The Dir-Quality & Patient Safety 2, leads and directs quality and patient safety activities and resources.
Develops and implements systems, policies and procedures for the identification, collection and analysis of quality, risk and/or patient safety information. Collects, evaluates, and maintains data concerning injuries, complaints, claims, and/or other patient safety-related data.
Educates and trains the leadership, staff and physicians as to the quality and patient safety program and their respective responsibilities in carrying out the program. Advises departments on designing quality improvement and patient safety initiatives, policies and protocols within their own departments.
Investigates and analyzes root causes, patterns and trends that could result in compensatory or sentinel events, serious adverse events and near misses. Assists with identification and implementation of corrective action where appropriate.
Reports all adverse events to appropriate regulatory and accrediting agencies as required. Works with legal counsel to coordinate the investigation, processing, and defense of claims against the organization.
Oversees timely, accurate chart reviews and data entry for regulatory requirements (i.e. core measures, disease specific registries), evaluates data results, tracks data for trends, and implements corrective action plans. Suggests and implements follow-up studies as necessary.
Provides performance improvement methodology education. Serves as knowledge resource person to leadership, staff, and physicians.
Responsible for guiding, supporting and coaching leadership, staff and physicians in the development of the QI initiatives including the implementation and ongoing management of QI principles and structure, supporting the work of improvement teams. Assists and assures department managers by developing and reporting on quality improvement programs to monitor the quality appropriateness of care.
Responsible for Medical Staff Peer Review activities and improvements. Provides feedback to Physician Department Chairs on performance within their department.
Certified Six Sigma Green Belt (CSSGB) preferred.
Bachelor's Level Degree
Bachelor's degree in Nursing or health related field required Master's degree in Nursing, Business or health related field preferred
3 years of management or quality experience. Extensive experience and training in quality improvement methods, tools, and team facilitation. Project development and planning experience. Experience in training and development. Healthcare experience preferred.
St. John Providence is committed to providing care to treat the entire person -- body, mind, and spirit. This philosophy of care underscores our heritage as a faith-based health system offering our patients so much more than medicine.
We are the largest provider of inpatient care in southeast Michigan and one of the largest employers in metro Detroit. St. John Providence provides c...omprehensive prevention, primary care, and advanced treatment programs with more than 125 medical centers and four hospitals spanning four counties. Our Centers of Excellence offer expertise in cancer, heart and vascular, minimally invasive surgery, neuroscience, orthopedics, and weight loss.
Our Partners in Ministry
St. John Providence is a member of Ascension.
Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world’s largest Catholic health syste