Chattanooga, Tennessee
Patient Safety & Quality Manager Job Opening in Chattanooga, Tennessee - Recruitment Contact: Valerie Fuchcar Executive Director Leadership Recruiting; or "Please send resumes to
Has oversight for Quality, Infection Control, Regulatory and Compliance functions, such as Joint Commission, TOSHA, etc., for the assigned Facility. Leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Manages departmental finances and business goals including budgeting, control of salary, non-salary and capital investment expenses, as applicable. Maintains effective and responsive relationships with patients, attending medical staff, and other departments. Oversees the above departmental committees and directs the surveillance of targeted patient populations in accordance with each operating units risk assessment plan. Works in collaboration with others on enterprise wide initiatives.
Education: Educational background related to functional areas
Minimum Required: Bachelor's Degree Required LEAN or Process Improvement
Experience Leading Change
Preferred/Desired: Master's Degree
Experience: Experience in within a department or functional area
Minimum Required: 2-3 years of progressive healthcare management experience in an integrated healthcare system. Proven experience and success with development and implementation of performance improvement, accreditation, safety, and outcome programs Preferred/Desired: 5+ years of progressive healthcare management experience in an integrated healthcare system. Proven experience and success with development and implementation of performance improvement, accreditation, safety, and outcome programs
Position Requirement(s): Preferred/Desired: Certified Professional in Healthcare Quality (CPHQ) Certification in Process Improvement or LEAN Member of the American College of Healthcare Executives Special Skills: Proven leadership, people and communication skills
Department Position Summary: Has oversight for Quality, Infection Control, Regulatory and Compliance functions, such as Joint Commission, OSHA, etc., for the Facility. Leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Responsible for collaboration with all stakeholders to maximize system integration of improving performance, accreditation, safety, and outcomes activities. Accreditation: Supports strategies and initiatives to insure that the Facility remains in a constant state of readiness for accreditation activities. Serves as Facility link to external regulatory bodies; ensures Facility compliance with mandatory survey activities. Continuously assesses, monitors, and evaluates improving performance, accreditation, safety, and outcomes services. Quality/Performance Improvement: Develops and implements strategies and training to improve performance. Directs the provision of facilitation services for performance improvement teams. Applies Lean/PI principles and is savvy with Root and Apparent Cause Analysis (RCA/ACA) methodologies. Safety: Represents and supports the System patient safety and quality strategy. Facilitates the Facility safety teams. Oversees development and implementation of error prevention techniques. Outcomes: Coordinates the provision of data collection, analysis, and report production for key quality, clinical effectiveness, and safety initiatives. Insures Facility compliance with mandatory reporting requirements. Responsible for the development of communication strategies to report on improving Facility performance, accreditation, safety, and outcome information to key constituents and partners. Serves as Facility link to other external quality of safety organizations (e.g., the Institute for Healthcare Improvement, JC, Leapfrog, etc.). Interacts with customer groups (board, leadership, physicians, employees, and community) to foster partnerships to achieve desired quality and patient safety outcomes. Makes recommendations for strategic initiatives to improve performance, as part of the overall Enterprise performance. Maintains effective an responsive relationships with patients, attending medical staff, an other departments. Oversees the Infection Control activities an coordinates the surveillance of targeted patient populations in accordance with each operating units risk assessment plan. Provides education on ne methodologies, standards an evidenced based best practices pertaining to patient safety, quality, infection prevention, or performance improvement. Works with Infection Control Practitioners to ensure a safe an effective prevention model fo all Patient areas within th Facility
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