Key leader in the development, monitoring and ongoing refinement of ambulatory safety and Joint Commission accreditation standards across all Medical Group of Christiana Care (MGCC) office practices and extension with community partners. Design and direct both clinical and operations safety and accreditation data reporting for optimal use by administration and governance. Assume the administrative lead role to facilitate and successfully implement an action plan to achieve success in safety and regulatory improvement initiatives.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Continually evaluate clinical and operational safety and regulatory information to recommend improvement.
Lead or facilitate performance improvement initiatives as appropriate.
Create systems and processes to continually evaluate safety information. Monitor established safety results and compile and present reports to administrative leadership, participating physicians and governance bodies with executive summaries and recommendations for actions as needed.
Along with medical and/or administrative leadership of the Medical Group, serve as the content expert and facilitator for safety and accreditation related discussions. All such discussions will involve a) providers from the given specialty area; and/or b) applicable leadership from CCHS departmental and/or service line structure.
Facilitate the development of specialty-specific safety metrics. Create processes and reporting to integrate safety and regulatory metrics so as to inform future alignment of program goals and metrics.
Work with the system safety department to ensure meaningfulness and appropriateness of measures.
Develop a system for monitoring and improving patient and caregiver safety. Identify trends including opportunities for improvement and celebration.
Monitor and evaluate the effectiveness of MGCC clinical performance improvement processes to improve the quality and safety of member care and outcomes.
Develop and maintain documentation of root-cause analysis and risk-reduction strategies and reports as required.
Coordinate dissemination of information and assesses organizational compliance related to regulatory bodies or events such as National Committee for Quality Assurance, National Patient Safety Goals, Sentinel Event Alerts and recommendations as directed by MGCC leadership.
Maintain a collaborative professional working relationship with internal and external clinical and administrative staff necessary to develop, implement and evaluate successful process improvement programs.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Performs other related duties as required.
SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:
Daily contact with the MGCC clinical and administrative leadership.
Routine contact with the Senior Leadership, Care Management, System Safety and Accreditation,
DIRECTION/SUPERVISION OF OTHERS:
Program Manager, Ambulatory Patient Safety
Chief Nursing Officer, Community
EDUCATION AND EXPERIENCE REQUIREMENTS:
Must have BSN and be Licensed by State of DE as an RN, Master's preferred
Three to five years of clinical nursing experience in ambulatory practice, medical-surgical, emergency department or critical care experience
Proven leadership skills and behaviors
Organizational skills and project management experience required.
Internal Number: JR52114
About Christiana Care Health System
Christiana Care Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are... positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.