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Bozeman Health SYSTEM MANAGER OF VALUE AND PATIENT SAFETY in Bozeman, Montana

  • POSITION SUMMARY

  • The Patient Safety Manager:

  • Provides system-wide direction and support to the hospitals, clinics, and other system services in the development of strategic and operational plans for upholding a highly reliable culture in patient safety and preventable harm reduction

  • Continuously monitors quality and safety metrics and assesses for areas of opportunity in the delivery of highly reliable healthcare

  • Collaborates with cross-functional stakeholders and leaders in process-redesign to decrease variation and improve adherence to nationally recognized best practices to generate excellence in care delivery

  • Partners with executive leaders, administrators, physicians, nursing departments and other staff in the management of reported safety events and quality review processes to include occurrence report management, Root Cause Analysis, Healthcare Cause Mapping, and Human Factors Analyses

  • Conducts nationally recognized patient safety culture surveys and develops innovative training programs and ongoing curriculum to support highly functioning teams who incorporate safety behaviors

  • Manages the performance of and contributes to the success of staff who carry out infection prevention, regulatory reporting, and grievance resolution job duties

REQUIREMENTS

  • EDUCATION

  • Required:

    • Bachelors degree in Nursing
  • Preferred:

    • Masters degree in Healthcare Related Field
  • LICENSURE and CERTIFICATION

  • Required:

    • Registered Nurse License
  • AHA BLS

  • Preferred:

  • EXPERIENCE

  • Required:

    • 4 years clinical healthcare delivery
  • Systems design and process improvement

  • Stakeholder-group management and communication

  • Presenting to large and small groups successfully

  • Measuring and monitoring key performance indicators and national quality indicators

  • Supervising staff in the investigation of preventable medical errors and completing plans for correction

  • Overseeing grievance resolution, to include direct communication to patient and/or family

  • Regulatory compliance and enforcement

  • Policy review, editing, drafting, and enforcing

  • Preferred:

    • 5+ years clinical healthcare delivery
  • 1 year supervisory or managerial experience

  • Evidence Based Practice implementation

  • KNOWLEDGE OF, SKILLS IN, ABILITY TO, COMPLEXITY AND DIFFICULY:

  • KNOWLEDGE OF:

    • Knowledge of Healthcare Recognized Safety Standards, i.e. WHO, CDC, National Quality Forum's Safe Practices, Leapfrog Safety Grade, NIAHO, etc)
  • Knowledge of Healthcare Cause Mapping, Root Cause Analysis, and Continual Quality Improvement Methodologies

  • Knowledge of Quality Management System standards and principles included in ISO 9001.

  • Knowledge of Accreditation, Certification, and other Survey Processes Knowledge of Medical Staff Affairs to include, privileging, credentialing, and peer review

  • Knowledge of Grievance Resolution processes and CMS requirements

  • Knowledge of Hospital Acquired Condition Reduction Program, Value Based Purchasing, and other value-based programs related to quality and safety of care

  • Knowledge of performance and workforce management practices and processes

  • SKILLS IN:

    • Skills in reliably using high ethical and business code of conduct standards
  • Skills in fostering a just culture using tools and evidenced-based strategies

  • Skills in translating patient safety events into meaningful information and communication to all levels of healthcare staff

  • Skills in creative, technical, and academic writing

  • Skills in data analytics and business intelligence platforms

  • Skills in process-oriented auditing and problem solving

  • Skills in developing and meeting key milestones and deadlines

  • Skills in coordinating, executing, and sharing results of nationally recognized Safety Culture Surveys

  • Skills in coaching, mentoring, supervising and advising subordinates

  • ABILITY TO:

    • Ability to maintain adaptability and flexibility in meeting the needs of leadership, staff and subordinates for safe care monitoring and delivery
  • Ability to maintain confidentiality of information

  • Ability to maintain a non-judgmental, support-filled atmosphere while holding individuals accountable in keeping patients safe

  • Ability to implement and deploy complex plans using continuous quality improvement methodologies

  • Ability to prepare dashboards to be presented at board, executive, system-leader, physician, and staff levels

  • Ability to plan for and conduct board, executive, leadership and staff meetings, retreats, summits, and educational offerings

  • Ability to risk-prioritize and quickly identify opportunities for improvement to maintain and improve patient safety and organizational well-being

  • Ability to translate safety culture survey results into actionable plans that create a top decile safety culture

  • Ability to create learning objectives and educate successfully using adult learning principles

  • Ability to efficiently and reliably store event information, occurrence reports, and peer review information in a complex healthcare system

  • Ability to encourage and foster high performance in subordinates to meet system strategic priorities and goals

  • COMPLEXITY AND DIFFICULTY:

ESSENTIAL FUNCTIONS

  • 30% Time Spent -

  • Occurrence report monitoring, root cause analysis, coordinating corrective action plans and continuous quality improvement projects to address systems and human factors opportunities, reduce recurrence, and prevent harm. Manage cases to be presented for harmful-event classification, leadership review of classified events, providing harmful event analytics, and coordinating provider peer review process.

  • 20% Time Spent -

  • Providing system-wide consultation in a culture of safety, developing and carrying out system-wide educational and safety culture plans, implementing TeamSTEPPS, and supporting a training curriculum and engagement of safety coaches.

  • 25% Time Spent -

  • Manages performance of and provides oversight of job duties for infection prevention specialist, clinical quality specialist, and patient relations specialist to successfully carry out a cohesive cultural, educational, and communication plan to achieve desired strategic priorities and goals.

  • 25% Time Spent-

  • Upholds the Quality Management System and Reporting Structure through internal auditing, reporting metrics and projects, and chairing a quality advisory council or taskforce. Monitors, analyzes and presents scorecards and dashboards related to preventable harm to executives, leaders, physicians, and staff in multiple venues. Leads and participates in risk prioritized quality improvement projects.

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