RN Quality Patient Safety Program Manager

About Sequoia Hospital – Hello Humankindness

Dignity Health Sequoia Hospital is an accredited, not-for-profit community hospital providing innovative and exceptional health care for generations of Bay Area residents. Sequoia’s Heart and Vascular Institute is a nationally known pioneer in advanced cardiac care, affiliated with the Cleveland Clinic Heart and Vascular Institute. Sequoia has received national recognition from Healthgrades for superior patient safety and was named as one of America’s top 100 hospitals for cardiac care. Our Total Joint Replacement program is a designated Blue Distinction Center for Knee and Hip Replacement. Our Birth Center is consistently ranked as a favorite among Peninsula families. We are also known for our comprehensive emergency care and leading-edge tomosynthesis 3-D mammogram technology. Our Pavilion combines the most advanced medical and surgical services with a unique healing environment, including private, spacious rooms and inviting garden areas.

Learn more about us, our awards, and some of our services:

• Heart Surgery
• Maternity
• Orthopedics

dignityhealth.org/sequoia

• RN license required. Peer Review Committee Experience preferred. Knowledgeable about Sepsis Heart Failure Data Analysis and Performance Improvement. Excellent Communication skills. Process oriented.
• Assists in the design planning implementation and coordination of QM PS and PI activities for assigned hospital and medical staff departments committees divisions service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives including but not limited to activities focused on clinical quality improvement patient safety and risk reduction patient experience efficiency FMEAS and root cause analyses and medical staff improvement (e.g. peer review OPPE FPPE). Clinical performance improvement including case review for peer review.
• Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP TJC Leapfrog etc. data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement perform data collection and abstraction per specifications and validate data prior to submission or preview reports prior to publication.
• Facilitates meetings presents data and reports identifies key findings and assists with action plans and implementation.
• Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.

Education and Experience:

• Bachelors degree or five (5) years of related job or industry experience in lieu of degree.
• One (1) year healthcare-related quality management/performance improvement experience (e.g. chart audits PI team member etc.) and three (3) years clinical experience in an acute care setting.

Licensure:

• California licensure as a Registered Nurse. (RN)
• Current state license in a clinical field in state of practice. 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.