Responsible for the design, coordination, implementation, and management of the Organization's Performance Improvement (PI) and Patient Safety plans; Identifies opportunities for improved patient care and outcomes and reductions in harm, with the implementation of evidence-based practices. Provides leadership in defining, implementing, and integrating quality, safety, service, and efficiency strategies into the plans, policies, and organizational processes that affect the organization's operations and strategic direction.
Principal Job Responsibilities:
Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually.
Oversees the events reporting process, root cause analyses, investigations, and requests from the claims team (including management of subpoenas, Summons and Complaints, and coordination of legal documents related to hospital liability).
Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.
Provides leadership and is responsible for accreditation and regulatory survey readiness. Oversees mock survey tracers to assess survey readiness. Provides education to staff and providers on regulatory compliance. Organizes required staff to develop responses to survey deficiencies and submits responses to the appropriate accreditation or regulatory agency.
We are not accepting applications or solicitations from agencies.
Required Education and Experience:
Current California RN license (or ability to obtain a California RN licnese prior to start date)
Bachelor's degree in a healthcare-related field OR five (5) years of related job or industry experience in lieu of degree
Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program.
Minimum of two (2) years of clinical, patient care experience or equivalent.
Experience developing and implementing clinical, service, and operational process improvement initiatives, both small and large scale.
Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN).
Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).
Certified Professional in Healthcare Quality (CPHQ), OR Healthcare Quality and Management Certification (HCQM), OR Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
Master's degree in a healthcare field preferred
Candidates - for questions, reach out to recruiter Kathy Sterner at Kathy.Sterner@DignityHealth.org
Additional Salary Information: salary offer will depend on the experience of the candidate
Annual incentive with a target of 15% of annual pay
We will offer relocation assistance and possible sign-on bonus
Internal Number: 2020-130883
About Dignity Health - Mercy Medical Center Mount Shasta
Mercy Medical Center Mt. Shasta is a member of the Dignity Health system of health care providers and is a not-for-profit medical facility. We are designated as a 25 bed Critical Access Hospital and are accredited by the Joint Commission on Accreditation of Health care Organizations. In addition to our acute care hospital we also own and operate two Rural Health Clinics providing walk-in immediate care as well as scheduled appointments for routine medical needs. We are located in the northernmost area of California and are part of a network of care, including Mercy Medical Center Redding and St. Elizabeth Community Hospital in Red Bluff. We are passionate about patient care, committed to community outreach, advocates for the underserved, and dedicated to ensuring that quality, affordable, health services are available to all who need them. For more information visit https://www.dignityhealth.org/north-state/locations/mercy-mtshasta.