Quality Improvement & Patient Safety RN (Ambulatory)

St. Charles Health System, Inc. Bend, OR, US

$95,139 - $130,811 / hour

Salary range: $95,139 - $130,811 annually, based on qualifications.

This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous Earned Time Off program).

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Quality Improvement and Patient Safety RN

REPORTS TO POSITION: Manager of Risk Management & Patient Safety

DEPARTMENT: Quality Management

DATE LAST REVIEWED: May 3, 2023

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring, Teamwork and Safety

DEPARTMENTAL SUMMARY: The Quality Management (QM) department provides essential services to St. Charles Health System (SCHS) including: quality improvement expertise and support; data analysis; regulatory affairs, accreditation and licensing expertise and support; environment of care safety programming, expertise, and support; emergency preparedness; policy and document library management and support; data abstraction; integrity of clinical documentation; the patient experience and grievance program; and risk management and patient safety program.

POSITION OVERVIEW: The Quality Improvement and Patient Safety RN (QIPS-RN) is responsible for facilitating quality improvement initiatives within their assigned service lines and committees in alignment with the organization’s True North objectives. The QIPS-RN also supports the Patient Safety program across assigned facilities and service areas within St. Charles Health System and serves as a Subject Matter Expert for Root Cause Analysis, Safety Culture, National Patient Safety Goals and other evidence-based programs as needed. The QIPS-RN works collaboratively with a diverse array of stakeholders to assist with data analysis, goal selection, process improvement, and the development of sustainment plans and develops, coordinates, and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks. The QIPS-RN works in close partnership with the Quality and Safety teams to meet regulatory and accreditation requirements, as well as the Lean Improvement Office to ensure that all work is approached with a Lean mindset. A successful Caregiver in this role will have the capacity to maintain focus in a fast-paced environment, while staying flexible enough to adapt to quickly changing environments and priorities.

This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Utilizes quality and safety improvement principles, such as PDSA and A3 thinking, to design, develop, implement and sustain True North initiatives for their respective service lines and committees.

Works collaboratively with a diverse array of Caregivers, leadership, and support services to assist with data collection, analysis, goal selection and the development of various auditing tools, such as: standard work, Epic bundles and performance scorecards.

Participates in development and maintenance of numerous quality and safety dashboards and scorecards for their respective service lines and committees.

Supports System Safety Quality Council (SSQC), Clinical Leadership Council, and other committee meetings.

Supports continuous survey readiness in coordination with Accreditation Manager including regular rounding, mock (and actual) survey participation, CAREboard support, and auditing.

Completes quality and patient safety reports as needed, including analysis of data, identification of trends, and recommendations for improvement.

Works with the Patient Safety and Risk Management Team to review Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events, RCA and apparent cause analysis; Stops the line to mitigate potential patient safety conditions and maximize learning.

Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety and loss prevention activities.

Identifies potential and actual sentinel events with prompt notification and debrief to key stakeholders including senior leadership, and site administration for conducting investigation of event and root cause analysis.

Leads investigation for a Sentinel or serious harm event investigation and analysis. Leads RCA process and failure effect mode analysis (FMEA) to identify opportunities for system and process improvements. Supports the preparation of documents for reporting serious harm events to State and accreditation agencies.

Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures.

Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications, i.e., consent issues. Works in collaboration with the compliance department for potential EMTALA and HIPAA violations.

Reviews and supports the completeness of patient complaint and grievance response letters.

Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families.

Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation.

Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on bets practices and evidenced based medicine.

Supports the vision, mission and values of the organization in all respects.

Partners with the Lean Improvement Office on a variety of process improvement initiatives as indicated by project type and scope.

Supports Lean Improvement Office by functioning as a “champion of change” and consistently leading with humble inquiry to unearth quality gaps, lead improvement initiatives, create sustainment plans and monitor for variation.

Provides and maintains a safe environment for caregivers, patients and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of every patient and caregiver.

Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.

Provides and maintains a safe environment for caregivers, patients and guests.

EDUCATION

Required: Bachelor Science in Nursing, Registered Nurse.

Preferred: Master’s degree in nursing, public health, healthcare management, data analytics, statistics

LICENSURE/CERTIFICATION/REGISTRATION

Required: Current RN License. Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.

Certified Professional of Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) within 1 year of hire.

Preferred: Lean, Lean Sig Sigma Green/Black Belt, MINT, CQIA, CQE, or other industry-recognized quality certification

EXPERIENCE

Required: Two years’ experience in healthcare field, data analytics, public health or other closely related field.

Preferred: Two years’ experience facilitating quality improvement and safety initiatives using Lean or other process improvement framework. Experience with Joint Commission standards and other standards such as CMS and OSHA. Experience facilitating groups through complex and sensitive issues and teaching process improvement principles. Experience working with medical staff on performance improvement. eExperience using Excel, manipulating data sets, creating pivot tables and other visual forms of data analysis.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.

Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.

Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours:

Caregiver Type:

Regular

Shift:

Is Exempt Position?

Yes

Job Family:

NON CONTRACT RN SPECIALIST

Scheduled Days of the Week:

Monday-Friday

Shift Start & End Time:

8-5

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Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Excellent medical, dental and vision coverage effective on your very first day 2:1 Match on retirement savings Responsibilities* Personnel Management Provides supervision, counsel, performance management, and completes performance evaluation for nursing with feedback from the senior nursing director, medical faculty, peer groups, and other ACU leaders. Creates job postings, recruits, interviews and selects nurses. Works collaboratively with triad leadership team in the hiring process. Manages the process for staffing/scheduling and vacation time of nursing staff. Manages the orientation and competency evaluation of new hires. Connects individually with each employee, increasing employee engagement scores and satisfaction. Clinical Practice Serves as a role model, mentor and expert resource to nursing and assistive staff in the provision of direct patient care. Provides leadership for the development, implementation and evaluation of standards of nursing practice and interdisciplinary clinical guidelines. Facilitates and supports a nursing practice environment in which empowerment, responsibility, autonomy, accountability, collaboration and peer review are exercised. Develops standard processes and protocols to minimize variation, support efficient workflows, and confirm the right work is performed by the right role. Support of Clinical Operations Participates in planning and problem-solving of daily unit operations and priorities of patient services. Participates in the development, implementation and evaluation of unit goals and objectives. Manages, directly and in collaboration with others, staffing, scheduling, benchmarking, work redesign and variances. Organizes and facilitates unit based educational activities and in-services. Assures compliance with regulatory programs' standards related to the nursing. Provides leadership, assists and advises Administrators, Medical Directors, in satisfying other regulatory standards. Interprets and implements University and Health System policies and procedures. Assists in the planning and implementation of new or expanded services and programs. Provides interface and liaison communications regarding programs external to the unit which have implications for nursing staff. Represents nursing, Ambulatory Care Services and/or the clinical department(s) or unit(s) on assigned committees Quality Management and Research Participates in and conducts the analysis of data, assists in the development of strategies to improve care management within the area or unit. Participates in and supports the involvement of nursing staff in patient (HEDIS, paid for performance) and ACU quality improvement metrics/activities. Provides leadership to staff in understanding and applying quality improvement principles and adoption of evidence-based changes in practice into daily work. Promotes the integration of research findings into clinical practice. Supports research activities on the unit, as indicated. Works closely with each team to define and measure productivity, holding teams accountable to expectations, and ensuring work performed is within their scope of practice. Professional Development and Education Facilitates the education of health sciences students. Develops self professionally through continuing education, professional reading, participation in professional organizations and networking. Evaluates own performance periodically with the Senior Nursing Director. Required Qualifications* Required Educational Requirements Applicants must meet one of the following: Bachelor of Science in Nursing OR Associate's degree or diploma in Nursing and a master's degree in nursing. Current licensure as a Registered Nurse in the state of Michigan. Minimum of five (5) years RN experience Minimum of two (2) years of recent (within the last 5 years) clinical experience in an ambulatory clinic setting. Nurse Leadership certification or completion of a nursing leadership certification within two (2) years of accepting this position. Certification is expected to be maintained while in this leadership role. Examples include Certified Nurse Manager and Leader (CNML) or, Nurse Executive (NE-BC). The nursing leadership certification must be recognized by the Magnet Recognition Program and the American Nurses Credentialing Center (ANCC), for the list, visit here. NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* Minimum 5-7 Years Of Progressive Clinical Experience, Including High-risk obstetrics / Maternal-Fetal Medicine Antepartum/Postpartum care Fetal diagnostics (ultrasound coordination, invasive procedures support) Experience working with: Perinatologists / MFM physicians Genetic counselors Neonatology/NICU teams Complex maternal comorbidities Minimum of two (2) years of recent (within the last 5 years) clinical experience in an ambulatory pediatric clinic setting. Demonstrated ability to lead and support clinical innovation within a Maternal-Fetal Medicine and women?s health setting, including the identification, development, implementation, and evaluation of evidence-based clinical practices that enhance patient outcomes, safety, access, and care coordination. Must have experience translating emerging research, professional guidelines, and new technologies into standardized clinical workflows, protocols, and care models. Proven track record of collaborating with physicians, advanced practice providers, sonographers, and interdisciplinary teams to pilot and scale innovative approaches in high-risk obstetrics, fetal diagnostics, and prenatal care delivery, while ensuring compliance with regulatory, accreditation, and quality standards. Demonstrated leadership skills including creative and effective problem-solving, ability to effectively collaborate within a multidisciplinary team, and ability to direct nursing practice and apply critical thinking skills/judgment to a variety of situations. Previous supervisory/management experience 2 years or greater experience in a nursing leadership role. Experience in managing budgets, aligning resources Experience with telephone triage Master's in nursing preferred Certification in specialty or ambulatory care. Evidence of demonstrated or potential leadership ability, including charge nurse, team leader or other leadership experience. Active participant in professional organizations Experience with Epic or MiChart Previous experience in the application of evidence-based medicine in a clinical patient care environment is desired. Work Schedule Hours per week: 40 hours/week Hours/Shift: Hours and days will be based on unit/clinic need. Location: Michigan Medicine-Ambulatory Care: CW Clinics Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Application Deadline Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended. Selection Process Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.

REGISTERED NURSE: Ambulatory Care Services (Pediatric Infusion)

Michigan Medicine Ann Arbor, MI

$41.78 - $64.81 / hour

Mission Statement The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Responsibilities* The candidate will demonstrate the ability to organize and manage multiple interventions simultaneously. The candidate will have excellent computer skills with proficiency in all Microsoft software applications. The candidate will be expected to complete 12 Hematology/Oncology CEUs annually or maintain professional certification in oncology (CPHON, OCN, BMTCN, Infusion Nurse Certification, etc.) They will participate in developing department goals and objectives by attending staff meetings and in-service programs, attending appropriate continuing education opportunities and staff development programs, and participating in quality improvement initiatives to support the implementation of change. Demonstrated critical thinking skills using the nursing process, excellent problem-solving skills, and demonstrated ability to set priorities. Demonstrated customer service, interpersonal communication skills, and the ability to build respectful relationships between units and individuals. Other responsibilities as assigned. Expectations Demonstrated accountability and dependability including a good attendance record with punctuality. Demonstrated adaptability to changing needs and priorities based on unit, department, and institutional goals/objectives. Proficiency with typing and electronic health record documentation. Ability to manage complex clinical issues utilizing assessment skills, protocols, and evidence-based interventions. Actively participate and support performance improvement activities related to self, clinic, department, and institutional goals and objectives. Nursing Specific Info Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for Registered Nurses $41.78-$64.81/ hour Evening Shift Differential-$3.00 / hour Night Shift Differential- $4.00 / hour Day Shift Weekend Differential- $2.90 / hour Evening Shift Weekend Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The Benefit Package Includes Excellent medical, dental and vision coverage 2:1 Match on retirement savings and immediate vesting Generous Paid Time Off Allowance Robust Tuition and Certification support program Large offering of no cost CEs and professional development for advancement Nursing Specific Info Salary & Nursing Framework Level This UMPNC RN posting is posted as Nursing Framework LEVEL C. Actual Nursing Framework LEVEL and salary will be determined at time of hire. Nursing Framework levels range from Level A to Level F. Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183. Required Qualifications* A current license in the State of Michigan as a Registered Nurse. At least one (1) year in the last five (5) years of intensive care unit experience, emergency room experience, or as a Registered Nurse in an infusion setting. At least one (1) year of pediatric experience in the last 5 years. One (1) year in the last five (5) years demonstrated proficiency with documentation in an electronic health record, e.g., Epic as indicated by interviews, references, and or performance evaluation. Demonstrate excellent written and verbal communication skills as evidence by resume, annual evaluations, and references. NOTE: To be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* BSN Recent Hematology/ Oncology RN experience within the last five (5) years Demonstrate (1) year in the last five (5) experience administering chemotherapy and biotherapy, immunotherapy, cell and gene therapy, blood products. PALS Professional nursing certification (CPHON, BMTCN, or Infusion Certification preferred) Demonstrated one (1) year experience in an ambulatory care setting. Demonstrated one (1) year experience with ambulatory care infusion. Demonstrated ability to start peripheral IV access. Work Schedule 40 hours/week. Day shift, Monday through Friday, 8- or 9-hour shifts, hours of operation 7:30-6:30 Flexibility is required. Weekend and Holidays may be required. Location C.S. Mott Childrens Hospital 7th floor -Pediatric Infusion Center All new employees will be expected to float to a designated unit(s) in times of low census. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment. Background Screening University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.