Company :Allegheny Health Network
Job Description :
This job is responsible for implementation of the AHN organization-wide (a) quality goals and objectives for designated locations and (b) primary oversight of the organization-wide patient safety program. This leadership role will direct others within the organization towards process improvements that will support excellence in clinical outcomes, the reduction of medical/health care errors and guide coordination of activities of network quality and patient safety standards. Accountable for driving results to achieve top performance for all clinical, patient safety and pay for value measures as defined by payers, regulatory and licensing agencies and professional accreditation bodies.
- Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. (20%)
- Oversee the routine review, refinement and implementation a standardized Network Quality Plan and Patient Safety Program. Coordinate the activities of the Network Patient Safety Committee and Hospital Quality Director Committees. Oversee embedded hospital Quality Director and Patient Safety Officer activity. Accountable for driving results to achieve top performance for all clinical and pay for value measures which may include but are not limited to: Hospital associated Infections, Core Measures, Patient Safety Indicators, CMS and P4V program measures. Responsible for driving and/or supporting Lean/Six Sigma/IHI improvement efforts to realize efficiencies and maximized resource utilization. (20%)
- Network trend analysis and influence to help transform identified areas of change needed in the organizational attitude and approach toward quality improvement and patient safety. Recommend and facilitate change within the Network based on identified risks and opportunities. Work collaboratively with Quality Analytics and Reporting for data capture, analysis and action for Institute and hospital quality priority metrics and Network patient safety outcomes; ensure operational support for timely reporting and transmission of information. 20%
- Conduct and/or oversee quality and patient safety assessments, summarize results, and advance Network level recommendations for improvement. (10%)
- Oversee the management and use of adverse event/medical error information. Review internal error reports and utilize information from external reporting programs (e.g., ISMP Medication Safety Alert™ and ECRI Health Device Alerts). Design and implement educational presentations that facilitate the understanding and implementation of patient safety standards across the organization. (10%)
- Lead and/or participate in investigation of clinical quality and patient safety issues, review of serious safety events, serve as leadership and subject matter expert to embedded patient safety and hospital quality leaders and serve as subject matter expert for Institute, hospitals or other Network or enterprise operational leaders as requested. (10%)
- Collaborate with other Network leaders on the development of policy and procedures effecting organizational quality and patient safety. (5%)
- Report to the governing body on the occurrence of known medical and healthcare errors and identified near misses and dangerous conditions within the organization, as well as actions taken, either proactively, or based on occurrences. Barriers to the implementation of safety programs should also be addressed. (5%)
- Other duties as assigned.
- Master's Degree in a Clinical or Healthcare related field of study (e.g., Nursing, Pharmacy, Physical Therapy, etc.)
- 5 years of developing, implementing, and anchoring outcomes in safety and/or quality process improvement with proven results
- 1 year with CMS value based reimbursement and/or health plan pay for value programming.
- 1 year with Joint Commission accreditation and/or Federal/State Healthcare Regulations.
- Certified Professional of Patient Safety (CPPS) OR Certified Professional in Healthcare Risk Management (CPHRM) -- (obtained within 1yr of hire)
- Certified Professional in Healthcare Quality (CPHQ) -- (obtained within 1yr of hire)
- Doctorate in Organizational Leadership, clinical or healthcare related field
Lean/Six Sigma Certification
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
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Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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