SQPE Specialist I

Cleveland Clinic•Great Barrington, MA

1d•Onsite

About The Position

Join Cleveland Clinic Fairview Hospital and experience world-class healthcare at its best. Cleveland Clinic Fairview Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. On our team, you will provide stellar care at one of the top healthcare organizations in the nation. Cleveland Clinic strives to be an international leader in patient safety. As a Safety Quality and Patient Experience (SQPE) Specialist, you will direct our safety, quality and patient experience work. In this role, you will gain ample resources to learn and grow and comprehensive benefits that invest in your health, your physical and mental well-being and your future. A caregiver in this position works Monday through Friday from 8:00am to 5:00pm and could start at 7:00am or 7:30am based on meetings. No weekend or on-call requirements.

Requirements

Bachelor’s Degree in Nursing, Healthcare Administration, Business, Engineering or a related field OR five years of related experience with SQPE and performance improvement programs or related healthcare experience
Minimum one (1) year of related experience with Safety, Quality, Patient Experience, Accreditation, Risk, Clinical, or Continuous Improvement
Experience working with Joint Commission, HFAP or CMS surveys and processes, preferably in a leadership/coordinator role
In-depth knowledge of patient safety best practices, Joint Commission standards and conditions of participation
Familiarity with basic statistical analysis, continuous improvement tools and change management technique

Nice To Haves

Master’s Degree
Current licensure as a Registered Nurse (RN)
Certified Patient Safety Professional (CPPS) or Certified Professional in Healthcare Quality (CPHQ)
Healthcare Accreditation Certification Program (HCAP), Certified Joint Commission Professional (CJCP), Process Improvement Certification, Certification in Infection Control (CIC) or Certified Patient Experience Professional (CPXP)
Clinical experience

Responsibilities

Direct safety, quality, and patient experience work within assigned scope of responsibility.
Coordinate and implement improvement initiatives using the Cleveland Clinic Improvement Model.
Coordinate with cross functional stakeholders to ensure compliance with all standards and favorable performance on safety, quality, utilization, and experience metrics.
Participate in engraining the safety, quality, and experience requirements as outlined by regulatory and accreditation bodies.
Manage performance improvement regarding SQPE with all departments providing patient care.
Understand and implement elements of performance as outlined by regulations, bylaws, and rules and regulations established by the medical staff.
Act as the primary resource for staff to facilitate overall operations of programs.
Develop meaningful quality assurance and improvement activities with clinical and operations leadership to establish when a deviation in standard practice has occurred.
Act as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care.
Support medical staff quality assurance activities such as peer review, ongoing professional practice evaluation, and focused professional practice evaluation.
Incorporate regulatory and accreditation standards into improvement activities around SQPE.
Collaborate on development of required plans such as the performance improvement plan, safety plan, infection control plan, and others as required by governance.
Incorporate enterprise priorities and regulatory requirements and benchmarks ensuring alignment to one standard of care across locations.
Drive continuous improvement activity around quality, safety and patient experience priorities and coordinate improvement projects.
Facilitate dashboard reviews, data analysis and decision-making from data.
Manage stakeholder relationships, project risks and project changes.
Lead projects and facilitate multidisciplinary teams leveraging advanced continuous improvement and project management tools.
Coach smaller improvement teams to success with their quality improvement projects at the local level.
Report on medical errors/near misses and corrective actions taken.
Oversee the management and use of medical error information.
Apply the Cleveland Clinic cause analysis process to identify key factors that lead to failures in SQPE.