Thank you for considering a career at Mercy Health!
Scheduled Weekly Hours:
40
Work Shift:
Days (United States of America)
The Facility Quality and Safety Manager is responsible for leading the comprehensive quality, safety, and performance improvement program. This includes but is not limited to oversight of safety initiatives, accreditation, infection prevention, regulatory readiness, peer review, and continuous quality improvement across the facility and associated departments. The director ensures integration of high-reliability principles and safety science to eliminate preventable harm and drive sustainable improvement.
Essential Job Functions
Assists senior leadership in development of the strategic framework and operational plan for setting market, multi-facility, facility-wide quality and performance improvement plan and functions. Develops, implements, facilitates, and supports the development and maintenance of a robust quality, safety, and continuous improvement infrastructure to meet system quality and safety objectives and regulatory standards aligned with system objectives.
Provides strategic leadership to collaborate and act as a resource to the facility and medical staff in the analysis and submission of data for evaluation to ensure compliance with accreditation and regulatory agencies, CMS Conditions of Participation and payor requirements - with a focus on patient safety and harm reduction.
Provides strategic leadership and collaborates with the clinicians, administration, medical staff and department/services to assist in coordination, standardization, development of outcomes measures and continuity of quality improvement initiatives.
Facilitates and directs the collection, aggregation, and analysis of quality and safety indicator data to provide a basis for internal and external benchmarking and performance improvement planning.
Direct quality infrastructure to achieve organizational objectives and outcomes.
Operationalize processes to support compliance with regulations and standards and provide oversight and accountability for guiding the facility through the regulatory survey processes.
Supports a learning culture in driving high quality care.
Provides strategic leadership in collaboration with medical staff and organizational leadership for oversight of the peer review and Ongoing Professional Practice Evaluation.
Implements principles of high reliability and safety science to improve patient and associate safety throughout the facility and facilitates improvement opportunities to mitigate harm.
Partners with key stakeholders to conduct thorough analysis of serious safety events, sentinel, events, and quality-related complaints, ensuring timely follow-up and action plans by relevant parties to prevent recurrence.
Champions with facility leadership, a just culture and psychological safety, supporting transparency, learning from harm, and system-based improvements to protect patients and associates.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Employment Qualifications
Bachelors Degree (required)
Masters Degree (preferred)
Licensing/ Certification
Registered Nurse (required), will consider other clinical license
(CPHQ) Certified Professional in Healthcare Quality or obtain within one year of hire (required)
(CPPS) Certified Professional in Patient Safety (preferred)
Experience:
Minimum of 5 years of Clinical Experience
Skills
Experience in quality and performance improvement work, regulatory and accreditation processes, and leading and developing teams.
Mercy Health is an equal opportunity employer.
As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Benefits may vary based on the market and employment status.
Department:
SS Quality - Clinical Outcomes
It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.
Mercy Health is part of Bon Secours Mercy Health (BSMHealth.org,) one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. Mercy Health is the largest health system in Ohio and among the top five employers in the state, with more than 33,500 employees serving communities throughout Ohio and in Kentucky. Mercy Health provided care for patients more than 6.8 million times in 2017. The system includes assets of $6.8 billion and nearly 500 care facilities including 23 hospitals and 26 post-acute care facilities including senior living communities, hospice programs and home health agencies. Its clinically integrated network of more than 2,700 health care providers coordinates more effective and efficient care for more than 350,000 patients, saving money for taxpayers through the Medicare Shared Savings Program. As part of Bon Secours Mercy Health, the ministry provides nearly $2 million per day in community benefit.