Quality & Safety Director - Children's

Job Summary:

Oversight for support of operational areas to meet their responsibility for Quality, Process Improvement, Service Excellence, and Culture of Safety for the enterprise. Directs and coordinates key strategic development and functional services to support department objectives and organizational goals.

Maintains effective and responsive relationships with patients, medical staff, and other departments. Oversight for any of the above departmental committees at the facility level. Directs the surveillance of targeted patient populations in accordance with each operating unit's risk assessment plan. Works in collaboration with others on enterprise wide initiatives.

Education:

Required:

Graduate from an accredited school of nursing.

Preferred:

BSN or MSN preferred

Certification

Experience:

Required:

Experience in supervising/managing/leading within a department or functional area.

3-5 years of progressive healthcare management experience in healthcare.

Proven experience and success with development and implementation of performance improvement, accreditation, safety, and outcome programs

Proven positive relationships with physicians and other care providers.

Flexible hours or beyond regular business hours, based on quality and safety need.

Preferred:

7 years of progressive healthcare management experience in healthcare.

Intensive care, or other clinical experience

DNV accreditation experience.

Proven experience and success with development and implementation of performance improvement, accreditation, safety, and outcome programs

Experience leading local engagement large national quality and safety collaborative efforts (e.g. Children's Hospital's Solutions for Patient Safety [SPS], Institute for Healthcare Improvement [IHI], Leapfrog, TIPQC, Patient Safety Organizations)

Data analytics experience

Experience presenting at the regional level

Position Requirement(s): License/Certification/Registration

Required:

Current licensure to practice nursing in the state of Tennessee.

The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents.

Preferred/Desired:

Certified Professional in Healthcare Quality (CPHQ)

Certification in Process Improvement or LEAN

Special Skills: Proven leadership, people and communication skills

Department Position Summary:

Oversight for support of operational areas to meet their responsibility for Quality, Process Improvement, Service Excellence, and Culture of Safety for the enterprise.

Directs all DNV/accreditation survey activity at the local facility level.

Leads applicable Patient Safety efforts (including all action teams), including all data submission, regional leadership opportunities, and quality improvements;

Ensures the performance of Senior Leader rounds, Leadership Method and Error Prevention implementation.

Directs Improvement Science training and education at the facility level.

Leads and coordinates key strategic development and functional services to support department objectives and organizational goals.

Responsible for collaboration with all stakeholders to maximize system integration of improving performance, accreditation, safety, and outcomes activities.

Accreditation: Supports strategies and initiatives to ensure that the enterprise remains in a constant state of readiness for accreditation activities. Serves as facility link to external regulatory bodies; ensures facility compliance with mandatory survey activities.

Continuously assesses, monitors, and evaluates improving performance, accreditation, safety, and outcomes services.

Quality/Performance Improvement: Aids in the implementation of strategies and training to improve performance. Manages the provision of facilitation services for performance improvement teams.

Leads all facility/ campus specific Root and Apparent Cause Analyses (RCA/ACA)

Safety: Represents and supports the System patient safety and quality strategy.

Facilitates campus specific safety teams. Oversees development and implementation of error prevention techniques and safety coach program.

Outcomes: Coordinates the provision of data collection, analysis, and report production for key quality, clinical effectiveness, and safety initiatives.

Insures Facility compliance with mandatory reporting requirements. Leads campus specific Environment of Care.

Collaborates on communication strategies to report on improving Facility performance, accreditation, safety, and outcome information to key constituents and partners.

Coordinates and directs campus specific internal process audit activities.

Maintains effective and responsive relationships with patients, attending medical staff, and other departments.

Provides education on new methodologies, standards and evidenced based best practices pertaining to patient safety, quality, infection prevention, or performance improvement.

Works with Infection Control practitioners to ensure a safe and effective prevention model for all covered patient areas.

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