Safety Quality Patient Experience Specialist II

Safety Quality Patient Experience Specialist II

Requirements

• Bachelor’s Degree in nursing, Healthcare Administration, Business, Engineering, or related field.
• Certified Patient Safety Professional (CPPS) or Certified Professional in Healthcare Quality (CPHQ) required within one year of hire.
• Seven (7) years of related experience with safety, quality, patient experience and Performance Improvement program or related healthcare experience.
• Previous experience in working with Joint Commission, HFAP, CMS surveys process preferably in a leadership/coordination role.
• In-depth knowledge of patient safety best practices, joint commission standards, and conditions of participation.

Responsibilities

• Manages performance improvement regarding SQPE across a hospital, hospitals, or multiple ambulatory locations.
• Acts as an accountable partner for all clinical areas within their areas of responsibility.
• Understands and implements elements of performance as outlined by regulations, bylaws, and rules and regulations established by the medical staff.
• Develop meaningful quality assurance activities with clinical leadership to establish when a deviation in standard practice has occurred.
• Analyzes performance data and participates in improvement strategy development.
• Acts as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care.
• Supports medical staff quality assurance activities such as peer review, ongoing professional practice evaluation, and focused professional practice evaluation.
• Develops and assures processes to monitor performance and identifies where intervention is needed and leads change to drive and sustain improvement.
• Incorporates regulatory and accreditation standards into improvement activities around SQPE.
• Supports development of required plans such as the performance improvement plan, safety plan, infection control plan, and others as required by governance.
• Incorporates enterprise priorities and regulatory requirements and benchmarks ensuring alignment to one standard of care across locations.
• Drives continuous improvement activity around quality, safety and patient experience priorities and coordinates improvement projects.
• Facilitates dashboard reviews, data analysis and decision-making from data.
• Support identification of root causes to lead to sustainable improvement. Support implementation of action plans across areas of responsibilities.
• Facilitates improvement projects to the desired key result role modeling the Cleveland Clinic Improvement Model.
• Implements and reinforces best practices.
• Manages change to ensure the adoption and sustainment of quality improvement.
• Builds relationships with project teams, medical staff and other clinical and non-clinical stakeholders, middle management, and sponsors.
• Coach moderately complex improvement teams to success with their quality improvement projects at the local level and multiple locations.
• Oversees the management, use and classification of safety event information.
• Applies the Cleveland Clinic cause analysis process to identify key factors that lead to failures in SQPE. Apply common cause analysis identification to safety events.
• Other duties as assigned.

Preferred Qualifications

• Master’s Degree
• Registered Nurse
• Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP)
• Process Improvement Certification preferred: Lean, Six Sigma, etc.
• Certified in Infection Control (CIC)
• Certified Patient Experience Professional (CPXP)
• Clinical experience preferred and will offset three (3) years of experience requirement in SQPE.