Sr Performance Improvement & Patient Safety Coordinator (Nurse, RN, SIx Sigma)

4 days left

Location
Wilmington, DE, 19803
Salary
Competitive
Posted
Oct 27, 2017
Closes
Nov 26, 2017
Specialty
Hospice
Contract Type
Permanent
Hours
Full Time
Nemours is seeking a Senior Performance Improvement and Patient Safety Coordinator to join our VP, Quality & Safety team in Wilmington, DE.

As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

As the birthplace of the Nemours health care system, the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware, honors our legacy of delivering exceptional care to the children of the Delaware Valley and beyond. Ranked among the nation’s best pediatric hospitals by U.S. News & World Report and honored with the ANCC’s Magnet® Designation for excellence in nursing practice, we offer intensive and acute inpatient and outpatient services covering more than 30 pediatric specialties. We recently completed a multi-phase hospital expansion that includes new inpatient rooms, Pediatric Intensive Care Unit and Emergency Department. Additionally, Nemours duPont Pediatrics allows us to reach more children across the region through community-based physician services and collaborative partnerships with health and hospital systems.

Summary
Coordinates and participates in the collection of data from medical records, logs, databases and error-reporting systems that support performance improvement, patient safety and regulatory readiness activities of the hospital and the practice. Coordinates the collection of quality and safety-related data for medical staff quality profiles. Coordinates and facilitates the Failure Mode, Effects Analysis and Root Cause Analysis processes.

This position is responsible for organizing, compiling, documenting and analyzing data to produce reports from which opportunities for quality/safety improvement, intervention and educational activities can be identified. Educates staff in continuous quality improvement and patient safety concepts, processes and tools as needed within the scope of these responsibilities. Utilizes the quality methodology in training departments and multidisciplinary teams. Works with hospital and medical staff at all levels of the organization to design and implement data collection methodologies, databases, action plans and reporting strategies. Facilitates teams as necessary to achieve performance improvement within the organization. Participates in continuous survey-readiness activities. Coordinates and conducts evaluation of hospital and medical staff processes via Tracer Methodology to support compliance with state, federal and other regulatory agencies’ standards.

Participates as a member of committees, as assigned. Supports essential hospital and enterprise-wide quality and patient safety initiatives including, but not limited to, medication safety. Cross-covers, as needed, to meet the responsibilities of the department as a whole.

This position supports these activities in all venues within the enterprise as assigned. It is anticipated that travel of up to 25% of scheduled work time may be required to meet the objectives of this position.

Essential Responsibilities
  1. Facilitates commitment to an organization and enterprise-wide quality/safety culture and strategy.
  2. Facilitates the participation of individual department, service or medical staff in organization and enterprise-wide quality/safety activities.
  3. Collaborates with hospital, practice and medical staff leadership and key committees to develop long-range goals, objectives and strategies for quality/safety improvement across all enterprise entities.
  4. Assists in the identification of specific organizational needs and priorities related to quality improvement and patient safety utilizing a variety of sources including, but not limited to, measurement data, variance reports, patient/staff suggestions, team recommendations, comparative data, regulatory standards/reports, focus groups and knowledge-based information.
  5. Establishes a process, in collaboration with departmental leaders, for proactively assessing the hospital and/or practice for quality and safety improvement opportunities.
  6. Educates and acts as a resource to all hospital and practice personnel on quality methodologies and regulatory standards related to quality and patient safety.
  7. Designs data collection processes and tools as appropriate to the project.
  8. Supports the hospital and enterprise medical staff and departmental leaders in the ongoing collection of data to meet regulatory and peer review needs.
  9. Conducts concurrent and retrospective focused studies to evaluate and analyze targeted areas of performance.
  10. Analyzes data to identify trends and opportunities for improvement as assigned. Prepares data into meaningful information using forms, reports, graphs, tables, slides and other documents to communicate results.
  11. Presents as appropriate data results to administration, medical staff, departments and committees.
  12. Facilitates multidisciplinary teams or committees as assigned.
  13. Assists managers and employees in identifying action plans to improve performance and safety in the hospital and practice.
  14. Utilizes Tracer Methodology to assess compliance with accreditation and regulatory requirements.
  15. Under the Direction of the Managing Director of Quality and Safety, performs enterprise-wide mock survey activity to support survey readiness at each pertinent business location.
  16. Facilitates and/or prepares formal documents, reports, plans or policies to support quality and safety activities, i.e., Root Cause Analysis, Failure Mode Effects Analysis, Team Proposal forms, progress reports, data definitions, etc.
  17. Under the Direction of the Managing Director of Quality and Safety, designs and ensures the capture of quality/safety data for the medical staff quality and outcomes review process by working with the medical staff to identify, define and determine the best metrics to be used throughout the enterprise.
  18. Supports the medical staff peer review process through indicator screening, case identification and referral.
  19. Provides input into the employee Annual Safety Training to ensure necessary educational components are included to meet state, federal and JCAHO regulations.
  20. Facilitates and participates in the evaluation of quality/safety program effectiveness.
  21. Keeps Director of Quality and Patient Safety apprised of barriers to completion of objectives.

Additional Requirements
  1. Excellent communication skills, including both verbal and written.
  2. Excellent interpersonal skills and ability to relate to associates at all levels.
  3. Demonstrated presentation skills.
  4. Demonstrated ability to prioritize, facilitate, plan and execute improvement-related projects.
  5. Ability to handle several projects simultaneously.
  6. Quantitative analytical skills essential.
  7. Ability to work independently and within a team environment.
  8. Demonstrated skills with Microsoft Office applications and other databases.
  9. Project management skills with attention to detail.
  10. Ability to view opportunities for improvement through a systems perspective.
  11. Knowledge of and experience with progressive quality improvement and patient safety.
  12. Progressive quality methodology experience preferred.

Education and Training
  • Registered Nurse required.
  • Individual must possess a Bachelor's degree or equivalent clinical experience; Master's degree in a related field preferred.
  • Certification in Healthcare Quality, Lean or Six Sigma required.
  • Demonstrated experience and achievement in performance improvement and quality assurance, preferably in a health care provider setting.
  • Experience in dealing with regulatory agencies.
  • Experience in utilizing and teaching a variety of quality methodologies/models.
  • Experience in the design and manipulation of databases.
  • More than 5 years experience in health care performance/quality improvement and patient safety.

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.

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