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MANAGER - QUALITY PROGRAM

Company: Presbyterian Healthcare Services
Location: Socorro
Posted on: November 22, 2021

Job Description:

Overview:Job DescriptionFull Time FTE: 1.0Exempt: YesWork Schedule: Varied Days and HoursSummary:Responsible for Socorro General Hospital's Quality Program including Clinical Quality, Patient Safety and Regulatory/Accreditation compliance. Performs analysis, planning, implementation, and evaluation of program-level focused initiatives that promote SGH quality strategies and priorities. Leads and participates in cross functional teams; facilitates process redesign, performs project audits and completes them, and presents results to various leaders and stakeholder groups.Responsibilities:

  • Plans, develops, coordinates, implements and evaluates quality management processes.
  • Lead the development of facility measures (Performance Measurement scorecards and dashboards).
  • Uses appropriate data display and statistical tools to interpret data for decision making.
  • Interfaces with various SGH departments and PHS entities to gather, measure, analyze, and interpret data from multiple sources in support of clinical programs in patient safety and clinical quality.
  • Prepares and presents data interpretation and recommendations to clinical programs and to appropriate committees and groups at a level understood by the intended audience.
  • Leads or directs in identifying, designing and documenting appropriate analytical solutions by defining, creating, evaluating and selecting or recommending appropriate alternatives.
  • Develops quality improvement solutions in a variety of settings with highly variable/diverse groups of individuals.
  • Advises and educates in the design and development of sampling mechanisms used for various initiatives.
  • Provides support with database and spreadsheet development along with the needed infrastructure maintenance.
  • Serves as a resource/educator to other employees regarding data collection, action plan development, database and spreadsheet use and maintenance.QUALITY MANAGER SGH continued
    • Serves as resource/educator to other employees regarding application of computer technology to the work of continuous quality improvement and patient safety.
    • Demonstrates excellent verbal and written communication skills, including the ability to speak and write clearly, concisely, and target communication to both technical and non-technical audiences. Ability to effectively express technical concepts both verbally and in writing.
    • Coordinates project data analysis in support of initiatives that are prioritized by the SGH Quality/Patient Safety/Regulatory Committee and identified in the Quality Plan.
    • Uses established quality and process improvement methods, techniques and tools to document and maintain all deliverables created in accordance with department policies.
    • Facilitates and leads the development and deployment of action plans or projects utilizing appropriate quality, process improvement, and project management tools
    • Ability to work in a team environment, take and give direction and follow through, compromise, negotiate and achieve consensus decisions, support consensus decisions, be flexible and adaptable to changes in assignments and the work environment, work independently, manage time efficiently and multi-task effectively.
    • Facilitates access to data for clinical program administrators, medical directors, and others needing information.
    • Assumes oversight and facilitates the OPPE/FPPE and Medical Staff peer review process.
    • Responsible for the oversight of patient safety issues, conducts sentinel/serious clinical event investigation (Patient Safety Investigations) and root cause analysis of events and reports clinical event investigations to the appropriate committees
    • Working with the Director of Regional Quality and Director of PDS EOC and Accreditation and Regulatory Readiness ensures a campus wide effective preparation and response program that meets Regulatory and Accreditation standards, including the provision of appropriate training.
    • Supports development of automated routine reports for population of data for internal and external reports and performance scorecards.
    • Attends Quality, Patient Safety and Regulatory meetings to include: the Clinical Outcome Committee (COT), Regional Quality Meetings, Patient Safety Investigation (PSI) team meetings, SCERT Committee meeting as appropriate, PDS-CRP committee, SGH Board Quality meeting and the SGH Board.
    • Represents SGH on the Presbyterian Clinical Excellence Network and process management committees.
    • Management of Employee Health and Infection Control staff and others as assigned.Qualifications:One to three years experience in areas relating to the Quality Process.Requires entry level knowledge of health care quality management, a working knowledge of clinical practice and entry level knowledge of data and statistical analysis and presentation. Knowledge of state, federal regulations, Joint Commission accreditation standards preferred.Education: Bachelors Degree required.Benefits:Benefits are effective day-one (for .45 FTE and above) and include:
      • Competitive salaries
      • Full medical, dental and vision insurance
      • Flexible spending accounts (FSAs)
      • Free wellness programs
      • Paid time off (PTO)
      • Retirement plans, including matching employer contributions
      • Continuing education and career development opportunities
      • Life insurance and short/long term disability programsAbout UsPresbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.About New MexicoNew Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.#CC123

Keywords: Presbyterian Healthcare Services, Albuquerque , MANAGER - QUALITY PROGRAM, Executive , Socorro, New Mexico

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