Quality Patient & Safety Advisor – Procedural Services

Cape Cod Healthcare•Hyannis, MA

About The Position

The Quality Patient & Safety Advisor supports quality assurance and performance improvement for procedural services, including perioperative services, OB/GYN, and other designated procedural areas. The role monitors, collects, validates, analyzes, and maintains quality data and key performance indicators; prepares reports, dashboards, and performance summaries; and tracks trends in complications, infection prevention, patient experience, and other department-specific measures. The advisor presents findings and recommendations to department leadership, quality committees, and interdisciplinary teams; maintains documentation of audits and improvement activities; supports dashboard development and continuous quality improvement initiatives; and monitors compliance with applicable regulatory and accreditation or certification requirements. The role also manages surgical-related registries, including BCBS registries for total joint replacement and spine surgery. Clinical judgments are based on evidence-based standards of care, review criteria, and nursing practice guidelines when applicable.

Requirements

Graduate of a school of nursing.
Bachelor of Science in Nursing (BSN).
Three years of prior nursing experience in perioperative or procedural areas.
Ability to work independently, prioritize work activities, and use time efficiently.
Ability to maintain confidentiality.
Ability to demonstrate and promote a positive, team-oriented environment.
Ability to stay focused and concentrate under normal or heavy distractions.
Ability to work well under pressure and/or stressful conditions.
Ability to manage change, delays, or unexpected events appropriately.
Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
Ability to operate a general computer, fax, copier, scanner, and telephone.
Knowledge of multiple software programs, including Microsoft Word, Outlook, Excel, and the Internet.
Excellent English usage, grammar, punctuation, and style skills.
Ability to follow instructions and respond accurately to upper management’s directions.
Accuracy and thoroughness, with a focus on improving and promoting quality and monitoring one’s work to ensure quality standards are met.
Exceptional communication skills, including conveying necessary information accurately, listening effectively, and asking questions when clarification is needed.
Ability to work at a computer for long periods.

Responsibilities

Monitor quality metrics and key performance indicators for procedural services, including perioperative services, OB/GYN, and other designated areas.
Collect, validate, analyze, and maintain quality data for procedural services.
Prepare monthly, quarterly, and other quality reports, dashboards, and performance summaries.
Track trends related to complications, infection prevention, patient experience, and other department-specific indicators.
Present findings and recommendations to department leadership, quality committees, and interdisciplinary teams.
Maintain accurate documentation of audits, findings, improvement activities, and outcomes.
Assist with the development, implementation, and monitoring of dashboards.
Support continuous quality improvement initiatives using methodologies such as Plan-Do-Study-Act (PDSA), root cause analysis, and process mapping.
Make clinical judgments based on evidence-based standards of care, review criteria, and nursing practice guidelines when applicable.
Monitor compliance with applicable regulatory and accreditation or certification program requirements, including PRO/PM measures and Joint Commission DSC certifications.
Manage surgical-related registries, including BCBS registries for total joint replacement and spine surgery.