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CommonSpirit Health · 1 week ago

Quality Patient Safety Program Manager Licensed

Los Angeles, CA

Full-time

Onsite

Mid Level

$54.52/hr - $81.10/hr

4+ years exp

CommonSpirit Health has been providing acute care services for over 130 years and is expanding with a new patient tower. The Quality Patient Safety Program Manager will support excellence in patient care by leveraging data management and analysis to improve patient safety and operational effectiveness.

Health CareMedicalNon Profit

Responsibilities

Assists in the design, planning, implementation and coordination of Quality Mgmt., Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, and root cause analyses and medical staff improvement (e.g. OPPE, FPPE)

Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication

Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation

Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers

Directors programs involving risk mitigation/management and initiatives related to providing safer care to patients. This position is responsible for providing information to various key stakeholders on the progress and status of described programs/initiatives

Oversees the implementation of compliance policies and procedures to ensure that they meet organization's compliance requirements. Has management responsibility and accountability for the hospitals' overall compliance with regulations from The Joint Commission Department of Health Services CMS and other regulatory agencies

Oversees the events reporting process root cause analysis and event investigation/review. Participates in system office initiatives and programs to mitigate risks identified at other hospitals resulting in reduced costs and adverse patient outcomes

Receives and oversees responses to patient complaints and investigates to solve issues promptly. Acts as an intermediary between patients staff and family to provide clear communication between all parties regarding any outstanding issues

Qualification

Quality ManagementPatient SafetyData ManagementPerformance ImprovementHealthcare Quality CertificationClinical ExperienceAnalytical SkillsTeam CoordinationCommunication Skills

Required

Bachelor's degree, or five (5) years of related job or industry experience in lieu of degree

Current state license in a clinical field in state of practice

Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within two (2) years of employment is required

One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.)

Three (3) years clinical experience in an acute care setting

Benefits

Sign-on bonus not to exceed 10% of salary

Company

CommonSpirit Health

Glassdoor3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10001+ employees