Department and Name: SNVMC – Physical Location: Sentara Northern Virginia Medical Center Employment Status: Regular – Full-Time Shift: First (Days) Posted Date: May 23, 2024
At Sentara, one of our values is to keep you safe. Sentara and many other companies across the US are being targeted by cyber criminals who are impersonating representatives of the company, claiming to have job offers. Sentara will never ask you for banking or personal identification information via email or text. We will never ask an applicant to pay money for training, supplies, or other so-called expenses. If you suspect you have received a fraudulent job offer, e-mail taadmin@sentara.com.
Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
When you join Sentara in a professional or management role, you become part of a progressive team of business leaders and operational experts. Our organization and our people are highly respected for the knowledge and innovation that we demonstrate each day. Working with us is an opportunity to have a positive influence on our growth and the communities we serve.
Overview
Sentara Northern Virginia Medical Center is hiring a Director, Quality/ Patient Safety!
Responsible for the implementation of performance improvement initiatives that integrate, support, and link Sentara Healthcare and divisional goals and strategic imperatives. Supports administrative and medical staff leadership, clinical and operational staff in identifying, prioritizing, organizing, and implementing initiatives to improve quality and efficiency, to improve patient safety, and to reduce costs. Manages and supports hospital and medical staff performance improvement and peer review, hospital infection prevention program, all regulatory [CMS] and internal reporting metrics, and patient safety program
Travel required.
Requirements:
BLD – Bachelor's Level Degree: Nursing (Required)
Current State issued Registered Nurse license.
Basic Life Support (BLS) – Certification – American Heart Association (AHA) RQI
5 years of Nursing Leadership
Previous Experience in Data Analysist
Responsibilities
Strategic oversight and support for the hospitals patient safety program. Advise top management on strategies for improving culture of safety. Apparent, root cause analysis, tool & behavior training & support; evaluation of program effectiveness, data; coordinate with system wide PS director to assure integration of corporate initiatives. Facilitates the organization-wide quality improvement activities, assure continuous readiness & compliance with health care accrediting standards, compliance with CMS Core Measures, PFP, MU quality data and Q-HIP programs. Coordinate quality and PI initiatives, including oversight of the reporting and tracking system to ensure ongoing quality and performance. Oversight of the IPC department; development & monitoring of processes to ensure compliance with regulatory requirements which enhance the quality and safety of care. Provide oversight for OPPE & peer review activities to ensure quality of care is achieved and maintained. Report to top management performance of the QMS program. Ensure corrective & preventive actions reviewed/sustained; ensure conformance to ISO standards & hospital processes; annual evaluation; coordinates hospital DNV/ISO surveys and required follow up; ensures internal audit process compliance. Bachelor’s degree and two (2) years relevant experience may be considered in lieu of master’s degree. Change Management experience required. Event Prevention Philosophies experience required. Knowledge of human error and event prevention required. Project Management experience required. Occasional travel required.
Qualifications
License/Certification
Education
Master’s Level Degree
Experience
Leadership 5 years
Healthcare 5 years
Performance Improvement Previous Experience
Organizational Development Previous Experience
Skills
Instructing
Critical Thinking
Coordination
Complex Problem Solving
Communication
Active Listening
Writing
Troubleshooting
Time Management
Technology/Computer
Systems Evaluation
Systems Analysis
Speaking
Social Perceptiveness
Service Orientation
Science
Reading Comprehension
Quality Control Analysis
Project Management
Persuasion
Monitoring
Microsoft Word
Active Learning
Microsoft Excel
Mgmt of Staff Resources
Mgmt of Material Resources
Mgmt of Financial Resources
Mathematics
Learning Strategies
Leadership
Judgment and Decision Making
Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.