Quality Patient Safety Program Manager Licensed

Overview

Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed acute care nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including a Level II trauma center, the Los Angeles Center for Women's Health, obstetrics and pediatric services, and comprehensive cardiac and surgical services. The hospital shares a legacy of humankindness with Dignity Health, one of the nation's five largest health care systems. Visit here for more information.

Responsibilities

Position Summary :

The primary function of the Quality / Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS), and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians, and teams on quality management activities and will handle patient sensitive and confidential hospital information.

Principal Duties and Accountabilities :

• Assists in the design, planning, implementation, and coordination of Quality Mgmt., Patient Safety, and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAs, and root cause analyses and medical staff improvement (e.g., OPPE, FPPE).
• Participates in an integral role to ensure compliance with CMS HIQRP / HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
• Facilitates meetings, presents data and reports, identifies key findings, and assists with action plans and implementation.
• Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.

Qualifications

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