Quality and Safety Program Manager - KOP Hospital
Location:
LOC_MAIN-Main Hospital
Req ID:
119633
Shift:
Days
Employment Status:
Regular - Full Time
Job Summary
The Quality and Safety Program Manager provides operational leadership through content expertise to support the CHOP mission of delivering the very best healthcare to children. This informal leader works collaboratively with senior leadership, physicians, risk management, nursing, and other clinical and operational departments to oversee, plan, coordinate and evaluate a comprehensive, integrated program to improve clinical outcomes, enhance value, build efficiencies and minimize patient harm. The Quality and Safety Program Manager brings a deep understanding of quality improvement skills and the science behind them as well as serving as an expert in patient safety concepts and methodologies. This individual is a strong facilitative leader and works closely with the Associate Chief Medical Officer, Chief Safety and Quality Officer and other hospital leaders to evaluate events, oversee improvement projects, develop and apply data analytics. The Quality and Safety Program Manager partners with safety and quality program leadership for the CHOP system ensure system-connectedness, alignment and consistency, while also encouraging local efforts which can spread as appropriate.
Job Responsibilities
- Participates in prioritizing improvement actions and works with senior leaders to identify and engage the key stakeholders with accountability to pursue these improvements. This is achieved through participation in various campus based and hospital committees, related to quality, safety and data analytics
- Supports a culture of continuous improvement with quarterly assessments of key initiatives in keeping with the dynamic and responsive nature of the hospital s improvement efforts
- Facilitates quality improvement efforts and teams with a goal of achieving the identified improvement aim and building organizational capability through:
- Using the CHOP Improvement Framework and/or other methodologies as a means of making improvement
- Demonstrating expert facilitation for clinically and/or operationally focused chartered improvement initiatives.
- Promoting and engaging in performance measurement as a guide for improvement
- Using quality tools to assess team progress and act on barriers to improvement.
- Drives a data-informed culture at all levels
- Assists clinicians, clinical leaders and administrators to manage and understand improvement measures, performance dashboards and score cards and to use data analysis to drive fact-based decision making.
- Acts as a consultant on improvement science and data driven decision making
- Expert facilitation of the process for conducting a thorough and credible investigation of patient safety events including RCA, ACA, M&M and event summaries to meet organizational and external requirements. Recognizes and escalates those identified vulnerabilities with the greatest associated risk of harm. Provides timely alerts to potential stake holders. Completes the necessary documentation for each case. Facilitates FMEA teams as chartered by the organization. Coordinates the action item meetings to ensure corrective actions meet the intent of the root and proximate causes of the event analysis
- Act as local champion and content expert for Patient Safety concepts operating from a deep understanding of the total situation. Act as a change agent through:
- Promoting a culture of safety, by example, through words and actions; being the change that we want to see and expect
- Coaching and consultation with staff and leaders to assist in application of key patient safety principles and tenets of high reliability
- Highlighting the impact of decisions on patient safety through the participation in the Patient Safety Committee (PSC) and other committee membership
- Providing just in time training and formal educational opportunities
- Role models and uses the language of safety and high reliability
- Encourages and promotes systems thinking
- Regularly reviews trends and findings from the electronic patient safety reporting system to identify trends or vulnerabilities. Proficiently analyzes data in collaboration with data analytic team members and integrates findings with knowledge of other patient safety events for focused departmental and organizational improvement initiatives. Reports significant findings so the improvement work can be prioritized, and appropriate actions taken.
- Contribute to successful organizational regulatory compliance.
- Participates organizational compliance activities through mock tracers and key patient safety initiatives
- Active participation in any regulatory review (JC, DOH, CMS) as needed
Required Education and Experience
Required Education:
Bachelor s Degree
Required
Experience:
- Five (5) years hospital-based experience and proven results in the following areas:
Patient safety, RCA, FMEA, clinical process improvement, or healthcare quality improvement.
Preferred Education, Experience & Cert/Lic
Preferred Education:
Master s degree
Preferred Licenses/certificates/registrations:
Certificate in quality management or patient safety preferred, though work experience will be valued highly as well. (CPHQ, CQM, ASQ certification, Six Sigma, Lean Certification)
Additional Technical Requirements
- Demonstrated leadership experience as an expert influencing cross-functional work teams through content expertise and relationship building.
- The ability to lend project support with a highly skilled analytic aptitude necessary to guide their teams, as needed.
- Familiarity with Office suite
- Familiarity with Statistical Process Control
- Knowledge of organizational dynamics, change theory, reliability and safety science, improvement methods and tools, measurement and statistical process control
- Ability to work independently and regularly take initiative to lead improvement efforts
- Ability to work under stress and meet deadlines
- Strong interpersonal skills, excellent verbal and written communications skills are required for the successful management of this function.
- Demonstrates strong ability to prioritize work, excellent organizational skills and initiative to improve processes.
- Change agent demeanor. Must be a flexible, systems thinker, with an ability to quickly adapt to a changing environment.
All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.
Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products.
Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.
VEVRAA Federal Contractor/Seeking priority referrals for protected veterans. Please contact our hiring official with any referrals or questions.
CHOP Careers Contact
Talent Acquisition
2716 South Street, 6th Floor
Philadelphia, PA 19146
Estimated Salary: $20 to $28 per hour based on qualifications.
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