Director Quality/Patient Safety - West Penn Hospital, ONSITE, Pittsburgh, PA

Essential Responsibilities

• Involves in hiring and termination decisions, coaching and development, rewards and recognition, performance management, and staff productivity.
• Plans, organizes, staffs, directs, and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.
• Leads and/or facilitates internal quality and patient safety initiatives to achieve successful outcomes and minimize harm to patients and staff while promoting a Culture of Safety.
• Maximizes impact of implementing Culture of Safety and pay for performance programs including focused effort on opportunities for improvement within the designated location/institute.
• Serves as a liaison to the Institute Quality Programs to support best practices, standardize process measures, and drive performance outcomes.
• PARTNER WITH THE DATA ANALYTICS TEAM TO ENSURE TIMELY REPORTING AND COMMUNICATION OF INFORMATION TO PROMOTE DECISION MAKING.
• LEAD A MULTIDISCIPLINARY INITIATIVE THAT FOCUSES ON SAFETY REPORTING, ROOT CAUSE ANALYSIS, AND DEVELOPMENT OF IMPROVEMENT PROPOSALS.
• PROVIDES EXPERTISE IN THE USE OF TOOLS TO ASSESS QUALITY AND SAFETY RISKS AND HARM EVENTS SUCH AS RCA, FMEA, ETC.
• REPORTS SAFETY EVENTS TO PA-PSRS, MEDSUN, CMS, TJC ACCORDING TO THE TYPE OF EVENT AND WITHIN THE TIMEFRAMES LEGALLY ESTABLISHED.
• ENSURE CAPTURE AND MANAGEMENT OF OPPE (ONGOING PROFESSIONAL PRACTICE EVALUATION) INFORMATION AND REPORTING.
• OVERSEE REGULATORY ACTIVITIES INCLUDING (BUT NOT LIMITED TO) PI CHAPTER OF THE JOINT COMMISSION, HOSPITAL SPECIFIC PERFORMANCE IMPROVEMENT AND PATIENT SAFETY PLAN.

Qualifications

• Minimum Master's Degree in Clinical; Health Administration
• 3 years of experience in developing, implementing, and achieving outcomes in process improvement and patient safety initiatives
• 1 year of Leadership experience
• 1 year of Clinical experience in nursing, pharmacy, or other health related field
• Certification - Certified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Quality (CPHQ) (Obtain within one year of hire)
• Microsoft Office/Computer skills