Job Snapshot

  • Job Schedule
    Full-Time
  • Job Category
  • Date Posted:
    12/4/2019
  • Job ID:
    19018660
  • Job Family
    Quality/Clinical Effectiveness
  • Travel
    No
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth North Pinellas

Job Description


Description



Quality Manager AdventHealth North Pinellas


Location Address: 1395 S Pinellas Ave, Tarpon Springs, FL 34689


Top Reasons To Work At AdventHealth North Pinellas


  • Great Culture
  • Top Quality outcomes
  • Nurse Excellence Committee (NEC)/Governance
  • Leadership is accessible
  • Located on the Gulf of Mexico


PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:



  • Provides planning, implementation, integration and evaluation of the hospital-wide quality assessment and performance improvement program.
  • Provides planning, implementation, integration and evaluation of activities relative to achieving high reliability organizational goals, including robust process improvement, just culture and culture of safety standards. 
  • Provides planning, implementation, integration and evaluation of the continuous accreditation readiness program including standards and regulatory compliance including project management related to action plans to AHCA/CMS and Joint Commission.
  • Monitors compliance with evolving quality measures including, TJC Oryx Reporting, Leapfrog, CMS’s National Hospital Quality Measures, and other benchmarking reporting requirements.
  • Monitors Joint Commission standards, Federal and State regulations, and professional standards and maintains compliance with all clinical regulatory reporting requirements.
  • Provides planning, implementation, integration and evaluation of an enterprise project management office for coordinating projects across all FHT service areas.
  • Oversees preparation of summary reports, dashboards and other data analytic tools that inform the organization including analyses of data, interpretation of findings, final conclusions and appropriate recommendations.
  • Promote delivery of high quality care through leadership and development of organizational quality and patient safety goals.
  • Maintains oversight for ongoing compliance with on-line database of Institutional Policies and Procedures and Patient Care Services policies and procedures relative to timely updates and change management.
  • Participates in Root Cause Analysis teams and FMEA teams to provide recommendations for improvement and/or correction.
  • Provides oversight for the continuous improvement, integration and evaluation of the Medical Staff peer review, OPPE and FPPE programs.
  • Ensures timely and accurate data available to the Medical Staff Office as required for credentialing and peer review activities.
  • Other duties as assigned.



Qualifications

KNOWLEDGE AND SKILLS REQUIRED:

  • Excellent verbal and written communication skills.

  • Ability to work with data that is of sensitive and confidential nature

  • Excellent interpersonal skills with the ability to communicate effectively both verbally and written.

  • Ability to interact professionally with all levels of staff, physicians, patients, families, and visitors.

  • Skilled in use of computer programs such as Excel, Power Point, Word, and Access or other database.

  • Working knowledge of or ability to learn and work with appropriate Joint Commission standards and AHCA/CMS regulations and information.

    KNOWLEDGE AND SKILLS PREFERRED:

    • Lean Healthcare or Six Sigma training

    • Just Culture training

    • TeamSTEPPS or other crew resource management training

 

EDUCATION AND EXPERIENCE REQUIRED:

 

•         Bachelor’s degree in healthcare-related field

  • Minimum five (5) years clinical experience in acute care setting, preferably tertiary setting

    Leadership experience with working knowledge of Joint Commission Standards, State and Federal regulations, and professional standards and practice issues. 

EDUCATION AND EXPERIENCE PREFERRED:

•         Master’s degree in nursing or healthcare-related field

    • Minimum five (5) years experience in quality and performance improvement

      Evidence of experience in successful performance improvement and/or project management.

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

 

  • Licensed as RN in State of Florida

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

•         Certified Professional in Healthcare Quality (CPHQ) or other nationally recognized certification in quality and/or patient safety programs

  • Certified Project Manager (CPM)

    Lean and/or Six Sigma Certification



This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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