Job description
Overview
About Sequoia Hospital – Hello Humankindness
dignityhealth.org/sequoia
Responsibilities
Position Summary:
Establishes performance improvement goals annually with relevant stakeholders. Ensures the Performance Improvement and Patient Safety plans and the hospital-focused projects for the year are implemented and their effectiveness is evaluated annually.
Qualifications
Education and Experience:
Pay Range
$72.45 - $105.06 /hour
About Sequoia Hospital – Hello Humankindness
Dignity Health Sequoia Hospital is an accredited, not-for-profit community hospital providing innovative and exceptional health care for generations of Bay Area residents. Sequoia’s Heart and Vascular Institute is a nationally known pioneer in advanced cardiac care, affiliated with the Cleveland Clinic Heart and Vascular Institute. Sequoia has received national recognition from Healthgrades for superior patient safety and was named as one of America’s top 100 hospitals for cardiac care. Our Total Joint Replacement program is a designated Blue Distinction Center for Knee and Hip Replacement. Our Birth Center is consistently ranked as a favorite among Peninsula families. We are also known for our comprehensive emergency care and leading-edge tomosynthesis 3-D mammogram technology. Our Pavilion combines the most advanced medical and surgical services with a unique healing environment, including private, spacious rooms and inviting garden areas.
Learn more about us, our awards, and some of our services:
- Heart Surgery
- Maternity
- Orthopedics
dignityhealth.org/sequoia
Responsibilities
Position Summary:
Establishes performance improvement goals annually with relevant stakeholders. Ensures the Performance Improvement and Patient Safety plans and the hospital-focused projects for the year are implemented and their effectiveness is evaluated annually.
- Develops and implements processes and formats which support data collection aggregation analysis and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff. Provides leadership in developing quality improvement and patient safety training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
- Oversees the events reporting process root cause analyses investigations and requests from the claims team (including management of subpoenas Summons and Complaints and coordination of legal documents related to hospital liability). Participates in system office initiatives and programs to mitigate risks in the facility which have been identified at other hospitals resulting in reduced costs adverse patient outcomes and ultimately safer patient practices and care.
- Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes including the organization’s peer review program and ongoing and focused practitioner evaluation.
- Provides leadership and is responsible for accreditation and regulatory survey readiness. Oversees mock survey tracers to assess survey readiness. Provides education to staff and providers on regulatory compliance. Organizes required staff to develop responses to survey deficiencies and submits responses to the appropriate accreditation or regulatory agency.
Qualifications
Education and Experience:
- Bachelors degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.
- Minimum of five (5) years of progressive management responsibility in an acute care setting two (2) of which is related to managing an organization’s Quality Improvement Program.
- Minimum of two (2) years of clinical patient care experience or equivalent.
- Experience developing and implementing clinical service and operational process improvement initiatives both small and large scale. Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma LEAN).
- Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state federal local regulations; Joint Commission etc.).
Licensure:
- Certified Professional in Healthcare Quality (CPHQ) or Healthcare Quality and Management Certification (HCQM) or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
Pay Range
$72.45 - $105.06 /hour
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