Director, Quality & Patient Safety

POSITION SUMMARY:

Using a data-driven approach and robust science of improvement methodology, the Director Quality and Patient Safety-QPS/Medicine has a key role in achieving outcomes as defined by Medicine and BMC quality/safety goals.

The Director provides comprehensive direction, oversight, and leadership to improve outcomes, diminish costs, and provide value through standardization of best practices in patient–centered care across service lines based on BMC strategic plans. They have a primary role in reviewing and mitigating reported safety events for Medicine. The position requires extensive integration and collaboration with Quality Patient Safety (QPS) Department, physician Department Chairs and Section Chiefs, the Department of Nursing, Administration, and interdisciplinary teams to identify problems and develop reliable systems. The Director coaches, mentors, and provides educational programs for staff and residents regarding quality improvement processes, program development to improve patient outcomes, clinical efficiency and value, patient-centered care, and patient satisfaction. They collaborate on composing quality improvement grants for the medical services.  

Positioned in the QPS department, the Director will work with the co-chairs for the Clinical Review Committee (multidisciplinary peer review) to facilitate all aspects of this critical process. They will serve on various quality/patient safety hospital committees as lead and/or active member.

Position: Director, Quality & Patient Safety       

Department: Quality Improvement

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Development of Quality and Patient Safety capability in the Department of Medicine (DoM) and across BMC Collaborate in the creation, development and implementation of quality improvement initiatives that support the achievement of Hospital and DoM strategic quality goals. Build strong collaborative multidisciplinary relationships at all levels of the organization to achieve BMC Health System mission and achieve quality performance. Participates in DoM and QPS Department meetings including Inpatient Directors meeting, Ambulatory GIM meeting, QPS Medical Chiefs meeting, M and Ms, DOM Grand Rounds, QPC and Patient Safety Steering Committee and other meetings as requested.       

Improvement of Quality, Service, and Value; Decrease risk Analyze, trend and identify opportunities for improvement in the DoM by evaluating current performance against internal data, Vizient and/or national benchmarks. Use the safety event reporting database to identify systems opportunities for decreasing preventable harm and providing feedback to flier of actions taken. Drive meaningful and sustainable change on prioritized initiatives. Facilitate Collaborative Case Reviews using an established high reliability framework and assume accountability for completion of designated improvement interventions within defined timeline.  Supports individual service lines and sections within the Department of Medicine in identifying quality goals and using quality improvement methodologies in achieving desired outcomes.  Ensure accuracy of data collection and timely reporting for all projects in which involved.  Create presentations related to data interpretation, analysis, project design, program development and evaluation.                                               
 

Regulatory, Accreditation and Licensure activity                            
Identify emerging quality measures emanating from regulatory agencies that are likely to impact Department of Medicine developing teams to identify strategies that will be required to measure and meet such quality measures.                          
 

Education Mentor individual faculty and residents in the DoM in integration of quality improvement work in their practice working collaboratively QI Hub and Leadership Improvement initiatives. Provide leadership oversight and mentoring for DoM Quality Improvement Curriculum for PGY2 Residents Engender a culture of safety and patient centered care throughout BMC and DoM.

E. Information systems

Facilitate enhancements to the electronic health record using clinical decision making and other strategies to promote

patient safety and optimize quality.

F. Health Services Research

Provide support and encouragement for health services research especially on issues of strategic importance to BMC and DoM. Facilitate creation of new knowledge for use by policy makers and clinicians by participating, where possible, in professionally credible research and by presenting results in a