Director, Quality & Patient Safety

POSITION SUMMARY :

Using a data-driven approach and robust science of improvement methodology, the Director Quality and Patient Safety-QPS/Medicine has a key role in achieving outcomes as defined by Medicine and BMC quality/safety goals.

The Director provides comprehensive direction, oversight, and leadership to improve outcomes, diminish costs, and provide value through standardization of best practices in patient–centered care across service lines based on BMC strategic plans. They have a primary role in reviewing and mitigating reported safety events for Medicine. The position requires extensive integration and collaboration with Quality Patient Safety (QPS) Department, physician Department Chairs and Section Chiefs, the Department of Nursing, Administration, and interdisciplinary teams to identify problems and develop reliable systems. The Director coaches, mentors, and provides educational programs for staff and residents regarding quality improvement processes, program development to improve patient outcomes, clinical efficiency and value, patient-centered care, and patient satisfaction. They collaborate on composing quality improvement grants for the medical services.

Positioned in the QPS department, the Director will work with the co-chairs for the Clinical Review Committee (multidisciplinary peer review) to facilitate all aspects of this critical process. They will serve on various quality/patient safety hospital committees as lead and/or active member.

Position: Director, Quality & Patient Safety

Department: Quality Improvement

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Development of Quality and Patient Safety capability in the Department of Medicine (DoM) and across BMC Collaborate in the creation, development and implementation of quality improvement initiatives that support the achievement of Hospital and DoM strategic quality goals. Build strong collaborative multidisciplinary relationships at all levels of the organization to achieve BMC Health System mission and achieve quality performance. Participates in DoM and QPS Department meetings including Inpatient Directors meeting, Ambulatory GIM meeting, QPS Medical Chiefs meeting, M and Ms, DOM Grand Rounds, QPC and Patient Safety Steering Committee and other meetings as requested.

Improvement of Quality, Service, and Value; Decrease risk Analyze, trend and identify opportunities for improvement in the DoM by evaluating current performance against internal data, Vizient and/or national benchmarks. Use the safety event reporting database to identify systems opportunities for decreasing preventable harm and providing feedback to flier of actions taken. Drive meaningful and sustainable change on prioritized initiatives. Facilitate Collaborative Case Reviews using an established high reliability framework and assume accountability for completion of designated improvement interventions within defined timeline. Supports individual service lines and sections within the Department of Medicine in identifying quality goals and using quality improvement methodologies in achieving desired outcomes. Ensure accuracy of data collection and timely reporting for all projects in which involved. Create presentations related to data interpretation, analysis, project design, program development and evaluation.

Regulatory, Accreditation and Licensure activity
Identify emerging quality measures emanating from regulatory agencies that are likely to impact Department of Medicine developing teams to identify strategies that will be required to measure and meet such quality measures.

Education Mentor individual faculty and residents in the DoM in integration of quality improvement work in their practice working collaboratively QI Hub and Leadership Improvement initiatives. Provide leadership oversight and mentoring for DoM Quality Improvement Curriculum for PGY2 Residents Engender a culture of safety and patient centered care throughout BMC and DoM.

E. Information systems

Facilitate enhancements to the electronic health record using clinical decision making and other strategies to promote

patient safety and optimize quality.

F. Health Services Research

Provide support and encouragement for health services research especially on issues of strategic importance to BMC and DoM. Facilitate creation of new knowledge for use by policy makers and clinicians by participating, where possible, in professionally credible research and by presenting results in appropriate local, regional and national forums.

JOB REQUIREMENTS

EDUCATION:

• Required: Baccalaureate in Nursing, Master’s degrees in health related field required.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED :

• Licensed as a registered nurse in the Commonwealth of Massachusetts; Advance Practice Professional preferred.

EXPERIENCE:

• At least 8 years of active clinical practice experience;
• Escalating leadership experience for at least 5 years;
• Project management and program development experience essential; and
• 2 or more years of experience in clinical quality improvement; formal quality improvement training/certification preferred.

KNOWLEDGE AND SKILLS:

• Strong computer skills including Microsoft Office platform – Word, Access, PowerPoint, Excel, Email.
• Management and leadership skills
• Exceptional organization and communication skills
• Administrative skills
• Excellent presentation skills
• Ability to collaborate with internal and external staff and resources
• Ability to learn and effectively use computer software, such as EMR, Visio and data entry tools.
• Demonstrated skill and effectiveness in clinical quality improvement strongly preferred.
• Strong interpersonal skills; ability to establish supportive, collegial relationships
• Excellent English communication skills (oral and written).
• Strong writing skills.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE : This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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