Quality & Safety Specialist; Multi-Site

About the Job General Summary of Position

The Quality & Safety (Q&S) Specialist supports the planning implementation and evaluation of quality improvement and patient safety initiatives that advance Med Star Health's strategic priorities. Working collaboratively with clinical operational and administrative leaders the Specialist serves as a subject matter expert in quality improvement methodologies patient safety principles regulatory requirements and performance measurement The Specialist is responsible for coordinating quality improvement projects analyzing and interpreting data supporting patient safety event management and facilitating the implementation of initiatives across the entity.

To ensure success the Specialist develops strong working relationships with system quality & safety leaders key stakeholders within the entity and with system and entity Risk Management leads.

• Partners with clinical and operational teams to support the implementation of quality and patient safety initiatives aligned with organizational priorities including CMS quality programs accreditation standards reputational programs and other regulatory requirements. Assists with planning coordination and execution of improvement activities at the entity and system levels.
• Collects analyzes and monitors quality and safety performance data related to targeted quality and safety indicators. Assists in identifying performance trends opportunities for improvement and preparing reports for leadership.
• Supports implementation of the Med Star Health patient safety program by promoting safety event reporting Just Culture principles psychological safety and high reliability behaviors throughout the organization.
• Coordinates the review and follow-up of patient safety events (PSEs) by facilitating event documentation supporting system-based reviews tracking action items and monitoring completion of peer reviews.
• Contributes to the achievement of established departmental goals and objectives and adheres to department policies procedures quality standards and safety standards. Ensures compliance with entity/facility policies and procedures and governmental/accreditation regulations.
• Supports safety culture initiatives aligned with the Med Star Health approach.
• Assists with the preparation of presentations educational materials and reports for committees leadership meetings and quality forums. Participates in sharing quality and safety best practices across the organization.
• Participates in entity and system level quality & safety meetings and multidisciplinary teams representing the department and contributing to organizational improvement efforts.

• Bachelor's degree Nursing or other healthcare related field required and
• Master's degree Nursing or other healthcare related field preferred

• 1-2 years Clinical and/or health care experience required and
• 1-2 years Quality and Safety experience preferred

• RN
  - Registered Nurse
  - State Licensure and/or Compact State Licensure Upon Hire preferred and
• CPHQ
  - Certified Professional in Healthcare Quality preferred and
• Certified Professional in Patient Safety (CPPS) preferred

• Ability to review clinical content with strong analytical and quantitative skills.
• Exhibits excellent organizational and planning skills with a high level of problem-solving skills.
• Ability to comprehend and follow the policies and procedures for Med Star Health and the applicable Med Star Entity.
• Ability to read write and speak or communicate in English to successfully accomplish the essential duties of the position.
• Ability to demonstrate ethical behavior that supports the entity's mission values and…