Director Quality and Safety

Brown Medicine

1d•$134,035 - $221,187•Onsite

About The Position

The Director of Quality and Safety reports to the Brown University Health Vice President of Quality & Safety. Under general supervision and within Brown University Health established policies and procedures, develops, directs, coordinates, and evaluates the comprehensive care transformation activities leading to core measure performance, physician peer review and professional practice evaluation processes as well as addressing and investigating patient safety events and working to implement corrective actions as necessary to enhance, the culture of safety. The director will have administrative oversight for the development and implementation of the hospital’s quality, patient safety, patient experience, and performance improvement programs. The Director will lead hospital and Brown University Health leadership in building outstanding 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 Director will also foster and oversee the development of best-in-class customer service and patient experience initiatives and have oversight for the RIH Patient & Guest Services office. The Director of Quality & Safety will coordinate and align all core quality functions with the BUHCS 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 quality metrics for RIH and their associated processes to achieve optimal outcomes, compliance with evidenced-based care, and identifies need for improvement when necessary.

Requirements

A bachelor’s degree in nursing or healthcare related discipline is required.
Master’s degree in related healthcare field required.
A minimum of five (5) years of related experience is a must, particularly in quality measurement and reporting systems, oversight over physician peer review programs, and process evaluation and improvement.
Extensive knowledge of performance improvement systems and/or process improvement methods and standards.
Effective project management skills are required.
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.

Nice To Haves

Six Sigma Black Belt certification or equivalent experience leading performance improvement projects preferred.
CPHQ, CPPS, or other quality certifications preferred.

Responsibilities

The director leads a highly skilled team of quality and patient experience specialists focused on meeting customer needs and exceeding their expectations.
Oversees and reviews selected quality issues and provides guidance for staff to lead investigations of critical events. Assists with clinical root cause/FMEA team projects using methodologies and tools utilized at Brown University Health and facilitates development of corrective action plans when indicated; and oversight and monitoring as appropriate. Provides feedback reports to staff members and leadership. Assists and supports the development of reports submitted to regulatory and accrediting agencies including the Department of Health, the Joint Commission, others. Interfaces within the Care Transformation, Quality and Safety department as needed, and with other quality initiatives and committees as requested and necessary across Brown University Health. Directs the effective utilization of resources (e.g., people, financial, material, equipment) to meet established goals and objectives. Establishes departmental priorities to ensure activities support established organizational priorities and strategies.
Oversees and reviews selected quality and service issues and provides guidance for staff to initiate improvement efforts for optimized performance. Provides feedback reports to staff members and 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 within the Brown University Health Care Transformation, Quality and Safety department as needed, and with other quality initiatives and committees as requested and necessary across Brown University Health. Directs the effective utilization of resources (e.g., people, financial, material, equipment) to meet established goals and objectives. Establishes departmental priorities to ensure activities support established organizational priorities and strategies.
Provides oversight for document peer review activity in required tracking systems. Facilitates Medical Staff and system departmental performance improvement activities as needed. Participates in Medical Staff department meetings and serves as resource for the dissemination of information related to internal and external peer review requirements.
Serves as a liaison to Brown University Health Medical staff departments for coordination of quality improvement actions involving patient care processes and physician processes. Promotes meaningful communication and performance improvement information among and between Brown University Health and the Medical Staff.
Provides leadership to site and/or system-wide improvement teams using various performance improvement methodologies. Manages clinical and patient safety data needs and leads team(s) toward implementing successful improvement strategies.
Monitors overall performance metrics for diagnostic populations as assigned, and for communicating with internal and external customers related to monitoring clinical patient safety and operational performance metrics as requested. Responsible for achieving improved performance in all areas of core measure and reported/monitored metrics.
Works with hospital 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. Develops customer service training for onboarding and on-going training, as well as just-in-time curriculum content for new initiatives.
Establishes a robust patient experience program incorporating patient-centric programs founded in “best-practice” models. Listening to the health consumer and creating innovative solutions for the diverse patient population leveraging the services of Rhode Island Hospital and Hasbro Children’s Hospital.
Assists the Vice President of Quality and Safety 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 Brown University Health representatives and committees.
Facilitates assessment and resolution of family/visitor issues. Establishes themselves as an expert resource for leaders, staff and providers on patient relationship development.
Serves as a liaison to the Brown University Health system quality improvement team and to the Rhode Island Hospital Medical staff departments for coordination of quality improvement actions involving patient care processes and physician processes. Promotes meaningful communication and performance improvement information among and between Brown University Health and the Medical Staff.
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.
Consistently applies and serves as a role model for the Brown University Health shared “CARE” values of Compassion, Accountability, Respect and Excellence. Is responsible for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct. Provides support and leadership for Brown University Health’s Quality Priorities service and treatment settings.
Performs other duties as assigned.