Director Clinical Quality & Patient Safety

Director Clinical Quality & Patient Safety

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Senior Clinical, Quality and Patient Safety Director (Executive Director) for Department of Surgery oversees, creates, implements and evaluates all quality and patient safety programs across all specialties. Leads a team to improve outcomes, reduce cost, provide value through standardization of best practices in patient‑centered care across service lines and hospital‑wide based on BMC strategic plans. Requires extensive cross‑functional, system‑wide relationships. Oversees quality program including measurement, reporting, root cause analysis, failure mode analysis and system design.

Drives value, deep knowledge of patient safety, quality, regulatory accreditation. Coaches, mentors, provides research opportunities to improve outcomes and clinical efficiency. Highly involved in innovation to move Department of Surgery forward in academic setting.

Position: Director Clinical Quality & Patient Safety
Department: Quality Improvement
Schedule: Full Time

• Works independently to establish and provide comprehensive direction and oversight by leading a team to provide sophisticated analysis, advice and consultation to surgical divisions as well as hospital‑wide based on BMC and surgery strategic plan.
• Accountable for ensuring issues of highest criticality and complexity are solved in support of clinical organizational goals.
• Responsible to identify, design and lead change initiatives that compel higher performance safer systems and clinical excellence.
• Well versed in regulatory standards, requirements, guidelines for Joint Commission, CMS and DPH.
• Establishes oversight and monitoring to maintain compliance with regulatory accreditation in Kidney Transplant, TACS and other surgical divisions.
• Fosters professionalism, actively engages department leaders and team members to create a positive supportive culture for staff, patient and families creating a culture of safety.
• Provides visionary leadership to ensure BMC is striving for performance excellence that is important in the future of innovative health care.
• Ensures patient safety events are tracked, categorized and analyzed for improvement opportunities and oversees investigative process for evaluating adverse events and near misses.
• Responsible for management of high risk, problem prone areas of opportunity for improvement and ensures problems are prioritized and leading teams working to resolve them.
• Ability to demonstrate sound critical thinking and decision making demonstrating cooperative communication working with others to problem solve challenging issues.
• Collaboration and partnership with Department Chairs/Chiefs, Nursing Leadership and Administration to plan, develop, and enact interdisciplinary efforts regarding current and future surgical/hospital‑wide improvement projects.
• Thoroughly analyze trends and areas of opportunity based on surgery databases, Vizient, ARHQ, CMS and other emerging quality measurements, directing the development and implementation of new clinical programs improving outcomes with increased efficiency and value.
• Involvement in high‑priority projects as they occur.
• Identification of clinical problems leading teams to monitor and improve clinical effectiveness utilizing rapid cycle approach and systems‑based strategies and interventions, coordinating efforts with leaders/staff throughout the organization.
• Build strong collaborative relationships at all levels with multidisciplinary/interdepartmental teams to accomplish goals and promote favorable change.
• Demonstrate excellent leadership, communication skills, creativity and enthusiasm for developing innovative quality improvement programs.
• Oversee standardized practices and systems (e.g. ICOUGH, Caprini VTE, etc.) including support and collaboration with other departments.
• Oversee teams that coordinate and standardize multidisciplinary care including Surgery, QI, Anesthesia, ED, Nursing and Medicine.
• Restructure the Pre Procedure Clinic to a model of risk assessment, risk…