Description
General Summary of Position
Job Summary
The quality and Patient Safety Coordinator provides organization, direction, oversight and support as required to a wide range of quality improvement related activities. Will act as the system administrator and database manager for the hospital's patient safety event management (PSE) system. Works with clinicians, administrators and leadership within the hospital to implement and sustain a system for process improvement that supports the reduction of medical errors and other factors that contribute to unintended adverse patient outcomes. Fosters a just culture of safety through HRO education, accreditation readiness, continuous quality improvement and systems improvement based on data analysis. Performs inpatient and outpatient unit tracers for compliance with accreditation bodies such as the Joint Commission and the Department of Health. These functions are coordinated with the department head and are performed in accordance with all applicable laws and regulations and MedStar Georgetown University Hospital's philosophy, policies, procedures and standards.
What's in it for me?
Substantial comprehensive benefits (two medical plans, dental, vision, 403((b) retirement plan with matching, generous PTO, wellness days and 7 holidays, flexible spending accounts, life insurance, etc.
Free parking for associates at all 4 hospitals
System-wide nurse referral bonus program - earn up to $6000 per referral
Relocation assistance up to $3500 if you live 50 miles away from your location
Career growth opportunities galore as we are part of a 10-bed hospital system with 300 outpatient locations
It's how we treat people: this organization is truly committed to employee and nurse wellness as well as diversity and inclusion.
What We Offer
Culture- Collaborative, inclusive, diverse, and supportive work environment.
Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.
Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.
Reputation- Regional & National recognition, advanced technology, and leading medical innovations.
Primary Duties and Responsibilities
Responsible for working knowledge and interpretation of regulatory requirements such as CMS Conditions of Participation, Joint Commission Standards and various specialty accreditation requirements. Develop tools to promote ongoing survey readiness while assuring efficient workflow during external regulatory visits.Performs Mock Tracers and Clinical Regulatory Audit activities in both the inpatient and outpatient areasand assists with the development and implementation of actions to address findings and ensure regulatory compliance. Collects hospital quality and process improvement data as required to present to the Joint Commission and other accreditation bodies.Participates in quarterly educational sessions for managers to establish and maintain compliance and understanding of current regulatory requirements and safety initiatives.Identifies quality improvement opportunities; initiates appropriate problem definition, process analysis, data collection and analysis, and reporting. Collaborates on the development of policies and procedures effecting organizational safety.Serves as a point person with internal and external clients for quality improvement and patient safety related activities. Organizes and facilitates multidisciplinary workgroups to effect systematic resolution of quality and patient safety related issues. Facilitates process improvement initiatives by using problem-solving methodology, Root Cause Analysis (RCA) and/or Failure Mode Effects Analysis (FMEA).Assists the Director in Functioning as a member of the Center for Patient Safety team in collaboration with Quality $ Safety in facilitating the examination of critical incidents and sentinel events as directed by senior leadership. Prepares in depth analysis of events and reports to senior leadership based on findings. Acts as a resource to all medical and hospital staff on all issues relating to quality improvement, patient safety, and accreditation standards. Conducts research of literature pertinent to quality improvement and patient safety activities in support of enhancement initiatives.Assists with the certification processes including bur not limited to the Joint Commission, NAPBC, Cancer, and disease specific certifications.Participates in the Leapfrog process. Helps to develop the magnet program.Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.Submits data for eCQMs and TJC measures via Direct Data SubmissionProvides education for staff members and physicians regarding Quality Improvement. Serves as a facilitator for Process Improvement Teams and mentors others in process improvement processCUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM
Minimum Qualifications
Education
- Bachelor's degree in Health Care field required
- Master's degree preferred
Experience
- 5-7 years Progressively responsible in quality and patient safety and administration experience preferably in a health care setting. required
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure in Maryland required
This position has a hiring range of $87,318 - $157,289
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