Clinical Quality & Performance Improvement RN - On Site

About the Role

Implements and maintains a compliant and comprehensive, organization-wide Quality and Performance Improvement Process to address performance opportunities impacting the quality of care delivery to meet regulatory requirements for Saint Francis Hospital (SFH) and Mt. Sinai Rehabilitation Hospital (MSRH). Partners to perform Root Cause Analysis (RCA) for safety events utilizing the High Reliability Organization (HRO) and Healthcare Performance Improvement (HPI) process and procedure for SFH and MSRH. Monitors and accesses PSI 90 cases for improvement action. Participates in Adverse Events investigation of incidents and plans for actions to improve performance and eliminate preventable patient harm for SFH and MSRH. Assists the Director of Quality, Patient Safety, Regulatory Affairs and Patient Relations, the Regulatory and Patient Safety Specialist, and the Clinical Quality and Patient Relations Coordinator in executing action plans for continuous improvement. Acts as a resource for staff by providing education and assistance regarding performance improvement in quality of care delivery, regulatory requirements, patient safety, and other associated activities.

Responsibilities

• Facilitate hospital-wide ongoing efforts to address opportunities for improvement directed at continuously building high reliability and safe processes
• Oversee performance improvement activities to ensure mechanisms are in place to prevent avoidable harm and to meet regulatory compliance with the CMS Conditions of Participation, Quality Assurance and Performance Improvement (QAPI) program, The Joint Commission, and the Connecticut Department of Public Health
• Manage the review and compilation of performance improvement activities surrounding safety events, precursor safety events, and near misses
• Perform RCA and Failure Modes Effects Analysis (FMEA) activities as required
• Support the coordination of investigations into occurrences, tracking, and completing action plans to address known concerns
• Maintain a log of performance activities and outcomes to meet QAPI directives
• NDNQI collaboration with Nursing Education
• Provide assistance to the organizational high reliability and safety program to sustain safety training and safety habits throughout the organization

Requirements

• Connecticut RN license required
• Bachelor's degree in related field required; Master’s Degree in Nursing, Healthcare, or related field preferred
• At least five (5) years hospital clinical experience
• At least two (2) years’ experience in a quality/regulatory and/or patient safety/performance-related role
• Knowledge of regulatory requirements surrounding patient adverse events, patient quality of care and safety initiatives, and quality indicators
• Certified Professional in Healthcare Quality (CPHQ) preferred

Benefits

Excellent benefits starting day 1.

Schedule

Full time, 40 hours per week, Monday through Friday, day shift.

About the Organization

Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate healthcare environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital, and the largest Catholic hospital in New England.