Patient Safety Manager

WVU Medicine

23h•Onsite

About The Position

The manager is responsible for the day-to-day management of the organization’s quality and safety performance. The manager will promote interdisciplinary collaboration and teamwork to ensure excellence in patient centered care in these locations related to core focus areas of regulatory compliance, infection prevention, patient experience, patient safety, high reliability, quality assurance, and clinical quality improvement. Key internal customers include clinical practitioners/applicants, physician leaders, and the senior administration team. Performance will be held to high expectations of patients, organizational leaders, the Board of Directors, regulatory entities such as The Joint Commission and OHFLAC, payors, and others with vested interest. Participation and leadership in health system initiatives related to these core focus areas will be required.

Requirements

Bachelor’s degree OR Associate’s Degree in a healthcare field AND three (3) years supervisory experience.

Nice To Haves

Current West Virginia licensure in area of practice.

Responsibilities

Assists in identifying, developing, implementing and monitoring of quality activities related to core focus areas of regulatory compliance, infection prevention, patient experience, patient safety, high reliability, quality assurance, and clinical quality improvement on relevant campuses.
Establishes and executes mechanisms for continuous data collection, analysis, and reporting of quality indicators to government agencies, payors, and vendors as well as internal collaborating partners from HIM, Finance, Coding, Pharmacy, Employee Health, and Human Resources.
Develops performance improvement initiatives throughout the institution and supports WVUHS and WVUH strategic initiatives.
Works in collaboration with the interdisciplinary health care team to support resource utilization and quality improvement.
Prepares the institution to successfully meet Joint Commission standards and Centers for Medicare and Medicaid Services (CMS) conditions of participation.
Supports safety culture through development, education, and accountability of just culture for all organizational leaders.
Promotes patient safety reporting, investigation, and follow up with front-line employees, leaders, and multidisciplinary teams.
Promotes and supports culture of safety through unit/division-based teams by supporting with coordination, education, and follow up with front-line led unit safety teams (CUSP).
Provides education and support of high reliability principles built into every discipline at every level of the organization.
Guides frontline staff in promoting a positive patient experience, takes the lead in implementing infection prevention strategies for the team and organization, conducts surveillance for their effectiveness, and provides education and guidance to collaborative teams in core areas.
Performs administrative functions for the Center of Quality Outcomes including, but not limited to, preparation and management of budget, strategic planning, office organization and other management functions.
Review and analyze departmental responsibility statements, labor reports monthly.
Participates in selection and hiring of qualified individuals and evaluates the effectiveness of employees on ongoing basis.
Provides ongoing performance reviews that provide objective, constructive feedback regarding strengths and opportunities for improvement, including departmental plans for each employee. Employees may include disciplines of nursing, respiratory therapy, pharmacy, public health, healthcare administration, and others.
Coaches and counsels to correct identified performance deficiencies, developing plans which establish goals, provides follow-up.
Facilitates the professional development of staff and self.
Assists Quality Leaders in developing and monitoring short-term goal setting and long-range plans for the department.
Attends to a variety of administrative details such as keeping informed of departmental/division activities, transmitting information, developing, implementing, and interpreting policies and procedures and monitoring day to day operations of the functional area to which assigned.
Collaborates with Associate Chief Quality Officers and Physician Quality Medical Directors of each service/program.
Works collaboratively with adult and pediatric teams from Population Health, Ambulatory services, Nursing Services, Surgical Services, Inpatient services, and ancillary services such as pharmacy, nutrition, and environmental services.
Participates and able to lead system quality initiatives in core focus areas.
Represents the Center for Quality Outcomes and participates in system initiatives related to collaborative teams.
Responsible for seeking input from direct Quality leaders and keeping department peer leaders and other Quality leaders informed of core areas and projects with direct oversight.