St. Charles Health System · 13 hours ago
Quality Improvement & Patient Safety RN (Ambulatory)
Bend, OR
Full-time
Onsite
Entry, Mid Level
2+ years expSt. Charles Health System is seeking a Quality Improvement and Patient Safety RN (QIPS-RN) to facilitate quality improvement initiatives and support the Patient Safety program. The role involves collaborating with stakeholders to analyze data, develop improvement plans, and ensure compliance with safety standards and regulations.
Health CareMedicalNon Profit
Responsibilities
Utilizes quality and safety improvement principles, such as PDSA and A3 thinking, to design, develop, implement and sustain True North initiatives for their respective service lines and committees
Works collaboratively with a diverse array of Caregivers, leadership, and support services to assist with data collection, analysis, goal selection and the development of various auditing tools, such as: standard work, Epic bundles and performance scorecards
Participates in development and maintenance of numerous quality and safety dashboards and scorecards for their respective service lines and committees
Supports System Safety Quality Council (SSQC), Clinical Leadership Council, and other committee meetings
Supports continuous survey readiness in coordination with Accreditation Manager including regular rounding, mock (and actual) survey participation, CAREboard support, and auditing
Completes quality and patient safety reports as needed, including analysis of data, identification of trends, and recommendations for improvement
Works with the Patient Safety and Risk Management Team to review Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events, RCA and apparent cause analysis; Stops the line to mitigate potential patient safety conditions and maximize learning
Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety and loss prevention activities
Identifies potential and actual sentinel events with prompt notification and debrief to key stakeholders including senior leadership, and site administration for conducting investigation of event and root cause analysis
Leads investigation for a Sentinel or serious harm event investigation and analysis. Leads RCA process and failure effect mode analysis (FMEA) to identify opportunities for system and process improvements. Supports the preparation of documents for reporting serious harm events to State and accreditation agencies
Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures
Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications, i.e., consent issues. Works in collaboration with the compliance department for potential EMTALA and HIPAA violations
Reviews and supports the completeness of patient complaint and grievance response letters
Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families
Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation
Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on bets practices and evidenced based medicine
Supports the vision, mission and values of the organization in all respects
Partners with the Lean Improvement Office on a variety of process improvement initiatives as indicated by project type and scope
Supports Lean Improvement Office by functioning as a “champion of change” and consistently leading with humble inquiry to unearth quality gaps, lead improvement initiatives, create sustainment plans and monitor for variation
Provides and maintains a safe environment for caregivers, patients and guests
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate
May perform additional duties of similar complexity within the organization, as required or assigned
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of every patient and caregiver
Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience
Provides and maintains a safe environment for caregivers, patients and guests
Qualification
Required
Bachelor Science in Nursing, Registered Nurse
Current RN License
Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites
Certified Professional of Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) within 1 year of hire
Two years' experience in healthcare field, data analytics, public health or other closely related field
Preferred
Master's degree in nursing, public health, healthcare management, data analytics, statistics
Lean, Lean Sig Sigma Green/Black Belt, MINT, CQIA, CQE, or other industry-recognized quality certification
Two years' experience facilitating quality improvement and safety initiatives using Lean or other process improvement framework
Experience with Joint Commission standards and other standards such as CMS and OSHA
Experience facilitating groups through complex and sensitive issues and teaching process improvement principles
Experience working with medical staff on performance improvement
Experience using Excel, manipulating data sets, creating pivot tables and other visual forms of data analysis
Company
St. Charles Health System
St. Charles Health System, and its associated hospitals, has provided quality health care to all those in need.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Steve Gordon, MD
Chief Executive Officer
Matt Swafford
Senior Vice President and Chief Financial Officer
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