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Job Summary:
The Quality/PI Supervisor assists in supervising and coordinating the daily activities of the Central Alert Team (CAT) function within Mary Washington Healthcare, ensuring compliance with applicable policies, procedures, regulatory, and accreditation standards. The Quality/PI Supervisor is also responsible for developing, implementing, coordinating, and monitoring performance improvement strategies to improve patient safety, establish evidence-based care, and meet organizational goals.
Essential Functions & Responsibilities:
- Collaborates with Management to review, monitor, and document competencies, progressive disciplinary action, and performance appraisals for assigned Central Alert Team staff.
- Participates in selection, hiring, orientation, training, and performance management for assigned staff.
- Creates daily staffing assignments for CAT team.
- Assists management in the development, revision, and enforcement of departmental policies, procedures, protocols, and standards to ensure quality care, efficiency, and procedural compliance.
- Coordinates and prioritizes CAT operations and resources to assure efficient and effective performance of services provided.
- Serves as a subject matter resource for team members and other clinical staff, providing direct coaching and/or training as necessary.
- Develops and deploys performance improvement educational tools and collaborates with appropriate departments to disseminate to appropriate associates.
- Analyzes and performs root cause analysis of quality of care or adverse event cases.
- Develops and implements system changes to address identified quality of care opportunities.
- Trends, analyzes, and interprets organizational data related to clinical quality measures.
- Monitors and reports performance and outcome data to administrative leadership, medical staff, and department leaders.
- Collaborates with leaders, physicians, nurses, allied health professionals, and support staff to develop performance improvement initiatives that address quality of care opportunities.
- Coordinates and/or participates in meetings and other care initiatives that support the organization’s quality and patient safety goals.
- Utilizes evidence-based clinical guidelines and best practice to guide process improvement related to targeted clinical diagnoses, regulatory requirements, and patient safety.
- Serves as resource for issues concerning the organization’s quality outcome goals and performance improvement initiatives.
- Supports patient safety program in collaboration with the Quality and Patient Safety Department, Regulatory Affairs, and Risk Management and Medical Staff Services.
- Participates in hospital regulatory reviews and surveys as indicated.
- Performs other duties as assigned.
Qualifications:
- Valid RN License from Virginia or reciprocal compact state required.
- Minimum of 3 years clinical experience required.
- Effective written and verbal communication skills required.
- Bachelor’s Degree preferred.
- Knowledge of Joint Commission and Centers for Medicare and Medicaid Services regulations/requirements preferred.
- Experience with process and quality improvement methods preferred.
- Experience with designing education tools and conducting educational sessions preferred.
- Experience in basic computer and web-based program use preferred.
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.