Quality and Patient Safety Specialist

About the role

The Quality and Patient Safety Specialist supports the organization in advancing high-reliability and a culture of safety. Under general supervision, this role provides leadership, guidance, and subject-matter expertise to clinical and operational teams to ensure compliance with policies, accreditation standards, and patient safety requirements.

Responsibilities

• Participates and assists during onsite TJC and CMS survey site visits.
• Conducts orientation of new employees and nursing related to quality and patient safety.
• Provides on-going staff education and support.
• Regularly rounds on assigned units/departments ensuring a collaborative relationship with those areas’ leaders and staff.
• Reviews safety events from the incident reporting system as assigned and triages appropriately for potentially compensable events and reportable events.
• Sets the agenda; takes minutes; prepares, assigns, and tracks cases/indicators; communicates findings/recommendations to relevant committees and/or the Medical Board.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Facilitates assigned committees, task forces, or improvement teams.
• Counsels with leadership to follow up on action items required to improve processes identified through analysis and investigation.
• Supports governance and leadership reporting, preparing clear, actionable quality performance summaries for committees, executives, and boards.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Partners and collaborates with clinical, operational, and data teams to monitor trends, identify variation and improvement opportunities and drive sustainable improvement in outcome, process, and patient experience measures.
• Ensures thorough analyses are conducted and includes appropriate corrective actions and measures of success.
• Tracks completion of corrective action and escalates when needed.
• Supports governance and leadership reporting, preparing clear, actionable quality performance summaries for committees, executives, and boards.
• Facilitates assigned committees, task forces, or improvement teams.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment, accountability, and measurable quality improvement.
• Conducts improvement activities in collaboration with the Performance Improvement Team and independently using tools such as: IHI Model for Improvement, PDSA, A3.
• Makes appropriate decisions about the need for physician peer review and facilitates timely physician peer review.
• Serves as a liaison between Nursing and Medical Staff to create alignment where possible.
• Effectively leads through influence in a matrixed environment, facilitating collaboration with operational and clinical leaders to drive alignment,