
Website Piedmont
Job Description:
Responsible for leading and driving safety and quality performance improvement initiatives and action plans primarily related to hospital accreditation and ISO certification as identified by the internal audit process, accreditation survey results and /or determined by Quality, Safety and Service (QSS) Committee. Manages continuous survey readiness for assigned Piedmont entities accredited by DNV. Promotes a culture of continuous improvement through use of Lean methodology, coaching, tools, data analysis, reliability, sustainability and spread. Responsible for educating staff and physicians on accreditation survey process, ISO and regulatory standard related information. Manages and supports a portfolio of strategic projects using the performance improvement mode. Ensures all performance improvement activities are in compliance with regulatory and accreditation bodies.
Job Responsibilities:
- Assists with special projects.
- Secondarily may lead improvement teams in clinical and operational activities to drive performance excellence for Leap Frog, Q-HIP, PSI’s and other initiatives as directed and is accountable for results.
- Handoff improvements to operations as standard work and monitors spread across the system.
- Monitors and analyzes data, identifies trends and risk related issues and reports recommendations.
- Manages continuous survey readiness for assigned Piedmont entities accredited by DNV.
- Provides guidance for the implementation of Evidence Based Medicine in quality initiatives and/or throughout the pathway program.
- Provides staff and physician interventions as appropriate, incorporating process improvement tools.
- Primarily leads improvement teams in clinical and operational activities to drive performance excellence and ensure compliance for accreditation readiness action plans, Internal Audit findings, DNV non-conformities and ISO Certification as directed and is accountable for results.
- Coordinates staff and physician education related to regulatory standards and survey readiness.
Job Requirements:
- Training or background in computer, data management, and statistics.
- Current knowledge of accreditation, ISO and other pertinent regulatory standards.
- Current RN license preferred
- Current knowledge of ISO/DNV accreditation standards, High Reliability principles, patient safety and performance improvement principles
- Strong written and verbal communication skills, leadership, facilitation, and time management skills.
- Skill and ability in Microsoft Office applications.
- Ability to handle multiple priorities and deadlines.
- Ability to work independently with minimal supervision, as well as, in a collaborative, team environment.
- Ability to manage committees, staffing responsibilities and individual team projects.
Qualification & Experience:
- Experience with accreditation and regulatory agency requirements (CMS. DHR, OSHA etc.)
- Five years previous hospital experience in healthcare, information management or quality services. Previous leadership experience required. Experience in healthcare accreditation required.
Job Details:
Company: Piedmont
Vacancy Type: Full Time
Job Location: Atlanta, GA
Application Deadline: N/A
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