Quality and Safety Oversight Consultant V, Clinical
1 month ago
**Job Summary**:
In addition to the responsibilities listed below, this position is also responsible for managing specific risk management activities such as cybersecurity, changes to the reimbursement structure, and the impacts of changes in medical science to hospital performance, among others; leading complex quantitative and qualitative (e.g., root cause analyses, failure mode analyses, etc.) research projects to continuously evaluate and monitor ongoing risks; and creating and leading processes to monitor various employee and patient physiological and psychological safety health issues.
**Essential Responsibilities**:
- Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
- Develops the quality of care complaints and the review process by: coordinating grievance meetings, cases, reviews, referrals, or other mechanisms by collaborating with the ombudsman and external regulatory services; responding to and directing the preparations of all documentation, records, and information requested for specific patient case reviews; ensuring consistent follow through on quality of care concerns and analyzing and managing the process flow of investigations and claims for potential errors, red flags, and areas of improvement; and monitoring critical quality improvement metrics, cases, quality care incidents, and near misses according to established protocols on an ongoing basis.
- Researches and investigates infection prevention and control programs to improve employee and patient safety by: conducting epidemiological research and investigations of significant clusters of infection or serious communicable disease concerns. as a part of prevention, surveillance, and outbreak management; assisting with the coordination of outbreak containment efforts within the area of focus; and consulting with Administration on infection control implications of architectural design, renovation, and construction.
- Develops patient safety programs and initiatives by: developing and monitoring the procedures for reporting safety hazards, accidents, incidents, threats, and significant events in line with best practices; and developing and revising patient strategies based on patient outcomes and leading improvement activities, safer patient practices and services, and seamless transition of care.
- Provides consultation for the development of new clinical quality improvement programs by: consulting with teams and departments to develop guidelines, metrics, and operational definitions of quality improvement through qualitative and quantitative program evaluation, analyzing program performance, and peer/department review groups by challenging groups to provide creative solutions; leveraging a variety of health concepts, regulatory requirements, and change management principles to develop programs which optimize clinical quality, safety, or health outcomes; and researching and investigating innovative opportunities to develop KPs capacity as a learning organization, increasing capacity in areas such as video ethnography, patient-reported outcomes, and harvesting of best practices.
- Develops and implements systems, procedures, and forms to improve data management programs and utilizes data to monitor and improve performance of all worker and patient safety programs by: ensuring the quality improvement monitoring agenda for assigned departments includes all aspects of data management and analysis of trends and patterns of practice; conducting descriptive inferential, reliability, and confidence intervals statistical analysis for routine and special projects related to quality improvement evaluations; developing the procedures for gathering and entering data from databases, vital statistics, hospital patient discharge data, claims, and other relevant health sources; and analyzing and presenting reports (e.g., infection control research, utilization reviews, population health needs analysis, patient satisfaction) into specified formats for internal stakeholders and working with departments to develop action plans.
- Develops the process for regulatory audits and survey efforts by: serving as a liaison between external evaluators, vendors, and departments for onsite visits and evaluations; delivering ad hoc and complex requested audit documentation, information, reports, and tools throughout the auditing process; assessing the workflo
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