completion rates, collation, and report out/ presentation of data.
• Partner with leadership team to develop metrics to ensure compliance with policies, procedures, and regulatory bodies.
• Evaluate effectiveness of improvement strategy initiatives through sustained monitoring of performance.
• Oversee process metrics and outcomes of departmental interdisciplinary rounding activities i.e. Environment of Care (EOC) and Infection Control rounds, providing feedback and recommendations for improvement.
• Maintain oversight of data tracking for quality and safety metrics.
• Develop reports to present data, action plans, and outcomes pertaining to quality and safety events.
• Facilitate projects and training to support teams, maintaining a collaborative partnership and integrating evidence-based practice.
• Serve as a change agent for local practices in their quality/safety improvement efforts.
• Compile, interpret findings, and communicate trends in data to HC leadership team; Collaborate to identify and implement action plans for improvement.
• Promote a culture of safety. Oversee training, follow-up, and monitoring of safety event submissions, responding to serious safety events as appropriate.
• Promote initiatives related to improving workplace safety.
• Provide quality management system education as part of the onboarding process.
• Collect findings from Quality Management System huddles and incorporate into master documents.
• Attend quality and safety rounds and swarms as scheduled. Partner with CNSs regarding action plans.

Required Qualifications at this Level

Education

Work requires communications, analytical and organizational skills generally acquired through completion of a bachelor's degree program. Bachelor’s degree in health-related field preferred. Master’s degree in business, industrial engineering, or health care leadership related field desired.

Experience

Work requires the ability to plan and administer programs and direct program activities within a specific functional area, generally acquired through four years of related experience.

Degrees, Licensure, and/or Certification

N/A

Knowledge, Skills, and Abilities

• Effective written and verbal communication skills.
• Ability to communicate with customers/staff with diverse educational backgrounds.
• Analysis of data and processes for opportunities for improvement.
• The ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use of time, and organization.
• Knowledge of accreditation standards and regulations related to health care.
• Attention to detail and accuracy.
• Computer literacy including Microsoft excel, visio, and flow mapping.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.