Clinical Quality & Performance Improvement RN

Full time

Day Shift

Position Purpose

Improvement Process to address performance opportunities impacting the quality of care delivery to meet regulatory requirements for Saint Francis Hospital (SFH) and Mt. Sinai Rehabilitation Hospital (MSRH). Partners to perform Root Cause Analysis (RCA) for safety events utilizing the High Reliability Organization (HRO), Healthcare Performance Improvement (HPI) process and procedure for SFH and MSRH. Monitors and accesses PSI 90 cases for improvement action.

Participates in Adverse Events investigation of incident and plans for actions to improve performance and eliminate preventable patient harm for SFH and MSRH. Assists the Director of Quality, Patient Safety, Regulatory Affairs and Patient Relations, the Regulatory and Patient Safety Specialist, and the Clinical Quality and Patient Relations Coordinator in executing action plans for continuous improvement. Acts as a resource for staff by providing education and assistance regarding performance improvement in quality of care delivery, regulatory requirements, patient safety and other associated activities.

Coordinates or participates in all Quality related meetings, and participates in quality of care and safety committees and quality and outcome groups as necessary, and as requested by the Director.

What you will do

• Facilitate hospital-wide ongoing efforts to address opportunities for improvement directed at continuously building high reliability and safe processes
• Oversee performance improvement activities to ensure mechanisms are in place to prevent avoidable harm and to meet regulatory compliance with the CMS Conditions of Participation, Quality Assurance and Performance Improvement (QAPI) program, The Joint Commission and the Connecticut Department of Public Health
• Manage the review and compilation of performance improvement activities surrounding safety events, precursor safety events and near misses
• Perform RCA and Failure Modes Effects Analysis (FMEA) activities as required
• Support the coordination of investigations into occurrences, tracking and completing action plans to address known concerns
• Maintain a log of performance activities and outcomes to meet QAPI directives
• NDNQI collaboration with Nursing Education
• Provide assistance to the organizational high reliability and safety program to sustain safety training and safety habits throughout the organization

Minimum Qualifications

• Connecticut RN license required
• Bachelor’s degree in related field required;
  Master’s Degree in Nursing, Healthcare, or related field preferred
• At least five (5) years hospital clinical experience. At least two (2) years’ experience in a quality/regulatory and/or patient safety/ performance related role.
• Knowledge of regulatory requirements, surrounding patient adverse events, patient quality of care and safety initiatives, and quality indicators
• Certified Professional in Healthcare Quality (CPHQ) preferred

At Trinity Health Of New England , we understand that the success of our organization is directly related to our hardworking, compassionate, and dedicated colleagues who contribute their time and skills to help transform healthcare. That’s why we’ve compiled a competitive, comprehensive compensation and benefits package that offers our colleagues protection and peace of mind, both at home and at work.

Pay Range: $40.05 - $64.10

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our comprehensive benefits package includes:

• Medical, Dental, Prescription Drug and Vision Coverage
• Retirement…