Performance Improvement Coach, Patient Safety- Duke Lake Norman Hospital

Duke University•Mooresville, NC

36d

About The Position

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Duke Health Lake Norman Hospital Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of Duke Healthâ€s four hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties. Summary This position will operate as a Performance Improvement Coach and a Patient Safety Officer. This position provides coaching to multidisciplinary teams in continuous improvement, change management and lean leader behaviors using basic and advanced process improvement principles and thinking. They mentor leaders and facilitators in the execution of daily management system. This is an internal consulting position that will apply continuous improvement (CI) tools and change leadership methodologies to drive specific initiatives and improvement efforts that are critical to safe, timely, effective, equitable patient-centered care and to ensure that strategies are implemented and principles/practices are embedded into daily practice. The Performance Improvement Coach supports the strategy deployment cycle, including the development and deployment of A3s, the study/adjust process and the coaching and education of leaders on strategic A3 thinking. This includes supporting the development of leader standard work for aligning executive through front-line strategy. This positiondoes not directly manage but may provide direction and leadership to leadership teams. Work Performed Utilizes expertise in improvement methodologies to provide consulting, advisement, support, and direction to Senior Leaders, Process Owners, Directors (or management) and front-line teams to appropriately use data-driven, scientific, problem-solving methodology to identify the correct design and approach for initiatives on continuous improvement, including Value Streams, Kaizen/Rapid Improvement Events, A3 and managing for daily improvement. The Performance Improvement Coach also supports the deployment of the Quality Management System, including teaching, coaching and other support as needed. Teaches and coaches Leaders, Caregivers and Providers on A3 thinking, PDSA, and lean tools and methodologies to effectively identify, address and eliminate process related obstacles and to drive process improvements across the Duke University Health System. Advises and coaches leaders at various levels within the organization on lean leadership skills required to lead in a participative, team-oriented culture. Creates and administers internal education on continuous improvement to all levels of the organization. Identifies areas in need of on-going training. Assists is the development of curriculum tools and supporting materials, including training to support Duke's lean initiatives. Partners with leadership in analysis of processes across the organization, identifies gaps in the process, determines impact to the organization, recommends and coaches action plans and timeline to address issues. Independently facilitates continuous improvement teams, follows up on action plans, and assists all assigned teams as needed to ensure improvements are made and sustained. Builds relationships with leaders and stakeholders to manage effective processes and programs to improve the value of the patient care experience, reduce waste and ensure compliance according to established standards and measures. Tracks all changes/improvements made. Monitors key metrics across assigned lean initiatives to review past, current and future performance of processes. Acts as a change agent in a fast paced and "ever changing" environment leveraging his/her strong interpersonal skills. Supports the deployment of a focused daily management system throughout DUHS to help leaders ensure the adoption and implementation of improvements into the daily operations and culture of the organization, preventing regression back to prior methods and beliefs. May perform additional duties of similar complexity within the organization, as required or assigned. Patient Safety Officer Responsibilities and Duties Planning: Commence and oversee the development of a comprehensive patient safety improvement program inclusive of analysis and trending of data related to hospital initiatives Lead patient safety assessments Develop or help develop action plans according to assessments Remain fully informed of national and local patient safety mandates Operations Management: Design and implement effective patient safety and clinical quality programs that will enhance the delivery of effective patient care, maximize patient safety, and minimize patient risk Integrate safety/quality initiatives with hospital operations and administration Engage staff and physicians in program participation Develop and implement policies and procedures that support patient safety and clinical quality initiatives at Duke Raleigh Hospital Analyze processes and opportunities to determine potential enhancements or improvements to facility procedures and activities. Recommend appropriate actions or solutions consistent with overall goals Promote shared accountability initiatives Provide support and advice regarding best practices for patient safety Ensure appropriate targets are developed and met relative to the quality of care. Promote safety standards in accordance with federal and state agencies and The Joint Commission (TJC) standards including National Patient Safety Goals Recommend and facilitate change within the organization to improve patient safety based on demonstrated risks and proactive risk assessment Develop a comprehensive patient safety improvement program inclusive of the analysis and trending of data related to hospital initiatives. Assist in the coordination and prioritization of patient safety and clinical quality initiatives in alignment with hospital priorities Work with all services to hardwire reliable delivery of healthcare systems that incorporate best practice patient safety methodologies. Foster and maintain collaborative relationships with all employees and medical staff in implementing best practices in patient and hospital safety Provide leadership and/or participate in patient safety committees and be responsible for communicating vertically and horizontally within the organization. Help inform and guide teams about accreditation, regulatory, and certification standards Support data surveillance to evaluate safety initiatives and hospital programs' clinical safety.

Requirements

Successful, data driven track record in redesign and/or implementation efforts in the areas of clinical performance improvement
Knowledge and experience successfully training and implementing lean tools and principles.
Demonstrated skills in coaching, consulting, group process facilitation, whole system design, negotiation, change management and conflict resolution, supporting change within large, complex environments
Demonstrated ability to partner with medical staff leaders, such as a medical directors or the Chief Medical Officer
Demonstrated experience influencing, managing and coaching in a matrixed organization that includes many learners, including nurses, providers, caregivers and consumers
Proficient in Excel, Word, and PowerPoint skills and ability to independently produce documents or aptitude to develop this level of skill within a defined period of time
Flexible, positive, clear interpersonal and communication skills with ability to facilitate the exchange of information within clients and the organization
Analytical skills related to independently interpreting, preparing and analyzing data, LOS information, comparisons with relevant federal and/or other performance based data
Possess a Bachelor's degree or higher from an accredited institution in business, healthcare engineering or a health-related field (nursing, allied health, public health) or equivalent.
Minimum of six (6) years of experience in performance improvement orprocess engineering, preferably in a healthcare environment, or a combination of experience and education in business, healthcare engineering or a health-related field (nursing, allied health, public health).

Nice To Haves

Depth of nursing experience, process improvment and patient safety implementation.
Current or compact RN licensure in the state of North Carolina

Responsibilities

Utilizes expertise in improvement methodologies to provide consulting, advisement, support, and direction to Senior Leaders, Process Owners, Directors (or management) and front-line teams to appropriately use data-driven, scientific, problem-solving methodology to identify the correct design and approach for initiatives on continuous improvement, including Value Streams, Kaizen/Rapid Improvement Events, A3 and managing for daily improvement.
Teaches and coaches Leaders, Caregivers and Providers on A3 thinking, PDSA, and lean tools and methodologies to effectively identify, address and eliminate process related obstacles and to drive process improvements across the Duke University Health System.
Advises and coaches leaders at various levels within the organization on lean leadership skills required to lead in a participative, team-oriented culture.
Creates and administers internal education on continuous improvement to all levels of the organization.
Partners with leadership in analysis of processes across the organization, identifies gaps in the process, determines impact to the organization, recommends and coaches action plans and timeline to address issues.
Independently facilitates continuous improvement teams, follows up on action plans, and assists all assigned teams as needed to ensure improvements are made and sustained.
Builds relationships with leaders and stakeholders to manage effective processes and programs to improve the value of the patient care experience, reduce waste and ensure compliance according to established standards and measures.
Tracks all changes/improvements made.
Monitors key metrics across assigned lean initiatives to review past, current and future performance of processes.
Acts as a change agent in a fast paced and "ever changing" environment leveraging his/her strong interpersonal skills.
Supports the deployment of a focused daily management system throughout DUHS to help leaders ensure the adoption and implementation of improvements into the daily operations and culture of the organization, preventing regression back to prior methods and beliefs.
Oversee the development of a comprehensive patient safety improvement program inclusive of analysis and trending of data related to hospital initiatives
Lead patient safety assessments
Develop or help develop action plans according to assessments
Remain fully informed of national and local patient safety mandates
Design and implement effective patient safety and clinical quality programs that will enhance the delivery of effective patient care, maximize patient safety, and minimize patient risk
Integrate safety/quality initiatives with hospital operations and administration
Engage staff and physicians in program participation
Develop and implement policies and procedures that support patient safety and clinical quality initiatives at Duke Raleigh Hospital
Analyze processes and opportunities to determine potential enhancements or improvements to facility procedures and activities. Recommend appropriate actions or solutions consistent with overall goals
Promote shared accountability initiatives
Provide support and advice regarding best practices for patient safety
Ensure appropriate targets are developed and met relative to the quality of care.
Promote safety standards in accordance with federal and state agencies and The Joint Commission (TJC) standards including National Patient Safety Goals
Recommend and facilitate change within the organization to improve patient safety based on demonstrated risks and proactive risk assessment
Assist in the coordination and prioritization of patient safety and clinical quality initiatives in alignment with hospital priorities
Work with all services to hardwire reliable delivery of healthcare systems that incorporate best practice patient safety methodologies.
Foster and maintain collaborative relationships with all employees and medical staff in implementing best practices in patient and hospital safety
Provide leadership and/or participate in patient safety committees and be responsible for communicating vertically and horizontally within the organization.
Help inform and guide teams about accreditation, regulatory, and certification standards
Support data surveillance to evaluate safety initiatives and hospital programs' clinical safety.