Dir-Quality & Patient Safety

at  Ascension

REQUIREMENTS

Education:

• High School diploma equivalency with 5 years of applicable cumulative job specific experiencerequired, with 2 of those years being in leadership/management OR Associate’s degree/Bachelor’sdegree with 3 years of applicable cumulative job specific experience required, with 2 of those yearsbeing in leadership/management.

Direct quality and patient safety activities and resources.

• Develop and implement systems, policies and procedures for the identification, collection and analysis of quality, risk and/or patient safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims, and/or other patient safety-related data.
• Educate and train the leadership, staff and physicians as to the quality and patient safety program and their respective responsibilities in carrying out the program. Advise departments on designing quality improvement and patient safety initiatives, policies and protocols within their own departments.
• Investigate and analyze root causes, patterns and trends that could result in compensatory or sentinel events, serious adverse events and near misses. Assist with identification and implementation of corrective action where appropriate.
• Report all adverse events to appropriate regulatory and accrediting agencies as required. Work with legal counsel to coordinate the investigation, processing, and defense of claims against the organization.
• Enhance the organization’s and the larger healthcare community’s knowledge of quality improvement and safety best practices through literature review, interaction with internal & external resources, and knowledge of evolving relevant regulatory requirements.