As the community’s only not-for-profit, faith-based health care system, Dignity Health Nevada has been guided by the vision and core values of the Adrian Dominican Sisters for more than 70 years. As the Henderson and Las Vegas communities grow, Dignity Health-St. Rose Dominican facilities and its more than 3,400 employees will continue the Sisters’ mission of serving people in need. St. Rose Dominican is a member Dignity Health, one of the nation’s largest health care systems, a 22-state network of more than 9,000 physicians, 60,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. You can also follow us on Twitter and Facebook.
Responsible for the design, coordination, implementation and management of the Organization’s Performance Improvement (PI) and Patient Safety plans. Identifies opportunities for improved patient care and outcomes and reductions in harm, with the implementation of evidence-based practices. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.
Principal Duties and Accountabilities:
- Establishes performance improvement goals annually with relevant stakeholders. Ensures the Performance Improvement and Patient Safety plans and the hospital-focused projects for the year are implemented and their effectiveness is evaluated annually. Develops and implements processes and formats which support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff. Provides leadership in developing quality improvement and patient safety training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
- Oversees the events reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and coordination of legal documents related to hospital liability). Participates in system office initiatives and programs to mitigate risks in the facility which have been identified at other hospitals, resulting in reduced costs, adverse patient outcomes and ultimately safer patient practices and care.
- Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.
- Provides leadership and is responsible for accreditation and regulatory survey readiness. Oversees mock survey tracers to assess survey readiness. Provides education to staff and providers on regulatory compliance. Organizes required staff to develop responses to survey deficiencies and submits responses to the appropriate accreditation or regulatory agency.
Education and Experience:
- Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.
- Minimum of five (5) years of progressive management responsibility in an acute care setting, two (2) of which is related to managing an organization’s Quality Improvement Program.
- Minimum of two (2) years of clinical, patient care experience or equivalent.
- Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.
- Knowledge and expertise in specific performance improvement/CQI methodologies (e.g., Six Sigma, LEAN).
- Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).
- Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.