Patient Safety Quality Specialist

(20%)* Works with departments to mitigate the immediate risks to patients as a result of human or systems errors through various cause analysis approaches. Also provides proactive support through the tracking, trending and identification of systems opportunities that lead to patient harm, in addition to leading efforts for systems improvement to prevent such harms.

(20%)* Proactively collects and reports data and opportunities for patient safety, quality, and regulatory initiatives as needed. Oversees the event reporting process and ensures timely investigative follow up of all responsible managers, analyzes trends/patterns in the event reporting data and reports findings to leaders as well as various teams and committees as deemed necessary by the organization. Works with departments to assist with changes in processes, policies, and workflows based on cause analysis findings.

Monitors progress of changes at regular intervals to ensure effectiveness and sustainment of interventions.

(20%)* Serves as a resource in conjunction with management regarding applicable Joint Commission standards as they relate to patient safety and requirements and other compliance regulations. Facilitates the development of strategies to remain compliant with all regulatory requirements and assists with developing and revising policies and procedures as needed.

(20%)* Rounds routinely in clinical care departments to assess and address quality, risk reduction and patient safety activities/concerns. Follows up with department managers and leadership regarding patient quality and safety concerns as noted during rounding.

(10%)* Participates/leads entity, regional and system quality and patient safety committees, teams, work groups and huddles. Serves as a quality and patient safety consultant to various other committees, teams and work groups to ensure integration of quality and patient safety work across the continuum of care.

(10%)* Facilitates and supports implementation of patient safety and quality program and just culture initiatives and assists with coordination of education for staff and clinicians as needed

OTHER DUTIES AND RESPONSIBILITIES - Patient Safety Quality:

Facilitates teams to address opportunities for improvement as identified in the quality and patient safety data warehouses.

Coordinates the development of evidence based, standardized care practices and performance improvement activities to achieve a high quality and highly reliable care delivery system.

Plans, prepares, and coordinates presentations and educational opportunities for new employees and providers regarding quality, risk and patient safety strategies.

Facilitates compliance with The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) and state quality assurance and performance improvements requirements by coordinating, organizing and communicating appropriate information to designated committees and leadership.

Leads initiatives for high priority opportunities as identified by leadership.

Serves as a liaison for claims and legal counsel that may require case review and file development.

Performs other duties as assigned.

Credential: BLS:
Basic Life Support

Equivalent

Experience:

Qualification Source: AHA

Essential: true

State of Michigan RN License Preferred.

Education: ASSOC

Equivalent

Experience:

RN Licensure preferred

Education Specialization:

Essential: true

EXPERIENCE TRAINING AND

SKILLS:

Three to five (3-5) years of clinical experience.

Familiarity with variance reporting tools and processes and a working knowledge of key safety/regulatory organizations and accreditation standards in healthcare (TJC, IHI, etc.)

Ability to monitor quality, take initiative to proactively reduce risk.

Problem-solving techniques / expertise, interpersonal and customer service skills, oral and written communication skills, and the ability to speak in a public forum.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

My Michigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by My Michigan Health.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL

WORKING CONDITIONS:

Exposure to stressful situations, including those involving…