Director, Quality and Patient Safety

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

40hpw; Monday -Friday

Job Description:

Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization.  It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care.

Position Summary:

Reporting to the Chief Medical Officer will oversee a comprehensive quality, risk and regulatory patient safety program at Beth Israel Deaconess Plymouth (BIDP).  In collaboration with local clinical and administrative leadership, the Director of Quality and Patient Safety, will support leadership, education and project management at BIDP in accordance with the quality and safety plan of the hospital.  The goal is to improve quality, operational clinical initiatives, promote innovation and to identify/develop best practices for clinical excellence, service excellence and patient safety.  The Director of Quality and Patient Safety will oversee Hospital specific operations inclusive of Hospital performance improvement, infection control, patient safety, regulatory affairs and service excellence in partnership with other Hospital leaders to promote model programs and approaches in assuring superior delivery of services.  The Director of Quality and Patient Safety will serve as a clinical consultant for the model of local implementation for quality improvement and patient safety.

The Director of Quality and Patient Safety will support the implementation and monitoring of programs and activities designed to ensure that BIDP incorporates methods to improve the safe administration of care into all clinical processes, while developing a culture that perceives safety to be of paramount importance.  This position will support the clinical leadership including the Hospital’s Chief Nursing Officer, Hospital President, etc., to operationalize a common outcomes measurement and reporting system related to patient safety, and provide leadership in analyzing, prioritizing, implementing, collaborating and communicating patient quality, service and safety initiatives consistent with the BIDP Quality and Safety Plan.

Duties/Responsibilities:

• Facilitate formal mechanisms of communication and networking among clinical leaders at BIDP including forums for information sharing, knowledge transfer, best practices, and innovative problem solving.
• Support analytic, operational and strategic leadership in helping to position Beth Israel Deaconess Plymouth as a quality and patient safety leader within the healthcare industry.
• Provide over-site in the implementation of improved systems for tracking, evaluating and communicating patterns in patient safety for the Hospital.
• Provide support and guidance to the clinical leadership in meeting the goals within the patient safety agenda at the BIDP.  Work closely with the Beth Israel Lahey Health (BILH) quality and patient safety leadership, to implement programs designed to eliminate the following: preventable mortality, adverse drug events, falls, pressure ulcers, surgical complications, nosocomial infections and The Joint Commission recommendations.
• Provide education and coaching for front line clinical leadership in maximizing performance within the clinical decision support system.
• Provide support in the implementation of an integrated database designed to promote more timely and accurate information related to patient safety issues and quality challenges, develop educational programs and networking opportunities to enhance Hospital’s use of failure mode and effects analysis, root cause analysis, and improvement strategies related to quality and patient safety.
• Support the collection of patient safety data for trends and recommend changes, as appropriate, thereby improving the safety of the care at the Hospital.
• Coordinate the regulatory compliance program to meet the standards identified by The Joint Commission, Department of Public Health and Centers for Medicare and Medicaid Services.  Support project structure to ensure all staff are involved in regulatory readiness on a daily basis.  Works with administrative and clinical leadership to insure they recognize their role in preparation for regulatory readiness.  Is supported by the Hospital leadership in assuring the process is hospital wide.
• Oversees the infection control program to ensure practice is consistent with regulating bodies.
• Works to support the medical peer review process in association with the Hospital leadership and coordinate reporting to the Board of Registration in Medicine or Department of Public Health.
• Recommends pe