Greater Baltimore Medical Center (GBMC)
Director of Quality Safety and Staff Development - Gilchrist
Greater Baltimore Medical Center (GBMC), Cockeysville, Maryland, United States, 21030
Overview
The Director of Quality, Patient Safety, and Staff Development-Gilchrist assists in the development and implementation of quality, patient safety, and accreditation standards. This role also helps assess and identify the training needs of clinical staff, and, in collaboration with Senior Leadership, develops and delivers education, coaching, and training for clinical staff to ensure safety and compliance standards. The Director monitors and stays informed of changes in regulatory rules and accreditation requirements, as well as federal, state, and local regulations impacting end of life care. The Director provides leadership and works directly with managers, providers and staff to foster clinical effectiveness and quality outcomes and advance a culture of excellence throughout the organization. Education
Bachelor's degree in business, nursing, or a health-related field; Master's degree preferred. Patient safety training or certification preferred Experience
Five years of progressive experience in healthcare quality, compliance, and patient safety with a focus on end-of-life care. Experience in leading Joint Commission and/or CHAP accreditation and CMS surveys in post-acute settings, hospice and end of life preferred. Knowledge and experience with value-based purchasing models as related to hospice and end of life. Demonstrated experience using performance improvement skills such as Lean or Six Sigma and experience conducting... Licensures, Certifications
Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse, or other advanced clinical license Knowledge, Skills and Abilities
Ability to identify system failures and facilitate changes that lead to improvement Expert skill in oral and written communication, including demonstrated facilitation skills with diverse groups Performance improvement skills including root cause analysis and model for improvement Skill in managing multiple priorities and meeting deadlines under all types of circumstances Strong clinical analysis and investigative skills to assess patient safety occurrences, risk events and variances in clinical quality outcomes Strong leadership, management and group facilitation skills Ability to influence and negotiate individual and group decision-making Advanced interpersonal skills to manage, direct, and coordinate activities of multiple departments to positively communicate and work with professionals at all levels Ability to manage uncertainty Mentoring and coaching management-level staff by providing open and honest feedback that enhances performance outcomes Skilled communicator and facilitator of safety events such as RCA, FMEA, and other root cause and effect tools Mentors and drives engagement with direct reports and department leaders in oversight using the organization\'s Leadership System Ability to read, interpret, and apply regulatory and accreditation requirements; solid understanding of CMS, CoPs, and CHAP standards Technical skills include comfort with Microsoft Office and ability to analyze data for meaningful results Projects and role model a professional image at all times Principal Duties and Responsibilities
Oversees the organization\'s quality and patient safety program and collaborates with senior leaders, clinicians and others to guide systems improvement and achieve strategic initiatives, resolving variances in clinical quality outcomes, accreditation requirements, and processes related to patient safety and risk management Oversees data collection and reporting of external clinical quality outcomes; ensures data submissions are accurate and timely; provides clinical leadership to direct reports to guide improvement toward strategic objectives Oversees timely follow-up and corrective actions related to safety events, accreditation, regulatory surveys, and other improvement activities Oversees root cause analysis for Level 1, Level 2, and Level 3 events as appropriate, ensuring system failures are identified and corrective actions implemented; completes reports for OHCQ or other regulatory bodies Oversees peer review program ensuring timely and accurate reviews, identification of trends, and ongoing professional review; fosters collaborative learning with medical staff Oversees departmental data including patient safety events, grievances, peer review, clinical quality outcomes, and safety culture data; facilitates data analysis and drives strategic change Fosters a culture of safety and reliability; serves as internal expert on quality, safety, and accreditation and provides coaching and education at all levels Provides verbal and written reports to the Board of Directors, Senior and Medical Staff Leaders on outcomes, patient safety, regulatory compliance and quality initiatives Reviews and monitors regulatory and accreditation requirements (Medicaid, Medicare, CHAP, and other authorities) and keeps Gilchrist leaders updated on trends impacting employees, patients, or services Develops and oversees annual budget Collaborates with leadership to identify improvement opportunities from patient safety events and regulatory/accreditation surveys; facilitates organizational learning to meet objectives Oversees CHAP accreditation process, including annual performance reviews, on-site surveys, corrective actions, and ongoing readiness Ensures processes meet accreditation standards and regulatory requirements; develops and executes corrective action plans when standards are not met Oversees routine tracer activities to assess compliance with regulatory and accreditation standards Oversees survey preparedness activities conducted by Chapter Leaders; provides coaching and education on accreditation and regulatory compliance Provides leadership and direction to direct reports; fosters teamwork, trust and accountability within the department Supports clinical operations by partnering with senior leadership, providers, and staff to ensure high quality care and outcomes Staff Development and Education: annually identifies development needs and ensures appropriate training; oversees orientation and annual education programs; collaborates in planning, development, coordination, and presentation of training aligned with strategic, regulatory, quality improvement, and patient safety needs Physical Requirements
Sitting, walking, standing, driving; must be able to stand and walk for several hours regularly Working Conditions
Office, clinical care units and/or patients\' homes GBMC Values
Respect Value: Treats others with courtesy and fosters a healing environment. Includes respect for privacy and dignity. Excellence Value: Strives for superior performance and continuous learning Accountability Value: Professional conduct, ownership, and accountability Teamwork Value: Collaboration, conflict resolution, and acknowledging contributions Ethical Behavior Value: Honesty, integrity, and patient protection Results Value: Sets goals, measures outcomes, and adapts to achieve results Pay Range
$77,201.00 - $138,961.82 Final salary offer will be based on the candidate\'s qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination
All applicants must be fully vaccinated against Covid-19 or have a GBMC-approved medical or religious exemption before starting employment at GBMC HealthCare, including Gilchrist and GBMC Health Partners. Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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The Director of Quality, Patient Safety, and Staff Development-Gilchrist assists in the development and implementation of quality, patient safety, and accreditation standards. This role also helps assess and identify the training needs of clinical staff, and, in collaboration with Senior Leadership, develops and delivers education, coaching, and training for clinical staff to ensure safety and compliance standards. The Director monitors and stays informed of changes in regulatory rules and accreditation requirements, as well as federal, state, and local regulations impacting end of life care. The Director provides leadership and works directly with managers, providers and staff to foster clinical effectiveness and quality outcomes and advance a culture of excellence throughout the organization. Education
Bachelor's degree in business, nursing, or a health-related field; Master's degree preferred. Patient safety training or certification preferred Experience
Five years of progressive experience in healthcare quality, compliance, and patient safety with a focus on end-of-life care. Experience in leading Joint Commission and/or CHAP accreditation and CMS surveys in post-acute settings, hospice and end of life preferred. Knowledge and experience with value-based purchasing models as related to hospice and end of life. Demonstrated experience using performance improvement skills such as Lean or Six Sigma and experience conducting... Licensures, Certifications
Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse, or other advanced clinical license Knowledge, Skills and Abilities
Ability to identify system failures and facilitate changes that lead to improvement Expert skill in oral and written communication, including demonstrated facilitation skills with diverse groups Performance improvement skills including root cause analysis and model for improvement Skill in managing multiple priorities and meeting deadlines under all types of circumstances Strong clinical analysis and investigative skills to assess patient safety occurrences, risk events and variances in clinical quality outcomes Strong leadership, management and group facilitation skills Ability to influence and negotiate individual and group decision-making Advanced interpersonal skills to manage, direct, and coordinate activities of multiple departments to positively communicate and work with professionals at all levels Ability to manage uncertainty Mentoring and coaching management-level staff by providing open and honest feedback that enhances performance outcomes Skilled communicator and facilitator of safety events such as RCA, FMEA, and other root cause and effect tools Mentors and drives engagement with direct reports and department leaders in oversight using the organization\'s Leadership System Ability to read, interpret, and apply regulatory and accreditation requirements; solid understanding of CMS, CoPs, and CHAP standards Technical skills include comfort with Microsoft Office and ability to analyze data for meaningful results Projects and role model a professional image at all times Principal Duties and Responsibilities
Oversees the organization\'s quality and patient safety program and collaborates with senior leaders, clinicians and others to guide systems improvement and achieve strategic initiatives, resolving variances in clinical quality outcomes, accreditation requirements, and processes related to patient safety and risk management Oversees data collection and reporting of external clinical quality outcomes; ensures data submissions are accurate and timely; provides clinical leadership to direct reports to guide improvement toward strategic objectives Oversees timely follow-up and corrective actions related to safety events, accreditation, regulatory surveys, and other improvement activities Oversees root cause analysis for Level 1, Level 2, and Level 3 events as appropriate, ensuring system failures are identified and corrective actions implemented; completes reports for OHCQ or other regulatory bodies Oversees peer review program ensuring timely and accurate reviews, identification of trends, and ongoing professional review; fosters collaborative learning with medical staff Oversees departmental data including patient safety events, grievances, peer review, clinical quality outcomes, and safety culture data; facilitates data analysis and drives strategic change Fosters a culture of safety and reliability; serves as internal expert on quality, safety, and accreditation and provides coaching and education at all levels Provides verbal and written reports to the Board of Directors, Senior and Medical Staff Leaders on outcomes, patient safety, regulatory compliance and quality initiatives Reviews and monitors regulatory and accreditation requirements (Medicaid, Medicare, CHAP, and other authorities) and keeps Gilchrist leaders updated on trends impacting employees, patients, or services Develops and oversees annual budget Collaborates with leadership to identify improvement opportunities from patient safety events and regulatory/accreditation surveys; facilitates organizational learning to meet objectives Oversees CHAP accreditation process, including annual performance reviews, on-site surveys, corrective actions, and ongoing readiness Ensures processes meet accreditation standards and regulatory requirements; develops and executes corrective action plans when standards are not met Oversees routine tracer activities to assess compliance with regulatory and accreditation standards Oversees survey preparedness activities conducted by Chapter Leaders; provides coaching and education on accreditation and regulatory compliance Provides leadership and direction to direct reports; fosters teamwork, trust and accountability within the department Supports clinical operations by partnering with senior leadership, providers, and staff to ensure high quality care and outcomes Staff Development and Education: annually identifies development needs and ensures appropriate training; oversees orientation and annual education programs; collaborates in planning, development, coordination, and presentation of training aligned with strategic, regulatory, quality improvement, and patient safety needs Physical Requirements
Sitting, walking, standing, driving; must be able to stand and walk for several hours regularly Working Conditions
Office, clinical care units and/or patients\' homes GBMC Values
Respect Value: Treats others with courtesy and fosters a healing environment. Includes respect for privacy and dignity. Excellence Value: Strives for superior performance and continuous learning Accountability Value: Professional conduct, ownership, and accountability Teamwork Value: Collaboration, conflict resolution, and acknowledging contributions Ethical Behavior Value: Honesty, integrity, and patient protection Results Value: Sets goals, measures outcomes, and adapts to achieve results Pay Range
$77,201.00 - $138,961.82 Final salary offer will be based on the candidate\'s qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination
All applicants must be fully vaccinated against Covid-19 or have a GBMC-approved medical or religious exemption before starting employment at GBMC HealthCare, including Gilchrist and GBMC Health Partners. Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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