CHI St Alexius Health Williston
Quality Patient Safety Program Manager
CHI St Alexius Health Williston, Williston, North Dakota, United States, 58801
Overview
CHI Williston Health, now part of CommonSpirit Health formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health, has a variety of skills from clinical to project management. In our Critical Access Hospital, you will be exposed to the emergency department, acute care (Med/Surg), swing bed, surgery, outpatient treatment, and so much more! CHI Williston Health provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.
The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS), and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians, and teams on quality management activities and will handle patient-sensitive and confidential hospital information.
Responsibilities
WHAT YOU WILL BE DOING:
Assists in the design, planning, implementation, and coordination of QM, PS, and PI activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAs, root cause analyses, and medical staff improvement (e.g., peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review.
Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
Facilitates meetings, presents data and reports, identifies key findings, and assists with action plans and implementation.
Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.
Qualifications
Required Education and Experience:
Bachelor’s degree or higher in a clinical field and three (3) years clinical experience in an acute care setting.
One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
Required Licensure and Certifications:
Current state license in a clinical field in the state of practice.
Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
Required Minimum Knowledge, Skills, Abilities, and Training:
Knowledge and expertise of quality management/performance improvement methods, tools, and techniques (e.g., PDSA, Tests of Change, Six Sigma, LEAN) and ability to create and support an environment that meets the quality goals of the organization.
Current knowledge of data reporting and regulatory/accreditation requirements for acute and ambulatory care services and federal, state, and local healthcare-related laws and regulations and the ability to comply with these in healthcare practices and activities.
Knowledge of effective self-management practices and ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Pay Range$32.08 - $46.51 /hour
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CHI Williston Health, now part of CommonSpirit Health formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health, has a variety of skills from clinical to project management. In our Critical Access Hospital, you will be exposed to the emergency department, acute care (Med/Surg), swing bed, surgery, outpatient treatment, and so much more! CHI Williston Health provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.
The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS), and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians, and teams on quality management activities and will handle patient-sensitive and confidential hospital information.
Responsibilities
WHAT YOU WILL BE DOING:
Assists in the design, planning, implementation, and coordination of QM, PS, and PI activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAs, root cause analyses, and medical staff improvement (e.g., peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review.
Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
Facilitates meetings, presents data and reports, identifies key findings, and assists with action plans and implementation.
Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.
Qualifications
Required Education and Experience:
Bachelor’s degree or higher in a clinical field and three (3) years clinical experience in an acute care setting.
One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
Required Licensure and Certifications:
Current state license in a clinical field in the state of practice.
Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
Required Minimum Knowledge, Skills, Abilities, and Training:
Knowledge and expertise of quality management/performance improvement methods, tools, and techniques (e.g., PDSA, Tests of Change, Six Sigma, LEAN) and ability to create and support an environment that meets the quality goals of the organization.
Current knowledge of data reporting and regulatory/accreditation requirements for acute and ambulatory care services and federal, state, and local healthcare-related laws and regulations and the ability to comply with these in healthcare practices and activities.
Knowledge of effective self-management practices and ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Pay Range$32.08 - $46.51 /hour
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