RN Manager Quality & Safety

About the Job General Summary of Position

The Quality & Safey (Q&S) Manager manages quality improvement projects in alignment with Med Star Health's goals and objectives and is responsible for operationalizing Med Star Health's Patient Safety Management Program. In this role the Q&S Manager ensures that the operations improvement planning and implementation of quality improvements/patient safety are developed initiated and supported. The Q&S Manager leads event review processes oversees the management of patient safety event reports facilitates the design and implementation of safety improvement activities fosters and monitors just culture and psychological safety across the entity and leads efforts to reduce risk of patient harm within their entity.

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

• Collaborates with clinical and operational teams to design quality improvement interventions focused on key quality and safety priorities and drives entity level execution of those interventions
• Assists in the development of monitoring systems and tracks outcome data to evaluate successful implementation of quality improvement initiatives including but not limited to publicly reported measures CMS programs reputational programs and other regulatory requirements Remains knowledgeable of all relevant clinical pay for performance and reputational program methodologies and updates
• Operationalizes the overall patient safety strategic plan for Med Star Health with a focus on promoting safety reporting fostering psychological safety and just culture facilitating systems-based event reviews tracking safety metrics and training Med Star Health associates and leaders about safety science.
• Coordinates the review and management of patient safety events (PSEs) with significant risk or harm including SUOs and SSEs. Ensures necessary peer reviews are completed for cases as appropriate and supports the implementation of risk mitigation strategies and monitoring effectiveness and sustainability.
• 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.
• Implements monitors and provides education to hospital/ambulatory/medical staff regarding the Med Star Health Patient Safety Management Program safety performance improvement efforts event management safety metrics among other issues.
• Continuously assesses and executes a safety culture program aligned with the Med Star Health approach. Leads key safety culture initiatives and ensures entity compliance.
• Collaborates with and maintains effective communication with the entity VMPAs/CMOs CNOs and other leaders throughout the system regarding departmental activities and execution of risk reduction strategies and support safety initiatives.
• Contributes actively to the dissemination of Medstar Health quality and patient safety practices and accomplishments through presentations at professional meetings and educational offerings and through publication in peer-reviewed journals and other academic publications.
• Identifies opportunities for quality and safety improvement and develops action plans to address gaps in collaboration with clinical and operational leaders. Partners with local and system leadership to facilitate task forces and councils coordinating the planning implementation and execution of quality and safety improvement initiatives
• Manages the revision formulation and review of policies and procedures. Oversees operational dashboards for outstanding and ongoing projects quality and safety issues and challenges. Drives change by developing standardized processes to manage issues to completion and executing towards the achievement of department goals.
• Prepares and reviews reports and analysis of quality and safety data for the system leadership the VPMA and other key stakeholders.
• Participates in local and system level meetings and committees and represents the entity in community outreach efforts.
• Participates in multi-disciplinary quality & safety improvement teams.

• Bachelor's degree in nursing or healthcare related required or
• Master's degree in nursing or healthcare related…