Under the general direction of the Director, Quality & Safety, the Quality & Safety Program Manager will originate, facilitate, & expedite improvement efforts and/or education targeted at quality, safety, hro initiatives and process improvement activities consistent with departmental/organizational goals and objectives.  

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

• Utilizes and Supports the implementation of the OnPoint Safety Management System (SMS) project management standards, processes, policies, methodologies and tools to: 
  • Conduct divisional reactive safety work (aca, dca, cRCA) and proactive risk assessments (ie FMECA, Hazop analysis)
  • Facilitates processes and applies safety science principles to identify, review, investigate and analyze, and manage safety events and near misses/great catches.
  • Oversee SMS related project communication strategies, including verbal and written materials.
  • Develop and track SMS and related process improvement quality assurance, performance, and usage metrics and prepares printed and electronic reports for communication of the data as part of the project status reporting.
• Champions (Lead/Support/provides consultation on) identified initiatives/projects critical to patient safety and quality improvement organizational goals to embed safety principles into clinical operations, facilitated by teams/work groups, assigning performance indicators, reviewing metrics and developing action plans using departmental tools to meet safety/quality system/process redesign and pay for performance goals. 
• Guides/coaches/mentors to enable others to begin to champion organizational projects. 
  • Utilizes project management, performance improvement, change management, change leadership knowledge, skills, and attitudes to drive improvement efforts in quality and safety.
• Participate in hospital-wide committees to provide meaningful contributions on behalf of the Quality and Safety 
• Utilizes the hospital and/or department software systems and applications to input/retrieve/analyze data appropriate to the overall functioning of the organization. Regularly presents to share insights developed from data and information analysis. 
• Supports enterprise efforts that align with specific subject matter expertise  
• Performs other related duties as assigned.  

Education:

Bachelor Degree

AND

Experience:

3-5+ years’ experience in Quality, Safety, Process Improvement, or Project Management

Presented work at national conference

Green belt within 12-24 months of hire

CPHQ or Master’s in Q&S degree within 12-24 months of hire