Full Job Description
General Summary Statement
The Quality and Patient Safety Manager /Improvement Advisor participates in the planning, implementation and evaluation of the quality, patient safety and operational performance improvement program. The manager serves as an advisor and local change agent of Unit Based Clinical Leadership (UBCL) teams, departments or others as assigned. The Quality and Patient Safety Manager provides teams with the most current PI methods and tools, including project management support. This work includes, though is not limited to, facilitation of PI projects and workshops, management and surveillance of data for PI opportunities, messaging trends in the data to departments and staff, education of staff in the latest PI methods, and responding to serious patient safety events. This position is accountable for facilitating improvement in the areas of clinical quality and patient safety, patient satisfaction and continuous survey readiness.
Essential Duties and Responsibilities
Provide management and support for hospital wide performance improvement and patient safety activities at Chester County Hospital.
Skills:
• Initiative, judgment, creativity and leadership abilities
• Change management skills and the ability to network and influence
• Consultative, team building and group facilitation skills
• Project management and organizational skills
• Accurate, thorough data collection and analysis
• Ability to communicate effectively both verbally and in writing
• Ability to understand, use and teach principles of continuous quality improvement while working with varying levels of professional, clinical and ancillary staff.
• Ability to work both under supervision and when appropriate, take initiative to make independent actions
• Proficiency with Microsoft Office (Work, Excel, PowerPoint, Access, Project, etc.)
• Working knowledge of statistical software packages, like Minitab. • Proficiency with flowchart/workflow presentation software, such as Visio, QI Macros, or similar
Education Training and Experience
A Bachelor's degree is required, Master's degree is preferred. Clinical experience is preferred, although candidates with non-clinical degrees, such as MBA, MPH, or MS will be considered if there is commensurate work experience in healthcare performance improvement. Applicants must have knowledge and experience in quality improvement modes, especially Lean/Six Sigma, the IHI Model for Improvement, or Human Factors Engineering. Knowledge of national standards and outcomes for quality, safety and healthcare - such as CMS Core Measures and Value Based Purchasing, AHRQ, Patient Safety Indicators (PSIs), Leapfrog, US News and World Report rankings, is preferred. Experience with Root Cause Analysis is desired. Knowledge of Joint Commission, CMS and Pennsylvania Department of Health standards/regulations is required. Licensure/Certification Six Sigma Green Belt/Lean (Black Belt preferred). Certification/IHI Improvement Advisor training or equivalent experience.
