Manager, Quality & Patient Safety (Acute Clinician)

Sutter Health•Lakeport, CA

2d•$148,824 - $238,118

About The Position

The Manager, Quality & Patient Safety is responsible for facilitating, measuring, evaluating, and reporting on system-wide patient safety and clinical quality initiatives for acute facilities. Initiatives may include programs and requirements associated with The Joint Commission, CMS, QualityNet, Leapfrog, the National Patient Safety Foundation, and the National Healthcare Safety Network, as well as internally driven initiatives and information obtained from applicable data sources. The role manages staff, including hiring, performance evaluations, employee development and satisfaction, and counseling or disciplinary actions when needed. It coordinates and participates in planning, data collection and analysis, implementation, and follow-up for complex quality performance assessment and improvement projects. The manager develops data-collection protocols and instruments, works with abstraction and analytics teams to analyze results and prepare status reports, and designs and delivers presentations. The role manages project budgets and timelines and may manage chart abstraction staff. As a project leader, the manager applies expertise in performance measurement, target definition, evaluation, and reporting to advance patient safety, risk reduction, clinical quality, and care management. The role independently handles performance metrics and special projects, evaluates information-processing systems, and coordinates system changes, upgrades, and conversions. It collaborates with teams responsible for the EMR, internal reporting platforms, Sutter Information Services, and other databases. The manager supports management and clinical leaders in monitoring relevant results, including customer input, reimbursement, patient safety, clinical quality, and regulatory compliance.

Requirements

Bachelor's degree; equivalent experience may be accepted in lieu of the required degree or diploma.
Current California RN license, or credentials as an MD (may be international), PharmD, PA, or NP.
Eight years of recent relevant experience.
Knowledge of database architecture, database management, and data extraction methods.
In-depth experience with Midas (including Quality, Risk, and Case Management modules), Epic EHR, or equivalent.
Experience with Statit PPR, Statit PiMD, Tableau, Crystal Report Writer, and/or Allscripts, or equivalent.
Advanced SQL knowledge and experience.
Advanced presentation, word-processing, and spreadsheet skills; advanced knowledge of Microsoft Office Suite, including advanced MS Excel skills.
Advanced analytical skills, attention to detail and accuracy, ability to collect, analyze, and disseminate significant amounts of information, and experience with statistical methodology.
Knowledge of health care operations and ICD-10, CPT, and/or DRG coding, with a focus on quality management and care coordination in acute and non-acute outpatient settings, including relevant structures, policies, procedures, and workflows.
Teamwork, organizational, and communication skills, including the ability to prioritize multiple projects in a rapidly changing environment.
Ability to interact with employees and medical staff at all levels and interface directly with external agencies and organizations.
Ability to organize, interpret, and present data effectively; solve problems creatively and effectively; and make sound decisions.
Leadership, communication, and teaching/training skills.

Responsibilities

Facilitate, measure, evaluate, and report on clinical and operational performance for patient safety and clinical quality initiatives.
Manage staff, including hiring, performance evaluations, employee growth and development, employee satisfaction, and counseling or disciplinary actions as needed.
Coordinate and participate in planning, data collection, data analysis, implementation, and follow-up for quality performance assessment and improvement projects.
Develop data-collection protocols and instruments; collaborate with abstraction and analytics teams to compile and analyze results and prepare status reports.
Design and deliver presentations of developed material.
Manage project budgets and timelines; may manage chart abstraction staff.
Lead performance measurement, target definition, evaluation, and reporting work related to patient safety, risk reduction, clinical quality, and care management.
Independently manage performance-measurement metrics and special projects.
Participate in evaluations of information-processing systems and coordinate planned changes, upgrades, and conversions.
Collaborate with EMR, internal reporting platform, Sutter Information Services, and other database teams to measure performance.
Enable management and clinical leadership to monitor results related to customer input, reimbursement, patient safety, clinical quality, and regulatory compliance.