Senior Director, Quality and SafetyLouisville, Kentucky
We are recruiting for a Senior Director, Quality and Safety to join our Compliance Team in Louisville, Kentucky.
The Sr. Director of Quality and Safety is a clinical professional who continually assesses and minimizes various risks to staff, patients and the public within the Kindred care settings. This position plays a vital role in reducing potential safety, finance and patient problems in cooperation with the clinical and operations partner within each of Kindred’s lines of business. In addition this role also conducts investigations, root-cause analysis and follow-up on patient, family, and employee concerns.
Essential Functions: (Those functions that the individual who holds the position must be able to perform unaided or with the assistance of reasonable accommodation).
Aggregates and communicates the quality, risk and safety trends to the Senior Clinical Leadership team on a monthly basis
Tracks and trends the safety data, and develops appropriate action plans and risk-modification strategies
Responsible for the investigation, management, and reporting of clinical events consistent with the Kindred’s Policies
Respond to significant occurrences; review facts; review medical record/documentation; preserve any evidence; interview staff, patients and family as indicated
Oversees the work of the Quality and Safety directors to equally distribute the workload, monitor the quality of the output and ensure seamless teamwork within the department and within each division.
Coordinates and develops along with the clinical leadership team the education and training based on the quality and safety trends in the division
Assists in the development and implementation of patient safety and performance improvement programs.
Helps to oversee the investigation findings quality and safety team.
Serves as a safety/performance improvement resource by collaborating with personnel and departments involved in patient safety and performance improvement activities.
Review incidents and determine whether constitutes Serious Preventable Event under the Patient Safety Act and or Safe Medical Device Act.
Develops strategy for execution of reduction of professional liability losses.
Assist with the completion of the annual risk assessment, mitigation and strategic plans for performance improvement in quality, improving patient satisfaction and promoting a zero harm culture.
Demonstrates and applies knowledge of performance improvement processes and regulatory standards to provide project support and data collection assistance for the improvement of organizational or departmental systems and processes.
Monitors the quality of the documentation on investigations and in Kindred’s risk management software to improve the accuracy of data collected, the conclusions drawn and root-cause analysis.
Supervises the reporting of potential claims to liability claims and the division’s Chief Counsel.
Maintains logs of educational and intervention activity and reports monthly through confidential data base.
Knowledge is required of hospital policies and procedures, as well as governmental regulations. Strong clinical and/or operations background.
- Strong clinical and/or operations background.
- Knowledge of state regulations.
Effective facilitation and communication skills to deal with personnel and families on sensitive issues.
- Excellent investigative skills.
Experience with Lean Six Sigma and/or other process improvement techniques
Ability to make oral presentations, public speaking to groups, training.
- Excellent verbal and written communication skills.
Approximate percent of time required to travel: 10%
Performs other related duties as assigned.
- Bachelor’s Degree in healthcare. Juris Doctor preferred.
- RN, BSN, MSN
Certification recommended in patient safety such as CPHQ, CPPS, CPHRN, CCEP, or ASHRM or similar certification
8+ years relevant experience in nursing or safety and risk management. Preferably over multiple sites of service.
- Experience Managing a team or large project preferred.
Depending on candidate’s qualifications, this position may be filled at a different level.
If you are a current Kindred/RehabCare employee Click Here.
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