Clinical Quality and Patient Safety Manager

Oregon Health & Science University•Portland, OR

About The Position

The Patient Safety and Clinical Quality Program Manager provides leadership and direction for the patient safety and clinical risk managment programs as well as the clinical quality program (focused on the central quality assurance team of OHSU’s quality management department). They work with OHSU Healthcare leadership to develop and implement a strategic Patient Safety Plan. The Program Manager works with others within the facility towards a systematic implementation of effective practices designed to reduce error, create reliable systems, identify improvement opportunities, mitiate risk, and improve patient outcomes. They educate clinical and hospital staff on system-based design and error prevention, provide safety consultation to management and staff, disseminates best practices and safety information to others, and acts as a change agent to implement effective patient safety strategies within the organization. They maintain expertise regarding and make recommendations to improve the OHSU Management System (OMS) reporting infrastructure to improve effectiveness and empowerment sustaining a just and safe culture. They apply expertise to drive quality improvement and serve as an advisor and contributor in the development and execution of OHSU Quality Management strategy and the overall system quality goals. The Program Manager oversees the administration of our periodic Culture of Safety Survey and coordinates the subsequent action plans

Requirements

Master's degree or higher in health-related field or equivalent experience and training.
Three to five years of patient safety, quality management, or clinical risk management experience.
Three to five years of inpatient and/or ambulatory clinical experience.
Previous leadership, management, or program management experience
Knowledge of risk management principles and methods related to patient safety.
Knowledge and skills in root cause analysis, robust system design, and FMECA
Knowledge and skills in human factors and error prevention strategies and design.
Knowledge and skills in change management.
Knowledge and skills in the use of performance improvement tools and techniques.
Knowledge, understanding, and skills in data collection, analysis, and display.
Knowledge of healthcare rules and regulations.
Evidence of excellent verbal and written communication skills.
Ability to work with a high degree of independence.
Management principles, tools and techniques with proven program leadership skills in large scale performance improvement projects
Knows how to build highly functioning teams
Knows how to inspire and lead in a highly matrixed environment
Models integrity, respect, teamwork
Understands strategic planning
Exceptional verbal and written communication skills
Creates effective/efficient systems and processes
Decision making consistent with fiscal stewardship principles

Nice To Haves

Experience in implementation of system changes across a complex organization
Certified Professional in Healthcare Quality or Licensed clinical professional

Responsibilities

Provides leadership to OHSU Healthcare on activities that promote patient safety.
Oversees the design and implementation of the Patient Safety Program including the annual review and revision of the Patient Safety Plan.
Annually evaluates the effectiveness of the Patient Safety Program.
Promotes a "culture of safety" through education, specific improvement activities, and periodic evaluation and assessment.
Co-chairs the Safety Oversight Committee and works closely with the Quality Management Director and the OMS committees to provide the required oversight.
Directs the work and provides supervision of the Patient Safety Specialists and the Patient Safety Analyst.
Provides clinical risk management/patient safety leadership in assessing the safety of new equipment and technology, clinical risk management, and medication safety by organizing/staffing the Patient Safety Review Committee and being a member of the Medication Safety Committee, Culture of Safety Oversight Committee, Infection Prevention & Control Committee, and the Value Analysis Committee.
Serves as the organizational liaison to the Oregon Patient Safety Commission and our Patient Safety Organization.
Provides leadership with our event reporting system, Datix Patient Safety Intelligence (PSI).
Assures the review of submittals; assures timely investigation and response; identifies critical events for further analysis/action; assures timely aggregate reporting; and uses the PSI data o identify trends and areas for improvement.
Provides leadership in the use of patient safety/risk management tools within the organization including case reviews and critical analysis tools such as Root Cause Analysis (RCA) and Failure Mode Effects Criticality Analysis (FMECA).
Coordinates and assures timely completion of root cause analyses and action plans for all sentinel events.
Works with senior leadership, nursing, the Professional Board, and other clinical departments to implement, promote, and maintain a just culture.
Maintains a positive, collaborative, and accountable relationship with the various OHSU departments including Quality Management, Medical Affairs, Regulatory Affairs, Infection Control, Risk Management, Nursing, Clinical Departments, Pharmacy, and Patient Advocate/Patient Relations.
Directs and leads the operational management of the clinical quality program of OHSU Quality Management.
Designs and maintains Clinical Quality Program function and structure to assure that organizational quality assurance and connection to quality improvement accomplishes strategic quality goals.
Directs the central quality assurance team resources to align and address quality priorities and integrate quality management at critical points in the organizational infrastructure.
Works with key quality leaders in healthcare services and academic departments to support and drive healthcare quality and safety priorities highly matrixed environment
Examines and addresses systems and structural barriers to achieving performance goals.
Inspires, leads and is adept at unleashing the talents of those they work with.
Demonstrates inclusiveness, collaboration and the ability to connect multi-disciplinary teams across sites and leaders in different levels of units of care.
Leads resourcefully and applies stewardship principles
Fosters individual growth and contribution to the larger mission of the department and institution.
Collaborates actively with quality medical staff leadership and leaders critical and support services on quality assurance and improvement initiatives.
Recommends and facilitates change within the organization to improve patient safety based on identified risk and recommendations from internal and external sources.
Communicates patient safety-related information within the organization including the Administrative Team, the OHSU Management System (via Safety Oversight Committee), the Professional Board, and the UHS Board.
Develops, reviews, and revises policies and procedures related to patient safety/clinical risk management.
Coordinates and assures the organization’s compliance with regulatory safety requirements.
Works closely with the Patient Safety Review Committee, CMO, CNE, Director of Quality Management to evaluate and review all serious patient safety events.
Reports to the appropriate oversighte bodies the root cause analyses, action plans, and progress with action plan completion for all sentinel events.
Works with the Risk Management, and the Patient Advocate Office in investigating, reviewing, and performing follow-up work on all potentially compensable events (PCEs).
Collaborates with other departments to achieve a coordinated effort in responding to medical device recalls, alerts, and mandatory reporting of adverse events involving equipment and supplies.
Other Duties as Assigned