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SSM Health Director of Quality and Safety in Bridgeton, Missouri

Divison:

SSM Health — a nationally recognized Catholic, not-for-profit integrated health system serving Illinois, Missouri, Oklahoma, and Wisconsin — is seeking a Director of Quality and Safety for its office in St. Louis, MO. This would be a fantastic growth opportunity for candidates with adult inpatient and clinical ambulatory experience.

This role will work closely with our risk management team, senior safety leaders, as well as clinical leadership. The Director of Quality and Safety will manage a team of direct reports comprised of Patient Safety Specialists and Clinical Outcome Specialists. In addition, this leader will manage the department’s budget. This director will work within our event reporting management system to coordinate investigations and conduct root cause analyses.

Successful candidates will have 7 years of experience, with 5 years in leadership. A bachelor’s degree is required, although a master’s degree would be preferred. Preferred candidates will have their RN, in addition to their CPHQ, CJCP, or CPPS certification. Experience with quality and safety in a clinical setting is preferred. Knowledge of continuous improvement and provider engagement would be beneficial.

PRIMARY RESPONSIBILITIES

  • Ensures that system and regional best practices and initiatives are identified, reviewed and implemented. Identifies opportunities for improvements, and ensures action plans are completed and implemented in a timely fashion. Maintains working knowledge of various committee operations to assess and ensure essential requirements are met and best practices are identified and shared. Leads identified clinical quality improvement initiatives, providing assessment of opportunities for improvement and identifying strategies to achieve strategic goals. Completes and maintains strong knowledge of quality principles, tools and techniques. Leads or participates in system, regional and entity meetings as assigned.

  • Leads and facilitates regional quality and safety initiatives and committees, and promotes system wide aligned reporting through coordination and alignment of work and strategies. Directs and oversees progress of system wide quality management program activities and resources. Develops and implements strategies, systems, policies and procedures to assess and improve quality across the continuum, for all populations served by the organization. Works closely with senior leaders and leaders to assess needs, plan and communicate activities and support.

  • Collaborates and participates in oversight of adherence to regulatory standards for quality improvement. Acts as an organizational expert for quality and safety and is responsible for alignment and integration of various functional areas under the quality program.

  • Directs and coordinates all quality, peer review, occurrence reporting, value based purchasing, and patient safety activities by reviewing cases, occurrence report forms, observing for trends and patterns, and providing summaries for various committees/departments. Facilitates changes to processes and procedures and monitors to ensure effectiveness and sustainability overtime.

  • Enhances the organization's and the larger healthcare community's knowledge of quality improvement and safety best practices through literature review, interaction with internal and external resources, and knowledge of evolving relevant regulatory requirements.

  • Analyzes patient care information from data sources. Identifies real or potential concerns and oversees development of recommendations to correct or prevent concerns. Develops succinct and comprehensive reports detailing quality improvement activities, including periodic reporting of organizational performance data.

  • Aligns quality processes and metrics across assigned entities based on best practice. Aligns functions and processes to focus on supporting the patient safety, quality, and peer review goals of the system, region and ministry. Reports and escalates issues to system, regional and ministry leadership in a timely fashion.

  • Is visible and travels across assigned region to support and advance the organization's performance.

  • Communicates timely. Educates and trains the leadership, staff and physicians as to the quality and patient safety program and their respective responsibilities in carrying out the program. Advises departments on designing quality improvement and patient safety initiatives, policies and protocols within their own departments.

  • Collaborates with system and regional leadership for positive accreditation and licensure outcomes by assisting in developing tools and procedures to assess compliance to standards. Serves as a resource to the leadership team, medical staff, department directors and others about the licensure and accreditation process and standards. Assists in preparation of the application for survey and coordinating site visits/inspections. Serves as a resource regarding applicable regulatory, licensing and accreditation bodies, their review processes and standards.

  • Performs other duties as assigned.

EDUCATION

  • Bachelor's degree

EXPERIENCE

  • Seven years' experience, with five years' in leadership

PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.

  • Frequent keyboard use/data entry.

  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.

  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

  • Rare climbing.

SSM Health is committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law.

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