Director Quality and Patient Safety
The posted compensation range of $59.53 - $86.32 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Founded as a faith-based hospital in 1931 by the Sisters of Charity of the Incarnate Word, Dignity Health – St. Bernardine Medical Center is a 342-bed, acute care, nonprofit hospital located in San Bernardino, California. The hospital offers a full complement of services, including the Inland Empire Heart and Vascular Institute, an award-winning orthopedics program, surgical weight loss, and is an official Neurovascular Stroke Center, as designated by ICEMA. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit https://www.dignityhealth.org/socal/locations/stbernardinemedical for more information.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
We offer the following benefits to support you and your family:
- Annual Incentive (Bonus) Program.
- Matching Retirement Program.
- Pension fully funded by the Hospital.
- Tuition Assistance for career growth and development.
- Health/Dental/Vision Insurance.
- Free Membership to our Care@Work program supporting child care, pet care, and adult dependent needs.
- Employee Assistance Program (EAP) for you and your family.
- Flexible spending accounts.
- Voluntary Protection: Group Accident, Critical Illness, and Identity Theft.
- Wellness Program.
- Paid Time Off (PTO).
- Establishes performance improvement goals annually with relevant stakeholders. Ensures the Performance Improvement and Patient Safety plans and the hospital-focused projects for the year are implemented and their effectiveness is evaluated annually. Develops and implements processes and formats which support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff. Provides leadership in developing quality improvement and patient safety training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
- Oversees the events reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and coordination of legal documents related to hospital liability). Participates in system office initiatives and programs to mitigate risks in the facility which have been identified at other hospitals, resulting in reduced costs, adverse patient outcomes and ultimately safer patient practices and care.
- Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.
- Provides leadership and is responsible for accreditation and regulatory survey readiness. Oversees mock survey tracers to assess survey readiness. Provides education to staff and providers on regulatory compliance. Organizes required staff to develop responses to survey deficiencies and submits responses to the appropriate accreditation or regulatory agency.
- Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.
- Minimum of five (5) years of progressive management responsibility in an acute care setting, two (2) of which is related to managing an organization’s Quality Improvement Program.
- Minimum of two (2) years of clinical, patient care experience or equivalent.
- Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.
- Knowledge and expertise in specific performance improvement/CQI methodologies (e.g., Six Sigma, LEAN).
- Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).
- Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required
While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid time off, tuition assistance, adoption assistance, and more!
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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