CommonSpirit Health
RN Quality Patient Safety Program Manager
CommonSpirit Health, Santa Cruz, California, us, 95061
Responsibilities
SIGN-ON BONUS AND RELOCATION BONUS ELIGIBLE!
JOB SUMMARY / PURPOSE
The primary function of the Quality/Patient Safety Program Manager Clinical License is to support, coordinate, and facilitate 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, handling patient-sensitive and confidential hospital information.
ESSENTIAL KEY JOB RESPONSIBILITIES Assist in designing, planning, implementing, and coordinating quality management, patient safety, and performance improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions. Proactively coordinate and facilitate performance improvement teams to support initiatives focused on clinical quality, patient safety, risk reduction, patient experience, efficiency, FMEAS, root cause analyses, and medical staff improvement (e.g., peer review case review, OPPE, FPPE). Participate in ensuring compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., including data collection and reporting of process and outcome measures. Facilitate development and implementation of data collection tools and processes, including identifying data elements, performing data collection and abstraction, and validating data before submission or report publication. Facilitate meetings, present data and reports, identify key findings, and assist with action plans and implementation. Maintain current knowledge of accreditation and licensing requirements, serving as a resource to staff to improve outcomes and ensure compliance. Assist with regulatory readiness and survey preparation activities, including mock survey tracers.
Qualifications MINIMUM QUALIFICATIONS: Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff with three (3) years of clinical experience in an acute care setting. Ability to perform case reviews for medical staff peer review and medical/surgical Registry Abstraction. One (1) year of healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member). Required Licensure and Certifications: Current state license in a clinical field in the state of practice. Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment. Overview Dominican Hospital, a member of Dignity Health, is a 222-bed facility offering comprehensive healthcare services to California’s Central Coast. Services include emergency care, cardiac, orthopedics, oncology, women’s and children’s services. The hospital is a designated stroke center and chest pain center, with a Level III NICU in partnership with Lucile Packard Children’s Hospital Stanford and neurosurgery services through Stanford Health Care. Dominican regularly receives top safety grades and national recognition for patient safety, cardiac care, and stroke treatment. The hospital’s cardiac program includes advanced procedures like TAVR, with 24/7 cardiac catheterization labs, ensuring cutting-edge cardiac care.
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The primary function of the Quality/Patient Safety Program Manager Clinical License is to support, coordinate, and facilitate 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, handling patient-sensitive and confidential hospital information.
ESSENTIAL KEY JOB RESPONSIBILITIES Assist in designing, planning, implementing, and coordinating quality management, patient safety, and performance improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions. Proactively coordinate and facilitate performance improvement teams to support initiatives focused on clinical quality, patient safety, risk reduction, patient experience, efficiency, FMEAS, root cause analyses, and medical staff improvement (e.g., peer review case review, OPPE, FPPE). Participate in ensuring compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., including data collection and reporting of process and outcome measures. Facilitate development and implementation of data collection tools and processes, including identifying data elements, performing data collection and abstraction, and validating data before submission or report publication. Facilitate meetings, present data and reports, identify key findings, and assist with action plans and implementation. Maintain current knowledge of accreditation and licensing requirements, serving as a resource to staff to improve outcomes and ensure compliance. Assist with regulatory readiness and survey preparation activities, including mock survey tracers.
Qualifications MINIMUM QUALIFICATIONS: Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff with three (3) years of clinical experience in an acute care setting. Ability to perform case reviews for medical staff peer review and medical/surgical Registry Abstraction. One (1) year of healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member). Required Licensure and Certifications: Current state license in a clinical field in the state of practice. Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment. Overview Dominican Hospital, a member of Dignity Health, is a 222-bed facility offering comprehensive healthcare services to California’s Central Coast. Services include emergency care, cardiac, orthopedics, oncology, women’s and children’s services. The hospital is a designated stroke center and chest pain center, with a Level III NICU in partnership with Lucile Packard Children’s Hospital Stanford and neurosurgery services through Stanford Health Care. Dominican regularly receives top safety grades and national recognition for patient safety, cardiac care, and stroke treatment. The hospital’s cardiac program includes advanced procedures like TAVR, with 24/7 cardiac catheterization labs, ensuring cutting-edge cardiac care.
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