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HSCPC Program Lead Quality - PRN - Pipeline

Company: Children's National Medical Center
Location: Washington
Posted on: September 24, 2022

Job Description:

The Program Lead Quality is responsible for: Accreditation and Licensing - The Joint Commission (TJC) and D.C. Department of Health (DC - DOH) activities. Assist with Commission on Accreditation of Rehabilitation Facilities (CARF). Performance Improvement - Committee Leadership and Support activities; Board of Directors reporting; Quality and Patient Safety activities Patient Safety Coordinator Family Advocate Credentialing and Privileging - Peer Review of Medical Staff - Quality Management activities MIDAS System Management - Back-up to/Supervises PI Analyst Policy Medical - HSC Pediatric Center Point of ContactJob FunctionsEssential job duties: Accreditation and Licensing - All Submissions, Deadlines and Reporting Activities as Required by TJC and DC - DOH. Ongoing front-line oversight of all accreditation updates and regulatory changes with accompanying staff education. Coordination of on-site survey activities. Performance Improvement - a. Team and Committee Leadership - Family Centered Care Committee (FCCC); Survey Readiness Team; Patient Safety Team b. Team and Committee Meeting Attendance - Hospital Quality Council; Hospital Safety Committee; Patient Care Services Team; PCS / SAS; IS User Group; FCCC; P & T / Medication Safety Committee; UM / UR / HIM Committee; Department Managers; Medical Executive Committee c. Team and Committee Support Activities (I.e. Agenda, Minutes, Reports) - Hospital Quality Council; Hospital Safety Committee; Patient Care Services Team; IS User Group; FCCC; UM / UR / HIM Committee; Medical Executive Committee d. Board of Directors - Annual PI Plan Approval; Quarterly PI Dashboard; Annual Evaluation of the PI Plan Report e. FMEAs / RCAs / PI Teams - Facilitator; Recorder f. Assists leadership throughout hospital in identifying appropriate Performance Improvement indicators for their areas based on regulatory requirements, past performance in surveys and the identification of opportunities for improvement in their respective areas, g. Compiles and submits corrective action plans following regulatory visits in collaboration with managers and directors. Patient Safety Coordinator a. Through event reporting, identify trends related to Patient Safety issues to present at Patient Safety Committee b. Develop a rapport with staff that will allow for reporting of patient safety issues c. Collaborate with Patient Safety Team to identify strategies to assess, evaluate and address patient safety issues Family Advocate a. Check Speak Up Hotline on a routine basis b. Assist with identification of complaint vs. grievance c. Assist management with grievance process d. Insure notifications to families are prepared by management and delivered in appropriate timeframe e. Report complaints and grievances to appropriate committees f. Explore methods of getting patient/family feedback Credentialing and Privileging a. LIP Peer Review - MIDAS Quality Management Entries (Medication Prescribing Errors; Medication Reconciliation Non-Compliance; Nutrition Ordering Errors; Patient Relations Events) MIDAS System Management a. Monthly Server Re-Boot b. Back-Up System Management (to PI Analyst) c. Develop realistic expectations for PI Analyst's hours and scope of work Policy Medical a. HSC Pediatric Center point of contact b. Uploads policies to Policy Medical Other duties: a. For non- clinical areas, has attended training and demonstrates usage of population specific customer service practices. b. Maintains skills, regulatory requirements, and credentials needed to perform assigned duties. c. Demonstrates full knowledge of current position's and Department's relationship to flow of services and care plan of the patient. Demonstrates working knowledge of all other services at the company.Other job duties: May perform other duties in addition to those outlined in this job anizational AccountabilitiesOrganizational Accountabilities (Managers)Leadership Excellence Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence is achieved Innovates through improvement of care and/or efficiency of operational processes. Dedicated to a standard of performance excellence and high qualityCollaboration Leadership Skills Supervisory Responsibilities The incumbent will be responsible for the general direction of staff member(s).Blood Borne Pathogen Exposure Category III: Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.Protected Health Information Access Level Level IV - Full Access Incumbents in this job may access any protected health information associated to a customer's needs, the service(s) rendered and the position's functions.Working Environment This job operates in a hospital or office environment.Physical Requirements Light Work: Lifting 25 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 10 lbs.Travel Requirements NoneMinimum Work Experience(3 years) Three years of experience with The Joint Commission Hospital, Life Safety and Behavioral Health standards manuals and survey processes. (Preferred)1 year of experience with D.C. Department of Health regulations and inspection processes. (Preferred)Required Licenses and CertificationsRegistered Nurse in District of Columbia (Preferred)

Keywords: Children's National Medical Center, Washington DC , HSCPC Program Lead Quality - PRN - Pipeline, Other , Washington, DC

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