Scheduled Hours

40

Position Summary

Primary oversight, responsibility and sustainment for patient safety, quality, regulatory compliance, patient satisfaction and related performance improvement activities to promote a culture of safety and enhance quality outcomes.

Job Description

Primary Duties & Responsibilities:

• Works to strategic initiatives and promotes the patient safety and quality program. Develops and monitors the strategic plan for the establishment and deployment of a patient safety and quality program. Facilitates alignment between overall patient safety and quality strategic plans.
• Reviews, investigates and analyzes patient safety events. Provides recommendations for interventions to improve or enhance safety and quality based on analysis. Works collaboratively with key stakeholders to organize cross-service quality teams to review processes and methodologies, analyze results and implement plans for quality improvement. Manages and assists with performance improvement projects. Assists in establishing operational performance measurements and monitoring of key performance indicators.
• Reviews available quality and patient safety data to identify areas of high risk for deviation from standards and assist with the development of quality improvement plans. Assesses the need for internal audits of patient safety and quality processes and metrics, conducts audits and provides feedback for improvement. Assists in the development and implementation of clinical policies/procedures and clinical regulatory plans related to patient safety and quality improvement.
• Ensuring consistent management of the Event Reporting System (ERS), including development and sustainment of a patient safety and quality review team. Provides new user training and acts as a resource. Supports and assists with physician peer review (FPPE/OPPE) processes. Supports and assists with Clinician Support Program, including support of residents, fellows and faculty members at debrief meetings.
• Participates in and facilitates Patient Safety and Quality meetings, including monthly and quarterly FPP meetings, patient safety debrief meetings, root cause analysis meetings and performance improvement meetings. Works collaboratively with other patient safety, quality and performance improvement professionals, sharing best practices, tools and materials. Seeks out best practices and acts as a champion to implement these practices.
• Provides staff education to nurses, physicians, health staff, other clinical departments, committees and others regarding concepts of patient safety and quality outcomes. Assists with dissemination of safety, quality and performance improvement information, including areas of opportunity and successes. Participates in clinical rounding to engage with caregivers and frontline staff responsible for meeting safety and quality standards.
• Maintains working knowledge of emerging safety and quality measurement and benchmarking initiatives internal to the organization and in the industry. Develops and delivers safety, quality and performance improvement related presentations. Promotes participation on patient safety, quality and other types of surveys.
• Works collaboratively with internal and external partners to promote, coordinate and compile data from a variety of sources. Collaborates and provides feedback on the design of information technology infrastructure required to support a performance and quality improvement system. Perform other duties as assigned.

Working Conditions:
Job Location/Working Conditions

• Hybrid schedule (office based and work from home if applicable).

Physical Effort

• Typically sitting at desk or table.

Equipment

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

Bachelor's degree

Certifications:

No specific certification is required for this position.

Work Experience:

Relevant Experience (3 Years)

Skills:

Communication, Data Analysis, Facilitation

Driver's License:

A driver's license is not required for this position.

More About This Job

Washington University seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

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