Process Improvement Nurse - Children's Surgery Program

University of California, San Francisco•Oakland, CA

About The Position

This role involves establishing and supervising processes such as performance improvement and clinical documentation to ensure the highest quality of services for every patient. The evaluation of practice considers patient outcomes, cost-benefit analysis of care, and patient access to the healthcare system. The position contributes to internal strategic planning and the implementation of continuous quality improvement programs. As the BCH Children’s Surgery Performance Improvement (PI) Nurse, you will be responsible for data collection, analysis, and performance improvement activities for patients under 18, supporting the American College of Surgeons Children’s Surgery Verification Level I Programs at both BCH San Francisco and BCH Oakland. These programs are part of the BCH Perioperative Department, fostering a collaborative, multidisciplinary approach to enhance pediatric surgical quality and safety, guided by Level 1 ACS standards. You will partner with the Children’s Surgery Program Manager to lead initiatives focused on optimizing patient outcomes, proactively identifying patient safety and system issues, and implementing evidence-based practice improvements. This role demands a high level of clinical judgment, creativity, organization, and prioritization. You will collaborate with pediatric physicians, surgeons, anesthesiologists, and multidisciplinary teams to support BCH Hospitals in system-wide and cross-bay performance improvement through project coordination and execution.

Requirements

Minimum of 4 years' experience in a children's hospital setting with a surgical or critical care focus.
Bachelor's degree in nursing or other healthcare profession, or a combination of comparable clinical education and / or experience.
In-depth knowledge of QI standards, clinical chart review, abstraction, and regulatory requirements.
Advanced knowledge of QI models, tools, and techniques for data collection, analysis, and reporting.
Advanced organizational and project management skills with the ability to lead and prioritize tasks.
Advanced critical thinking and problem-solving skills to manage complex information and responsibilities.
Advanced interpersonal skills for effective collaboration with clinical and technical staff and external agencies.
Advanced ability to convey complex information verbally and in writing, producing high-quality reports and presentations.
Advanced knowledge of administrative and business software packages for quality data management.
Advanced skills to influence and persuade staff, management, and clinicians at all levels.
Expert ability to collaborate effectively with staff, management, and clinicians across departments.
Current CA RN license
Active American Heart Association BLS Certification

Responsibilities

Utilize EMR reports and advanced performance improvement skills to manage projects and make recommendations.
Analyze clinical and NSQIP-Pediatric data to identify opportunities for enhanced patient care and system efficiency.
Collaborate with key stakeholders to improve system operations and document performance improvement and quality assurance steps.
Implement and monitor clinical processes, identify trends and sentinel events, and outline remedial actions.
Lead or participate in clinical and technical teams to develop new plans, criteria, and benchmarks using advanced QI models.
Provide technical leadership and advice on complex QI issues, including functionality, efficiency, and program development.
Present initiatives and results to relevant committees, such as the Perioperative Performance Improvement & Patient Safety (PIPS) Committees.
Maintain processes for data collection, validation, analysis, and distribution to meet ACS measurement requirements.
Conduct QI reviews for mortality, sentinel events, and readmissions, ensuring findings are incorporated into QI plans.
Collaborate with NSQIP-Pediatric Surgical Clinical Reviewers to ensure accurate data collection and entry.