Director Quality/Patient Safety

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW: 

The Director of Quality and Patient Safety is responsible for the successful implementation of the AHN enterprise-wide quality and patient safety goals and objectives for the designated location.  Oversees the quality and patient safety functions while working in tandem with the QSV division (including infection prevention, regulatory preparedness and pay for value) and the corporate departments (Risk Management, Legal, Privacy and Compliance).  Accountable for driving results to achieve top performance for all clinical, pay for value and patient safety outcomes which include, but are not limited to:  Hospital acquired infections, Core Measures, Patient Safety Indicators, CMS/P4V program measures, Culture of Safety.  Responsible for driving and/or supporting Lean Improvement efforts to realize efficiencies and maximize resource utilization.

ESSENTIAL RESPONSIBILITIES 

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.  Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. (20%)
• Lead and/or facilitate internal quality and patient safety initiatives to achieve successful outcomes and minimize harm to patients and staff while promoting a Culture of Safety. (15%)
• Maximize impact of implementing Culture of Safety and pay for performance programs including focused effort on opportunities for improvement within the designated location/institute. (15%)
• Serve as a liaison to the Institute Quality Programs to support best practices, standardize process measures and drive performance outcomes. (10%)
• Partner with the Data Analytics Team to ensure timely reporting and communication of information to promote decision making. (10%)
• Lead a multidisciplinary initiative that focuses on safety reporting, root cause analysis and development of improvement proposals. (10%)
• Provides expertise in the use of tools to assess quality and safety risks and harm events such as:  RCA, FMEA, etc. (5%)
• Reports safety events to PA-PSRS, MedSun, CMS, TJC according to the type of event and within the timeframes legally established. (5%)
• Ensure capture and management of OPPE (ongoing professional practice evaluation) information and reporting. (5%)
• Oversight of regulatory activities including (but not limited to):  PI chapter of the Joint Commission, Hospital specific Performance Improvement and Patient Safety Plan. (5%)