Job Overview

Employment Type:

Full time

Shift:

Description:

Position Purpose

The purpose of the Manager of Quality and Safety is to manage at the local ministry level the quality and safety programming. The individual works collaboratively with the ministry’s executive team, leadership, providers, and colleagues to ensure high quality standards are cultivated in an environment of excellence, and outcomes are achieved. Leading and implementing strategies in quality and safety are a key component of the role.

The role has accountability for the following departments/functions: quality, patient safety improvement, culture of safety (TogetherSafe), and infection prevention. The manager collaborates with local leadership (President, Chief Operating Officer (COO), Chief Nursing Officer (CNO), Chief Medical Officer (CMO)) to assure the highest levels of quality and safety.

The manager reports directly to the MercyOne RHM Director of Quality and Safety of Hospitals with an indirect reporting relationship to the local CMO (President in the absence of a CMO).

What You Will Do

• Leads and effectively manages with oversight the areas of quality, patient safety (inclusive of the culture of safety (TogetherSafe) work) and infection prevention with high reliability principles and persistent mindfulness toward zero harm.  
• Implements a quality performance improvement plan that meets Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) regulations and standards, in conjunction with the local executive team, leadership team, quality improvement committees (QICs), medical executive committee, and the board of trustees/directors and in alignment with the ministry’s strategies.
• Works collaboratively with leadership, providers, nursing staffs, and experts in developing and implementing quality and safety strategies that achieve high quality outcomes and safety for the patient population.
• Provides direct supervision of the quality, safety and infection prevention staff as assigned and assists in their development and competency.
• Provides leadership and/or participates in committees related to quality and safety inclusive of quality councils, board quality committees, and QICs.
• Identifies quality and safety areas of focus and works collaboratively to address findings proactively, that results in high quality and safe care.
• Leads continuous improvement activities to achieve and sustain excellence in CMS value-based programs, pay for performance programs of commercial carriers, and The Joint Commission in areas of quality measures and regulatory requirements.

Minimum Qualifications

• Education:
  • Bachelor’s degree in nursing, health administration or related field required (Master’s degree preferred).
  • Iowa licensure as a Registered Nurse.

• Experience:
  • Requires a minimum of five (5) years of hospital experience in quality and/or safety, preferably in a progressive leadership role/manager level.
  • National certification in quality/safety required or to be acquire within 2 years of hire. LEAN Six Sigma certification preferred.

• Special Skills, Competencies, and Aptitudes:
  • Member of a professional nursing organization.
  • Demonstrated expertise in the use of performance improvement methodology/tools.
  • Must be able to use computers for documentation and other relevant activities. Demonstrates specific knowledge related to software programs such as event reporting systems, government reporting systems, and other appropriate software programs. Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and use

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.