Director, Quality, Patient Safety & Risk Management
Integrity – We adhere to a code of ethics that emphasizes honesty, sincerity, and being open through both our words and actions at all times. We strive to always do the right thing for our patients, families and coworkers.
Compassion - We believe everyone at Mercy is a caregiver. We treat all patients and families with the utmost respect and compassion. We deliver our care and services with kindness and empathy to help alleviate suffering.
Accountability – We accept responsibility for our actions and performance.
Respect – We honor and value the individuality, spirituality and diversity of our patients, families and coworkers by treating them as we and they would want to be treated.
Excellence – We are committed to being patient centered by providing responsive and personalized care to ensure the best possible outcomes in a safe and holistic environment. We provide superior service and quality by going the extra mile for our patients, their families and our coworkers.
Job Duties/Essential Functions
Oversees and coordinates the Clinical Ladder Program.
Continually seeks best practices in patient safety through reviews of healthcare literature,participation in professional associations and conference attendance, as appropriate.
Coordinates and assists in an annual (at a minimum) presentation to the Board of Trustees,Quality and Patient Safety Committee focusing on the state of our Safety Program andupdates on new initiatives.
Provides NPSG education and compliance oversight.
Educates the organization regarding patient safety methodology, error accountability, cultureof safety and other aspects of the Patient Safety Program by participating in Patient CareServices Orientation, New Leader Orientation, Nurse Residency Program and involvement invarious committees.
Coordinates the AHRQ Patient Safety Survey and shares results with the administrative teamand hospital leadership.
Demonstrates an understanding of PI principles of practice, helps set PI and patient safetypriorities & recommends adequate resource allocation to measure, assess, and improveperformance and patient safety related to accreditation, law, regulation and risk.
Participates in the development of policies, procedures and protocols related to patient safety, patient care and standards of nursing practice.
Acts as clinical lead for Magnet program.
Participates with the Chief Nursing Officer to establish standards of nursing practice based on professional nursing standards, published clinical practice guidelines and evidence based information.
Oversees the design, implementation and evaluation of Shared Governance Model/Nursing Professional Practice Council.
Demonstrates proficiency in the use of project management techniques/skills.
Demonstrates knowledge of legal/regulatory standards and participates in initiatives andcompliance to ensure continuous readiness.
Leads/facilitates performance improvement activities/teams identified as organizationalpriorities.
Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.
Department Specific Duties
Knowledge, Skills and Abilities
Self-starter; ability to initiate projects, plan own activities and make decisions within theframework of the responsibility and authority of the job.
Demonstrates ability to lead and/or facilitate teams and/or projects toward successful achievementof goals.
Demonstrates strong analytical, critical thinking and communication skills.
Demonstrates leadership in performance improvement techniques, change management, teamfacilitation and conflict resolution knowledge and principles of practice
Demonstrated strong leadership, management, organizational development, team building &facilitation, integration of change & conflict management knowledge, skills and practice.
Maintains knowledge in accreditation, legal/regulatory and evidence-based clinical practices andhealth care processes.
Demonstrates the ability to develop a program of patient safety and performance improvement.
Demonstrates effective analytical, critical thinking, creativity, communication and relationshipbuilding knowledge and skills.
Basic proficiency in Microsoft Word, Excel, and Power Point. Statistical process control softwaredesirable.
Functions as part of the leadership team within the Clinical Improvement & Accreditation dept.
Minimum of four years health care experience required
Previous healthcare leadership experience preferred
Quality and Performance Improvement experience required
CMS regulatory accreditation experience preferred.
Safety experience preferred.
Bachelor's degree or equivalent coursework in bridge program required. Master's degree preferred.
Licensure, Certification, Registration
Current Iowa Nursing licensure is required.