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Director Perioperative Nursing Quality and Safety

4 months ago

Providence, United States Lifespan Corporation Full time

Summary:

The Perioperative Nursing Director of Quality and Safety reports to the Lifespan Vice President and RIH/HCH Associate Chief Nursing Officer of Perioperative Services with a matrix to Lifespans Chief Quality Officer. This role collaborates with the Directors of Quality across the system. Under general supervision and within Lifespan established policies and procedures develops directs coordinates and evaluates the comprehensive care transformation activities leading to performance improvement initiatives in perioperative safety access and process design. Investigates and reviews patient safety events develops plans and implements corrective actions as necessary to enhance the culture of safety. The Director will have administrative oversight for the development and implementation of Periops quality patient safety patient experience and performance improvement programs. The Director will lead Periop and Lifespan leadership in building educational and improvement initiatives drawing on best practices and rapid-cycle improvement techniques monitoring and interpreting performance metrics and supporting patient safety compliance and accreditation efforts. The Perioperative Nursing Director of Quality & Safety will coordinate and align all core quality functions with the Lifespan Quality and Safety strategy for quality and operational excellence and support the quality committee structure at the hospital. Provides strategic leadership and oversight for the development implementation and evaluation of Periops quality metrics for Lifespan and their associated processes to achieve optimal outcomes compliance with evidenced-based care and identifies need for improvement when necessary.

Responsibilities:

Oversees and reviews Perioperative quality improvement initiatives and provides guidance for physicians nurses and ancillary staff to lead investigations of critical events. Assists with clinical root cause analysis (RCA) FMEA team projects using methodologies and tools utilized at Lifespan and facilitates development of corrective action plans when indicated; and oversight and monitoring as appropriate. Provides feedback reports to staff members and Periop leadership. Assists and supports the development of reports submitted to regulatory and accrediting agencies including the Department of Health the Joint Commission and others. Interfaces with Quality and Safety Directors as needed and with other quality leaders and committees as requested and necessary across Lifespan. Possesses experience with the Joint Commission survey tracers performance improvement methods and safety culture principles. Works with Lifespans Chief Quality Officer and others to align departmental priorities to ensure activities support established organizational priorities and strategies.

Provides leadership to site and/or system wide Periop improvement teams using various performance improvement methodologies. Able to demonstrate analytical competencies as evident by manipulation and interpreting data. Manages clinical and patient safety data needs and leads team(s) toward implementing successful improvement strategies.

Works with Perioperative and Quality leaders to develop measure analyze and implement process improvement initiatives utilizing quality strategies scaled for efficiency and purpose. Collaborates with key stakeholders to identify data-driven solutions for improvement.

Supports a culture of employee engagement to improve patient outcomes and deliver excellent care.

Assists the Vice President ACNO of Perioperative Services in planning activities to ensure dissemination of information for hospital-wide and system-wide improvement efforts. Directs the flow of relevant information to appropriate hospital and Lifespan representatives and committees. Participation and presentations will be required for these committees (but not limited to): Lifespan Perioperative Clinical Practice Patient Safety and Quality Committee Lifespan Surgical Executive Committee and each Surgical Operations Committee at each acute care hospital.

Facilitates and coaches staff leading teams working to improve performance. Coordinates and supports the implementation of improvement tactics in alignment with organizational priorities. Identifies and presents best practices and other tactics needed to improve performance. Presents educates frontline staff and other key stake holders on tactics and execution. Monitors and makes suggestions to improve best practices and their integration into existing systems.

Performs other duties as assigned.

PERFORMANCE STANDARDS:

AORN content expert

Quality review of but not limited to: Deep Vein Thrombosis (DVT) prevention medical device and product evaluation Surgical Site Infections Laser & Radiation Safety Wound Classification Hand Hygiene High Level Disinfection & Sterilization.

Familiar with CPAN recommended practices

Familiar with AAMI standards as they relate to the Sterile Processing Department

Effective utilization and productivity of resources

Establishes performance improvements objectives year-to-year

Management of continuous quality improvements

Fiscal responsibility

Development and implementation of effective quality programs specific to Periop

Engaged in customer satisfaction with high quality and high value patient-focused services

Provides meaningful feedback to peers directs reports and staff

Other information:

QUALIFICATIONS-EDUCATION:

Master degree in nursing or healthcare related discipline is required CNOR certification required. A Lean/Six Sigma Yellow Belt required Green/Black preferred. Other quality certifications preferred.

QUALIFICATIONS-EXPERIENCE:

A minimum of five (5) years of related experience is a must particularly in quality measurement and reporting systems. Extensive knowledge of performance improvement systems and/or process improvement methods and standards. Must have experience with electronic health record applications and modules Microsoft Office Suite (e.g. Word Excel Access PowerPoint) other computer applications database development and outcomes management. Proficiency Windows-based PC environments and statistical software packages used for analysis and graphing.

Strong group facilitation and project management skills required. Ability to collaborate and lead various project teams. Solid written/verbal presentation critical thinking and analytical skills required.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: Rhode Island Hospital USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union