Employment Type:Full timeShift:
Description:
POSITION PURPOSE
The purpose of the Specialist of Quality and Safety is to assist and support the manager in quality and safety strategies, plans, and regulatory requirements that improve outcomes and reduce harm to patients. The specialist works closely with ministry colleagues, providers, and leaders in implementing, monitoring, and evaluating quality and safety programs, structures and requirements that culminate in high reliability.
The specialist, under the direction of the manager, assists in achieving excellence in quality and safety work related to patient outcomes (process and outcome measures), performance improvement strategies and methodologies, culture of safety (TogetherSafe) initiatives, and patient safety organization (PSO) collaboration with risk management that ensures high quality and safe care.
The specialist reports directly to the local manager of quality and safety.
ESSENTIAL FUNCTIONS
- Knows, understands, incorporates, and demonstrates the MercyOne (Trinity Health) Mission, Vision, Core Values, Actions and Promise in behaviors, practices, and decisions.
- Assists the manager in areas of oversight of quality, patient safety (inclusive of the culture of safety (TogetherSafe) work) and infection prevention across the ministry.
- Supports the work of quality and safety related to the quality assurance and performance improvement plan, local/region/system strategies, regulatory and accrediting body requirements (i.e., Centers for Medicare and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with the hospital’s leaders, colleagues and providers.
- Identifies problem areas in need of focused attention and supports the manager to implement actions to drive improved outcomes.
- Assists the manager in achieving the best outcomes aligned to CMS, pay for performance programs (including those aligned to commercial carriers) and TJC in areas of quality measures and regulatory requirements.
- Promotes continuous improvement toward achieving excellent outcomes and recognition in regards to outside “rating” organizations, including (not all inclusive) CMS, Leapfrog, Healthgrades, Blue Distinction etc.
- Collaborates with hospital executive leadership, medical staff, and leaders in meeting/exceeding standards of excellence and achieving national designations, certifications, and awards.
- Collaborates with colleagues in areas of accreditation, risk management, patient experience, and performance excellence to provide identified and needed support for improvement.
- Assists with implementation of quality excellence systems that integrate LEAN and other methodologies as appropriate to create a data-driven quality improvement programming.
- Provides appropriate support, and/or consultative services (project design, selection of data required, development of documentation tools, etc.) to quality improvement teams.
- Works closely with colleagues in improving the organization's culture of safety - including the concept of a “Just Culture” and “TogetherSafe”.
- Supports opportunities for improvement on Cause Analyses (apparent cause, root cause, common cause), Healthcare Failure Modes and Effects Analysis (HFMEA), and Patient Safety Organization (PSO) initiatives.
- Assists the manager in ensuring accuracy of data in regulatory and accrediting quality databases (i.e., CMS HARP, TJC), registries, and dashboards/scorecards for internal and external customers.
- Promotes an environment of shared leadership, decision-making and accountability.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Supports organizational evidence-based practice, innovation and research.
MINIMUM QUALIFICATIONS
Education:
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Bachelor’s degree in nursing, health administration or related field required.
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Iowa licensure as a Registered Nurse.
Experience:
Requires a minimum of three (3) years in hospital setting.
Special Skills, Competencies, and Aptitudes:
- Member of a professional healthcare organization.
- Demonstrated expertise in the use of performance improvement methodology/tools.
- Must be able to use computers for documentation and other relevant activities.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Top Skills
What We Do
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.
