Patient Safety Quality Specialist

MyMichigan Health; Midland (MI); On-site; USD 70,000 - 95,000; Full time

Job summary

MyMichigan Health is seeking a Quality & Patient Safety professional to partner with clinical departments to mitigate risks and lead system improvements. The role includes proactive data reporting, rounds, and supporting just culture initiatives across the organization.

Requirements include 3–5 years of clinical experience and an ASSOC degree with RN licensure preferred. This position involves collaboration with management and participation in committees to enhance patient safety and quality.

Qualifications

• Three to five (3-5) years of clinical experience.
• Familiarity with variance reporting tools and key safety/regulatory standards (TJC, IHI).
• Ability to monitor quality and proactively reduce risk.
• Strong problem-solving, interpersonal and communication skills.
• Ability to communicate with individuals and groups across levels.

Responsibilities

• Facilitates teams to address opportunities for improvement identified in quality and patient safety data warehouses.
• Coordinates development of evidence-based, standardized care practices and performance improvement activities.
• Plans, prepares and coordinates presentations for new employees and providers on quality, risk and patient safety.
• Ensures compliance with TJC, CMS and state QA requirements through coordination with committees and leadership.
• Leads initiatives for high-priority opportunities identified by leadership.
• Serves as liaison for claims and legal counsel for case review and file development.
• Performs other duties as assigned.

Skills

Clinical experience

Variance reporting familiarity

Quality improvement knowledge

Communication skills

Interpersonal skills

MS Windows proficiency

Education

ASSOC degree

RN licensure preferred

Tools

MS Windows

Job description

Summary

(20%)* Works with departments to mitigate the immediate risks to patients as a result of human or systems errors through various cause analysis approaches. Also provides proactive support through the tracking, trending and identification of systems opportunities that lead to patient harm, in addition to leading efforts for systems improvement to prevent such harms.

(20%)* Proactively collects and reports data and opportunities for patient safety, quality, and regulatory initiatives as needed. Oversees the event reporting process and ensures timely investigative follow up of all responsible managers, analyzes trends/patterns in the event reporting data and reports findings to leaders as well as various teams and committees as deemed necessary by the organization. Works with departments to assist with changes in processes, policies, and workflows based on cause analysis findings. Monitors progress of changes at regular intervals to ensure effectiveness and sustainment of interventions.

(20%)* Serves as a resource in conjunction with management regarding applicable Joint Commission standards as they relate to patient safety and requirements and other compliance regulations. Facilitates the development of strategies to remain compliant with all regulatory requirements and assists with developing and revising policies and procedures as needed.

(20%)* Rounds routinely in clinical care departments to assess and address quality, risk reduction and patient safety activities/concerns. Follows up with department managers and leadership regarding patient quality and safety concerns as noted during rounding.

(10%)* Participates/leads entity, regional and system quality and patient safety committees, teams, workgroups and huddles. Serves as a quality and patient safety consultant to various other committees, teams and workgroups to ensure integration of quality and patient safety work across the continuum of care.

(10%)* Facilitates and supports implementation of patient safety and quality program and just culture initiatives and assists with coordination of education for staff and clinicians as needed

Responsibilities

OTHER DUTIES AND RESPONSIBILITIES - Patient Safety Quality:

Facilitates teams to address opportunities for improvement as identified in the quality and patient safety data warehouses.

Coordinates the development of evidence based, standardized care practices and performance improvement activities to achieve a high quality and highly reliable care delivery system.

Plans, prepares, and coordinates presentations and educational opportunities for new employees and providers regarding quality, risk and patient safety strategies.

Facilitates compliance with The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) and state quality assurance and performance improvements requirements by coordinating, organizing and communicating appropriate information to designated committees and leadership.

Leads initiatives for high priority opportunities as identified by leadership.

Serves as a liaison for claims and legal counsel that may require case review and file development.

Performs other duties as assigned.

Certifications and Licensures

Credential: BLS: Basic Life Support

Equivalent Experience:

Qualification Source: AHA

Essential: true

State of Michigan RN License Preferred.

Required Education

Education: ASSOC

Equivalent Experience: RN Licensure preferred

Education Specialization:

Essential: true

Other Information

EXPERIENCE TRAINING AND SKILLS:

Three to five (3-5) years of clinical experience.

Familiarity with variance reporting tools and processes and a working knowledge of key safety/regulatory organizations and accreditation standards in healthcare (TJC, IHI, etc.)

Ability to monitor quality, take initiative to proactively reduce risk.

Problem-solving techniques / expertise, interpersonal and customer service skills, oral and written communication skills, and the ability to speak in a public forum.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health blood borne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level:

Light.

Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls

Equivalent Experience and Other Comments (Education)

Education: ASSOC

Equivalent Experience: RN Licensure preferred

Education Specialization:

Essential: true

Other Comments

Credential: BLS: Basic Life Support

Equivalent Experience:

Qualification Source: AHA

Essential: true