Under the direction of the Chief Safety/Quality Officer (CSQO), the Director, Patient Safety & Healthcare Quality provides leadership for the improvement in safety, effectiveness, efficiency, patient-centeredness, equity and timeliness of healthcare services to all patients. The Director guides the organization in the pursuit of high reliability and a culture of safety. The Director will concurrently focus on strategic priorities such as the achievement of pay for performance, value-based and key external reporting requirements aligned with patient safety and clinical quality. May assess quality and safety for outpatients and inpatients ranging from infancy through late adulthood. The Director works collaboratively with all departments and with particular focus the Director of Regulatory Affairs and Director of Epidemiology to broadly ensure and advance organizational goals.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Meets all standards of the Patient Safety and Satisfaction Initiative Criteria in order to make AH the hospital of choice for patients and employees.
Develops comprehensive programs to minimize patient harm through the implementation of reliable systems and processes that advance a culture of safety and improvement. Proactively identifies risk; encourages adverse event reporting; ensures thoughtful, learning-oriented analysis of serious, precursor and near miss events; fosters fair and just culture leadership methods; and facilitates the continuous development and improvement in behaviorally based performance of leaders, staff and physicians.
Leads the organization in the achievement of key, nationally standardized metrics of quality and safety. This includes Leapfrog, USNWR, CMS 5 Stars, Healthgrades and/or other national programs as appropriate.
Collaborates with key leaders within nursing, medical staff, residency programs, risk management, regulatory, key clinical departments, committees and improvement teams, ancillary services and administrative departments to promote high performance/reliability that advance patient safety and clinical quality.
Co-leads the Performance Improvement Committee (with the intended function of ensuring QAPI compliance) , Clinical Learning Action Support System (CLASS) and Patient Safety and Clinical Excellence Key Success Factor Council (PSCE) for the monitoring and achievement of strategic goals. Acts as the key facilitator for the Board Committee on Patient Safety and Quality agenda and actions.
Participates in integration efforts of patient safety/clinical excellence across Jefferson Health.
Utilizes project management and process improvement methodologies to advance key process improvements within Abington Hospital as needed
Performs other duties as assigned.
Experience: 5+ years’ progressive administrative leadership experience in patient safety/quality improvement required. Experience in the use of diverse improvement methodologies, data interpretation and teaching skills.
Education & Training: MSN or other healthcare-related Master’s degree required.
License, Certification & Registration: CPHQ, CPPS and/or Lean Six Sigma strongly preferred. Baldrige National Quality Program Examiner preferred. Current licensure in PA required for clinicians.
Other Requirements: Excellent interpersonal and communication skills, both written and verbal. Ability to prioritize and function effectively with teams. Proficiency in Microsoft Word, Excel and PowerPoint. Familiarity with clinical, hospital-based information systems. Exceptional level of professionalism, discretion and the ability to work independently and competently on highly sensitive and confidential projects. Outstanding listening, interpersonal relationship-building and problem-solving skills. Outstanding negotiation, written and oral communication skills. Ability to prioritize and manage multiple projects simultaneously with demonstrated ability to achieve goals/objectives on time and on budget. Demonstrated expertise in process improvement strongly preferred.