Description:
JOB PURPOSE:
Serves as the central point of contact and facility liaison for Quality and Safety initiatives and the Safety Coach Program for the hospital. Facilitates communications between the hospital and PHC Quality and Safety. Represents Quality in hospital operational and quality meetings, safety huddles, accreditation surveys, regulatory investigations and for ISO Compliance. Responsible for leading and driving safety and quality performance improvement initiatives to address trends and deficiencies as identified by the Surveillance and Analysis team and set by PHC QSS. Promotes a culture of continuous improvement through use of Lean methodology, coaching, tools, data analysis, reliability, sustainability and spread. Manages and supports a portfolio of strategic projects using the PHC performance improvement model. Ensures all performance improvement activities are in compliance with regulatory and accreditation bodies.
KEY RESPONSIBILITIES:
1. Central point of contact and liaison for the hospital for System Quality and Safety Surveillance, Analysis, Improvement Initiatives and the Safety Coach Program and or entity operations as assigned.
2. Works with the Vice President of PHC Quality and Safety to set the standards for the interaction between the entity, the system Quality & Safety Team, system support teams and external customers.
3. Supports the hospitals local QSS, Safety Huddles and is the link between the Surveillance and Analysis activities and Improvement initiatives for operational leadership.
4. Knowledgeable of hospitals strategic quality and safety goals and improvement initiatives.
5. Supports the hospital for ISO compliance, DNV Survey and regulatory Investigations.
6. Leads improvement teams in clinical and operational activities to drive performance excellence as directed PHC Quality leadership.
7. Monitors and analyzes data, identifies trends and risk related issues and reports recommendations.
8. Prepares Quality and Safety Reports for the local boards.
9. Participates in and, where appropriate, leads cross functional Quality and Safety projects.
10. Completes any duties and special assignments as requested.
11. Ensures new clinical care improvements are in place as standard work and monitors spread at the hospital.
KNOWLEDGE, SKILLS, ABILITIES
Current knowledge of High Reliability principles, patient safety and performance improvement principles.
Strong written and verbal communication skills, leadership, facilitation, and time management skills.
Ability to work independently with minimal supervision, as well as, in a collaborative, team environment.
Skill and ability in Microsoft Office applications.
Disclaimer
The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelors degree in in business administration, healthcare administration, health information or other related fields.
MINIMUM EXPERIENCE REQUIRED:
Five (5) years of progressive work experience in clinical quality control, performance/operations improvement, project management and analysis or a closely related field, to include, three (3) years of leadership experience required.
ADDITIONAL QUALIFICATIONS:
Certification in Healthcare Quality (CPHQ) and Infection Prevention preferred.
Lean, QPI preferred.
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