Employment Type:
Full time
Shift:
Day Shift
Description:
On Site position requires RN License
Position Purpose
Implements and maintains a compliant and comprehensive, organization-wide, Quality and Performance 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.
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
Position Highlights and Benefits
Ministry/Facility Information
Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
