Director of Quality and Safety-NPH

Overview

SUMMARY: The Newport Hospital (NPT) Director of Quality and Safety reports to the Brown University Health Vice President and Chief of Quality & Safety, with dotted line engagement with hospital CMO/CNO. Under general supervision and within Brown University Health established policies and procedures, the Director develops, directs, coordinates, and evaluates the comprehensive care transformation activities leading to core measure performance, physician peer review and professional practice evaluation processes, and addressing and investigating patient safety events while implementing corrective actions to enhance the culture of safety. The Director will have administrative oversight for the development and implementation of the hospital’s quality, patient safety, patient experience, and performance improvement programs. The Director will lead hospital and Brown University Health leadership in building educational and improvement initiatives, monitor performance metrics, support patient safety, compliance, and accreditation efforts, and foster the development of customer service and patient experience initiatives by collaborating with the Director of Human Experience. The NPT Director of Quality & Safety will coordinate and align all core quality functions with the BUHCS strategy for quality and operational excellence and support the quality committee structure at the hospital. The role provides strategic leadership for the development, implementation, and evaluation of quality metrics for NPT and related processes to achieve optimal outcomes and compliance with evidenced-based care, identifying needs for improvement when necessary. Brown University Health employees are expected to model the organization’s values of Compassion, Accountability, Respect and Excellence, and to demonstrate the core Success Factors guiding how we work together and achieve results, including: Instill Trust and Value Differences; Patient and Community Focus and Collaborate; and Leadership aptitudes to Ensure Accountability, Build Effective Teams, Drive Vision and Purpose, and Optimize Work Processes.

Responsibilities

• The director leads a highly skilled team of quality and patient experience specialists focused on meeting customer needs and exceeding expectations.
• Oversees and reviews selected quality issues and provides guidance for staff to lead investigations of critical events; assists with clinical root cause/FMEA projects using Brown University Health methodologies and facilitates development of corrective action plans as indicated; and oversight and monitoring as appropriate.
• Provides feedback reports to staff members and leadership; assists and supports the development of reports submitted to regulatory and accrediting agencies including the Department of Health, the Joint Commission, and others.
• Interfaces within the Care Transformation, Quality and Safety department as needed and with other quality initiatives and committees across Brown University Health; directs the effective utilization of resources to meet established goals and objectives.
• Establishes departmental priorities to ensure activities support organizational priorities and strategies; oversees and reviews quality and service issues and guides staff to initiate improvement efforts for optimized performance.
• Provides oversight for document peer review activity in required tracking systems; facilitates Medical Staff and system departmental performance improvement activities; participates in Medical Staff department meetings and serves as a resource for internal and external peer review requirements.
• Serves as a liaison to Brown University Health Medical Staff departments for coordination of quality improvement actions involving patient care and physician processes; promotes meaningful communication and performance improvement information among Brown University Health and the Medical Staff.
• Provides leadership to site and/or system-wide improvement teams using performance improvement methodologies; manages clinical and patient safety data needs and leads teams toward successful improvement strategies; monitors overall performance metrics for diagnostic populations and communicates with internal and external customers as requested.
• Works with hospital leaders to develop, measure, analyze, and implement process improvement initiatives; collaborates with key stakeholders to identify data-driven solutions for improvement; supports a culture of employee engagement to improve patient outcomes and deliver excellent care.
• Develops customer service training for onboarding and ongoing training, as well as just-in-time curriculum content for new initiatives and for new staff members related to core quality functions; works with hospital leadership to establish a robust patient experience program founded on best-practice models.
• Listens to the health consumer and creates innovative solutions for the diverse patient population leveraging Newport Hospital services; assists the Vice President of Quality and Safety in planning activities to disseminate information for hospital-wide and system-wide improvement efforts.
• Directs the flow of relevant information to appropriate hospital and Brown University Health representatives and committees; facilitates assessment and resolution of family/visitor issues; positions themselves as an expert resource for leaders, staff, and providers on patient relationship development and outcomes measurement.
• Serves as a liaison to the Brown University Health system quality improvement team and to the Newport Hospital Medical Staff departments for coordination of quality improvement actions; promotes meaningful communication and performance improvement information among and between Brown University Health and the Medical Staff.
• Facilitates and coaches staff leading teams to improve performance; coordinates and supports implementation of improvement tactics aligned with organizational priorities; identifies and presents best practices and other tactics needed to improve performance; presents and educates frontline staff and stakeholders on tactics and execution.
• Monitors and suggests improvements to best practices and their integration into existing systems; consistently applies and models the Brown University Health shared CARE values of Compassion, Accountability, Respect and Excellence; performs duties in accordance with the Corporate Compliance Program and Code of Conduct; provides support for Brown University Health’s Quality Priorities service and treatment settings.
• Performs other duties as assigned.

Performance Standards

• Effective utilization of resources; management of continuous quality improvement; high quality, high-value patient-focused services; resource productivity; fiscal responsibility.
• Development and implementation of effective quality programs; performance improvement methodologies; positive feedback from peers, directors, and staff; ongoing improvement year-to-year.

Minimum Qualifications

• Education: A bachelor’s degree in nursing or a healthcare-related discipline is required. A master’s degree in a related healthcare field is required. Six Sigma Black Belt certification or equivalent experience leading performance improvement projects is preferred. CPHQ, CPPS, or other quality certifications are preferred.
• Experience: A minimum of seven (7) years of related experience is required, particularly in quality measurement and reporting systems, oversight over physician peer review programs, and process evaluation and improvement. Extensive knowledge of performance improvement systems and/or process improvement methods and standards. Effective project management skills are required. Experience with electronic health record applications and modules, Microsoft Office Suite, database development, and outcomes management. Strong group facilitation and project management skills required. Ability to collaborate and lead various project teams. Solid written/verbal presentation, critical thinking, and analytical skills required.

Supervision: Supervisory responsibilities for up to twenty professional and support staff. Includes selection, direction, and evaluation of work.

Pay Range

$131,422.20-$216,841.35

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location

Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840

Work Type

Standard business hours

Work Shift

Day

Daily Hours

8 hours

Driving Required

No

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