Under limited direction and according to established company policies and/or industry practice, provides oversight for the development, coordination, implementation and evaluation of transplant quality improvement, and process improvement (QAPI), and patient safety initiatives, including review of evidence-based literature/benchmarks. Suggests revisions/additions to the indicators for monitoring and evaluation of quality of care for all programs comprising the Transplant Center. Demonstrates leadership and expertise in quality improvement programs. Identifies opportunities for performance improvement and involves appropriate personnel. Develops, tests and implements techniques for decision support in order to provide DMC transplant clinicians information for the improvement of clinical, functional, operational service and cost outcomes. Assists clinicians in understanding measurement for improvement purposes. Reviews changes in processes and/or procedures to assess projected impact on care quality. Coordinates with organization to develop and execute plans to resolve quality issues. Coordinates staff support for medical peer reviews. Manages process to conduct regular and ad hoc audits to assess quality levels and procedures. Assesses staff compliance and trains and educates transplant team members in quality improvement techniques and tools and OPTN/UNOS and CMS standards. Establishes and maintains contact with internal DMC resources in addition to external agencies that deal with quality improvement. Develops and implements strategies to assure hospital achieves standards of the DMC as well as external agencies especially those with oversight of organ transplantation such as CMS, the Organ Procurement and Transplantation Network (OPTN), the United Network for Organ Sharing (UNOS), JCAHO and others and assists in maintaining compliance with requirements of each entity. Provides technical advice and assistance to physicians, clinical and administrative management and/or staff regarding quality improvement measures, measurement methodology and appropriateness or effectiveness of various improvement techniques. Reviews and recommends changes, additions, or deletions of QAPI policies and/or procedures Supports activities of local committees such as the Transplant Quality Council, transplant program-based Quality Assurance and Process Improvement Committees (TQPI), LPICC, for JCAHO and other required data tracking and/or quality improvement activities, and provides expertise as needed. Facilitates and assures the development of clinical pathways, orders sets and other tools for improving quality of care. Works closely with the Childrenâ��s Hospital of Michigan Clinical Improvement Department and Regulatory Readiness Committee in analyzing and responding to radicalogic and sentinel events, maintaining regulatory readiness and databases. Collaborates with physicians and other healthcare professionals across functional teams, both locally and at a system level. Conducts special studies, prepares reports and tracks measurements as needed. Provides guidance and supervision to support staff in quality improvement.
Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity of their suppliers.
1. Bachelorâ��s degree in Nursing, Health Services Administration, Operations Analysis, Business Administration or related field, or the equivalent combination of education and/or experience. Masterâ��s degree preferred.
2. Three years experience in healthcare, quality management and the application of continuous improvement methodologies, tools, standards and guidelines.
3. Experience providing clinical patient care in a hospital setting as a nurse, therapist, technician etc., strongly preferred.
Primary Location: Detroit, Michigan
Facility: DMC Children's Hospital of Michigan
Job Type: Full-time
Shift Type: Days
If Other Shift, Specify: M-F
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2105023895
About DMC Children's Hospital of Michigan
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.