Senior Clinical Quality Patient Safety Specialist

HCA Healthcare • Portsmouth, NH

134d

About The Position

The Sr. Clinical Quality/Patient Safety Specialist is responsible to lead, coordinate and carry out an assigned portfolio of clinical quality and patient safety functions to support the hospital's quality and patient safety plan and programs. The Sr. Specialist will use a broad and deep knowledge of practice and systems in the assigned responsibilities within the quality measurement, quality improvement, regulatory readiness, physician performance improvement and patient safety functions. The Sr. Quality/Patient Safety Specialist will be involved in supporting the department's quality and safety work through such activities as concurrent and retrospective abstraction of records to evaluation compliance with national standards of care, and data reporting, collaboration with organizational leaders to lead and/or support clinical quality improvement committees, teams, organizational regulatory readiness and certification. The Specialists works as a member of a team of quality and patient safety staff, who develop areas of expertise and cross cover each other's functions to assure that the department meets its internal and external reporting requirements. The Specialists is accountable to develop expertise in use of a variety of quality software programs and data reporting systems to achieve the goals of case review, data abstraction, management and reporting. The Sr. Specialist will actively provide support and carry out assigned functions within the Patient Safety Program, participating in incident reviews, and case analysis as assigned.

Requirements

• Bachelors Degree required
• 1-3 years related experience
• New Hampshire Registered Nurse license or valid compact RN license preferred, not required

Responsibilities

• Participates in, takes lead, and/or supports a wide range of quality and patient safety initiatives to further organization quality and patient safety priorities and improvement of clinical processes and outcomes to address hospital needs and priorities
• Communicates and promotes understanding of Joint Commission, National Patient Safety Goals, CSIP Program and Leapfrog Group Safety Initiatives to hospital department representatives and utilizes data collection and analysis to monitor compliance and drive improvement
• Provides leadership for organizational readiness and support for Joint Commission and QRS preparation, standards interpretation, surveys and response
• Provides concurrent and retrospective reviews and abstraction to assess compliance with standards and works with department leaders, clinical and provider staff to improve achievement of evidenced based care reflected in quality measures
• Performs focused chart reviews to identify unexpected mortality, complications, provide comparative data through various software programs, peer review cases
• Performs basic data analysis and create graphs and charts to display data in support of improvement initiatives
• Contributes to the physician performance improvement program including Peer Review processes and committees, including OPPE and FPPE, in collaboration with the CMO and VPQ
• Abstracts data, contributes to interrater reliability and validation studies for Core Measure and others data sets as needed, uses QNET and serves as a QNet administrator
• Assists with orientation of new staff and physicians with respect to Joint Commission, CMS Core Measures, HCAHPS, and other quality initiatives
• Collaborates with department leaders and quality staff to conduct regular unit and department tracers, rounding and auditing to assure compliance with TJC and CMS regulations
• Collaborates with Nursing Leaders to develop and implement strategies to improve Nursing Sensitive Indicators of Quality, including the development of unit based quality and patient safety champions
• Serves on and or leads quality related committees such as Falls Prevention, Blood Product utilization, etc
• Serves as Quality representative for assigned Service Lines
• Develops and presents reports and presentations related to areas of responsibility within the Quality & Patient Safety team
• Facilitates identification, reporting, and investigation of reported Incidents and Serious Preventable Adverse Events and Hospital Acquired Conditions and collaborates with Director of Safety to further the safety agenda of the organization
• Promotes internal and external customer satisfaction
• Builds and promotes a culture of safety, service excellence and continuous improvement
• Performs all other duties as assigned

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income

What This Job Offers

• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree