Sr Quality and Safety Spec

University of Rochester

1d•$70,600 - $105,800•Onsite

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. This role is responsible for developing and implementing programs, policies, and practices to ensure departmental compliance with organizational and governmental standards, and makes recommendations for updates. The position maintains compliance with all country-mandated regulatory requirements, documents legal regulations that might affect the organization's policies and procedures, and develops and delivers training programs to enhance employee awareness and adherence to safety and quality standards. The Sr Quality and Safety Spec maintains communications with leadership regarding quality and safety activities, coordinates and conducts the assessment of internal controls to ensure compliance as required by regulatory commissions/authorities, and develops programs and processes to manage complaint cases brought to regulatory authorities, developing process improvements to avoid future complaints. ESSENTIAL FUNCTIONS include managing a domain of quality and/or patient safety, coordinating and facilitating comprehensive systematic analysis, and assisting in the development of associated risk reduction strategies with reporting to state regulatory agencies. The role also facilitates interdepartmental team effectiveness, advises and guides clinical departments on compliance with federal and state regulatory requirements and accreditation standards, and provides support and serves as a liaison between hospital Quality Improvement leadership and department quality physician leadership to ensure departmental QAPI plans are effective and aligned with hospital management plan quality and safety goals. Additionally, the position addresses organizational Quality/Safety needs by monitoring and investigating patient safety events, identifying safety events for review, and providing support for regulatory survey activity.

Requirements

Bachelor's degree and 5 years of relevant experience required
Equivalent combination of education and experience

Responsibilities

Develops and implements programs, policies, and practices to ensure that all departments are in compliance with organizational and governmental standards and makes recommendations for updates.
Maintains compliance with all country-mandated regulatory requirements.
Documents legal regulations that might affect the organization's policies and procedures.
Develops and delivers training programs to enhance employee awareness and adherence to safety and quality standards.
Maintains communications with leadership regarding quality and safety activities.
Coordinates and conducts the assessment of internal controls to ensure compliance as required by regulatory commissions/authorities.
Develops programs and processes to manage complaint cases brought to regulatory authorities and develops process improvements to avoid future complaints.
Manages a domain of quality and/or patient safety.
Coordinates and facilitates credible comprehensive systematic analysis and when applicable, assists in the development of associated risk reduction strategies in a timely manner, with associated reporting to state regulatory agencies as required.
Facilitates interdepartmental team effectiveness.
Advises and guides multiple clinical departments to ensure compliance with federal and state regulatory requirements and accreditation standards.
Provides support and serves as a liaison between hospital Quality Improvement leadership and department quality physician leadership and quality administrative support to ensure departmental QAPI plans are effective and aligned with hospital management plan quality and safety goals and hospital policy.
Addresses organizational Quality/Safety needs.
Monitors and investigates patient safety events reported in the safety event reporting system.
In coordination with clinical departments, identifies safety events for review and evaluation by Risk Management and Quality Improvement leadership for possible comprehensive analysis or would benefit from department level review.
Provides support for regulatory survey activity, including announced, unannounced and desk or written activities.
Other duties as assigned.