Manager, Quality & Patient Safety

Sutter Health•Oakland, CA

About The Position

Responsible and accountable for facilitating, measuring, evaluating and reporting on the clinical and operational performance of system-wide patient safety and clinical quality initiatives. These initiatives may include, but are not limited to, The Joint Commission (TJC), Center for Medicare Services (CMS), Quality Net (QNet), Leapfrog, National Patient Safety Foundation (NPSF), National Healthcare Safety Network (NHSN) for Acute facilities and Institute for Medical Quality (IMQ) and Integrated Healthcare Association (IHA) for Ambulatory facilities as well as initiatives driven internally and obtained through various data sources as applicable. Responsible for the effective management of staff including hiring, performance evaluations, employee growth and development, satisfaction and as needed counseling and disciplinary actions. Coordinates and participates in the planning, data collection, data analysis, implementation and follow up for multifaceted quality performance assessment and improvement projects for affiliate. Develops protocols for the collection of data and designing data collection instruments. Collaborates with the abstraction and analytic team to compile and analyze results; composes status reports on analyses. Designs and delivers presentations of material developed. Manages project budget and timelines. May manage chart abstraction staff. Functions as project leader and manager. Works on performance-measurement, target-definition, evaluation and reporting expertise necessary to drive significant breakthroughs related to patient safety, risk reduction, and clinical quality and care management performance. Responsible for independent action in performance measurement metrics and a variety of special projects. Participates in evaluations of current information processing systems and coordinates planned changes, upgrades, and conversions as appropriate. Collaborates with personnel responsible for EMR, internal reporting platforms, and Sutter Information Services as well as other available databases to measure performance. Continually facilitates management and clinical leaderships' ability to monitor and review relevant and focused results to include customer input, reimbursement, patient safety, clinical quality, and regulatory compliance.

Requirements

Bachelor's
RN-Registered Nurse of California OR MD-Medical Doctor OR PharmD-Pharmacist OR PA-Physician Assistant OR NP-Nurse Practitioner
8 years of recent relevant experience
Knowledge of database architecture and management, and data extraction methods is required.
In-depth experience with Midas, including Quality, Risk, and Case Management modules, and/or Epic EHR, or the equivalent.
Experience with Statit PPR, Statit PiMD, Tableau, Crystal Report Writer, and/or Allscripts or the equivalent.
Advanced SQL knowledge and experience
Advanced skill with presentations, word processing and spreadsheet applications with an advanced knowledge of Microsoft Office Suite required. Must be advanced in MS Excel.
Advanced analytical skills with the ability to collect, analyze, and disseminate significant amounts of information with attention to detail and accuracy.
Experience with statistical methodology is required.
Knowledge of health care operations, and health care (International Classification of Diseases (ICD 10), Current Procedure Terminology (CPT), and/or Diagnosis-Related Groups (DRG)) coding with a focus on quality management and care coordination services in acute and non-acute outpatient settings. Includes structure, department-specific policies and procedures, and workflows.
Requires teamwork, organizational, and communication skills.
ability to be involved in, and prioritize multiple projects at the same time, in a rapidly changing environment.
Must have the ability to interact with all levels of employees and medical staff, as well as interface directly with external agencies and organizations.
Must have the ability to organize, interpret, and present data effectively; creatively and effectively problem-solve, and good decision-making skills.
Leadership, communication, and teaching/training skills.

Responsibilities

Facilitating, measuring, evaluating and reporting on the clinical and operational performance of system-wide patient safety and clinical quality initiatives.
Effective management of staff including hiring, performance evaluations, employee growth and development, satisfaction and as needed counseling and disciplinary actions.
Coordinates and participates in the planning, data collection, data analysis, implementation and follow up for multifaceted quality performance assessment and improvement projects for affiliate.
Develops protocols for the collection of data and designing data collection instruments.
Collaborates with the abstraction and analytic team to compile and analyze results; composes status reports on analyses.
Designs and delivers presentations of material developed.
Manages project budget and timelines.
Functions as project leader and manager.
Works on performance-measurement, target-definition, evaluation and reporting expertise necessary to drive significant breakthroughs related to patient safety, risk reduction, and clinical quality and care management performance.
Responsible for independent action in performance measurement metrics and a variety of special projects.
Participates in evaluations of current information processing systems and coordinates planned changes, upgrades, and conversions as appropriate.
Collaborates with personnel responsible for EMR, internal reporting platforms, and Sutter Information Services as well as other available databases to measure performance.
Continually facilitates management and clinical leaderships' ability to monitor and review relevant and focused results to include customer input, reimbursement, patient safety, clinical quality, and regulatory compliance.