Manager, Patient Safety and Quality

LCMC Health•New Orleans, LA

20h

About The Position

Your job is more than a job. This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. GENERAL DUTIES Oversight of the Program: - Manages the patient safety program including ensuring compliance with state, local regulations and national patient safety goals. - Consults and collaborates with the leadership with regard to new initiatives and/or significant changes in policies. - Maintains the patient safety program written plan, proposes amendments in accordance with regulatory requirements and the needs of the organization and obtains input from all levels from multiple levels of the organization. - Ensures the patient safety plan and other associated policies are reviewed, approved by appropriate Committees and Board of Directors at defined intervals. Patient Safety: - Oversees, maintains and supports mechanisms and processes for reporting and addressing patient safety events. - Oversees daily surveillance of reported errors and events. Investigates and addresses patient safety issues as indicated. - Guides managers/appropriate staff in responding to patient safety issues as necessary. Patient Safety Analysis: - Conducts preliminary investigations of unanticipated or adverse patient safety events or other related events and reports findings to the leaders and appropriate team members. - Facilitates root cause analyses (RCAs) utilizing organizational tools, processes and participates and assists in the coordination of root cause analysis (RCA) teams. - Leads and/or coordinates the annual Failure Mode Analysis (FMEA) including identifying an appropriate topic, FMEA Team coordination, preparation of documents and reports as required. Facilitate Change: Recommends, facilitates and implements change within the organization to improve safety, based on identified risks. Serves as resource to departments on issues of patient safety. Communication, Education and Budget: - Designs and implements educational presentations that facilitate understanding and implementation of patient safety standards. - Works with the leader(s) in the development and maintenance of an internal hospital communication system for patient safety alerts. - Develops an annual patient safety education plan for the organization. - Assists the leaders in finalizing the departmental budget. LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary About New Orleans East Hospital New Orleans East Hospital, vital to LCMC Health’s incredible community of care, has been New Orleans East’s and the surrounding community’s trusted healthcare leader since 2014, embodying our mission of not only superior care, but healthcare with heart, courtesy, concern, kindness, and welcoming spirit for everyone. Learn more about New Orleans East Hospital and our Leapfrog “Grade A” Hospital Safety distinction. Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States. About LCMC Health One-of-a-kind care comes from one-of-a-kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra-extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond. If you’re the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let’s make every day extraordinary, together.

Requirements

3 years Healthcare
Bachelor's Degree Nursing
Certification Name: Certified Professional in Patient Safety
Issuer: Institute for Healthcare Improvement
Licensure Specialty: Specialty Certification
Certification Name: Registered Nursing License Required
Issuer: Louisiana State Board of Nursing
Licensure Specialty: Licensure
Knowledge of functional medical terminology.
Knowledge of hospital applications, as applicable, for data entry, report/document development and report generation.
Knowledge and/or familiarity with HIPAA regulations as they pertain to privacy and security of protected health information.
Knowledge and/or familiarity with regulatory requirements such as The Joint Commission Standards, CMS, LDH regulations, state and federal regulatory agency requirements standards and regulations. Willingness to seek additional education in this area if needed.
Independent judgment and clear decision-making ability.
Capacity to effectively lead interdisciplinary teams and work groups.
Some knowledge of project management techniques.
Excellent written and interpersonal communication skills.
Ability and willingness to adapt to changing priorities and aggressive project deadlines.
Familiarity with MS Excel, Word and PowerPoint. Willingness to seek additional education in this area if needed.
Effective organizational and time management skills.
Ability to maintain standards of performance under changing conditions.
Ability to disseminate information effectively, independently with all managers’ staff in a professional and collaborative manner.
Experience working in an organization/community with a diverse patient population, workforce and medical staff.

Nice To Haves

Master's Degree Nursing
Familiarity of Performance Improvement methodologies to include team building, intense analysis techniques and gap analysis strategies preferred.
Willingness to seek additional education in this area if needed.

Responsibilities

Manages the patient safety program including ensuring compliance with state, local regulations and national patient safety goals.
Consults and collaborates with the leadership with regard to new initiatives and/or significant changes in policies.
Maintains the patient safety program written plan, proposes amendments in accordance with regulatory requirements and the needs of the organization and obtains input from all levels from multiple levels of the organization.
Ensures the patient safety plan and other associated policies are reviewed, approved by appropriate Committees and Board of Directors at defined intervals.
Oversees, maintains and supports mechanisms and processes for reporting and addressing patient safety events.
Oversees daily surveillance of reported errors and events. Investigates and addresses patient safety issues as indicated.
Guides managers/appropriate staff in responding to patient safety issues as necessary.
Conducts preliminary investigations of unanticipated or adverse patient safety events or other related events and reports findings to the leaders and appropriate team members.
Facilitates root cause analyses (RCAs) utilizing organizational tools, processes and participates and assists in the coordination of root cause analysis (RCA) teams.
Leads and/or coordinates the annual Failure Mode Analysis (FMEA) including identifying an appropriate topic, FMEA Team coordination, preparation of documents and reports as required.
Recommends, facilitates and implements change within the organization to improve safety, based on identified risks.
Serves as resource to departments on issues of patient safety.
Designs and implements educational presentations that facilitate understanding and implementation of patient safety standards.
Works with the leader(s) in the development and maintenance of an internal hospital communication system for patient safety alerts.
Develops an annual patient safety education plan for the organization.
Assists the leaders in finalizing the departmental budget.