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SVP/Chief Safety and Quality Officer

Company: St. Charles Health System Inc.
Location: Bend
Posted on: September 12, 2020

Job Description:

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: SVP/Chief Safety and Quality Officer

REPORTS TO POSITION: Chief Physician Executive

DEPARTMENT: Administration

DATE LAST REVIEWED: January 28, 2020

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: Safety and Quality at St. Charles provides services which promote the physical and psychological safety of patients, visitors, and caregivers in our multi-hospital health system. Services include risk assessment, plan development and implementation, safety and policy / procedure management, and proactive process improvement to prevent harm and improve outcomes.

POSITION OVERVIEW:

The Chief Safety and Quality Officer (CSQO) provides executive leadership to ensure that patients receive safe, reliable and evidence-based care. The position also supports efforts to assure a safe environment for caregivers to deliver the safest and highest quality care. This position is responsible for the strategic deployment of patient safety and quality principles with a focus on improving patient outcomes, reducing risks, eliminating errors, implementing best practices and national initiatives, monitoring compliance, and leading organizational change.  The CSQO will work in a dyad relationship with the system Chief Operating Officer to align health system clinical performance improvement goals and create processes and relationships that enable collaboration and defines accountability for consistent standards wherever patient care is delivered. This high level position acts as a leader in change management, is a strong, positive advocate for cultural change and directs the activity of others. This position will work closely with hospital and system Chief Medical Officers, Chief Nursing Officers, Medical Directors, Medical Staff leaders, and St. Charles Medical Group leaders. The CSQO will also partner with nursing and other clinical leaders, as well as administrative support staff that engage in safety and quality oversight and improvement efforts throughout the system.

This position will be filled by a clinical leader with extensive patient care experience, either as a physician or a nurse. The clinician who fills this role will be a member of the Executive Care Team, the senior executive team of the St. Charles Health System.

ESSENTIAL FUNCTIONS AND DUTIES:

Leads initiatives to create an exceptional culture of safety where all caregivers and providers are empowered to identify quality and safety improvement opportunities as well as the ability to “stop the line” when clinically appropriate. .

Embraces Lean thinking and fosters relationships with medical staff to inspire, motivate and lead a culture of Lean within the organization.

Supports system leadership in the execution of strategies impacting the safety of care delivery programs.

Partners with Chief Nurse Executive, Hospital and Medical Group Presidents, site leadership and safety and quality teams to ensure that organizational wide safety and quality initiatives are rolled out effectively and risk reduction strategies implemented wherever appropriate while engaging stakeholders in the process.

Manages safety improvements through standardization, risk mitigation plans, and implementation of best practices impacting care delivery and provider practices.

Oversees Root Cause Analysis activities evaluating sentinel and other adverse events. Supports the review, investigation and analysis of major adverse events and ensures appropriate trainings and corrective actions are taken to prevent recurrences.

Creates and maintains a strong partnership with hospital and clinic operational leaders to ensure system-wide goals and objectives are successfully achieved.

Conducts regular reviews of St. Charles Health System’s safety and quality performance in partnership with medical staff, quality, and leadership teams across the organization, providing expectations, performance planning, feedback, training, development and performance discussions; defining future state requirements for operations and ensures the implementation of strategies and initiatives to effectively meet or exceed business and patient expectations.

Actively attends and participates in Executive level meetings, acute care medical staff and Board quality committees and programs such as the Multidisciplinary Quality Assurance and Board Patient Safety and Quality meetings, as well as other committees as necessary.

Manages the overall process and improvements for the review, investigation and closure of appropriate Safety Alert System reports.

Develops and annually reviews the patient safety program with focused programs and improvements based on internal needs and external requirements and standards.

Leads and participates in the development and implementation of system patient safety measurement strategy.

Adheres to the latest thinking in both inpatient and ambulatory quality, patient safety and patient engagement.

Maintains strong collaboration, communications, and partnership with the Presidents of the medical staffs and the St. Charles Medical Group.

Monitors, in partnership with the medical staff, the measured outcomes of hospital clinical care activities, identifies opportunities for improvement, and leads clinical improvement activities to improve those measured outcomes; ensures documentation of the results of hospital wide safety and quality metrics.

Monitors literature and professional organizations for new and revised best practices related to patient safety, serves as a knowledge leader within the industry.

Oversees the goals and plans for the department and team, develops tactical strategies to achieve desired vision.

Works closely with the leadership team to establish standards and measures. Builds relationships with relevant stakeholders to manage effective processes and programs to improve safety and ensure compliance.

Provides strategic ROI analysis for safety initiatives and manages recommendations, reviews and approves metrics.

Partners with the Chief Operating Officer in overseeing activities to address and embrace improvements necessary as outlined by accrediting agencies such as the Joint Commission, Oregon Health Authority, and others.

Hires, leads, coaches and monitors the performance of all direct reports, to develop and maintain a high performance team that meets organizational and department goals.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all company investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

Serves as a visible and engaged leader that energizes and communicates effectively with providers, leadership and staff.

Other duties as assigned.

Supports the vision, mission and values of the organization in all respects.

Provides and maintains a safe environment for caregivers, patients and guests.

EDUCATION

Required: MD/DO or RN with Master’s degree required with graduation from an accredited medical or nursing school. If a physician, completion of an accredited Residency program required.

LICENSURE/CERTIFICATION/REGISTRATION

Required: Unrestricted Oregon license as MD / DO or RN.

For physicians, Board Certification in primary specialty.

Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements.

Preferred: Completion of IHI Patient Safety Officer or TeamSTEPPS curriculum within 1-year of employment.

Lean Leader Certification

EXPERIENCE

Required: Ten years of experience as a practicing physician or nurse.

Preferred: Five years of experience in a leadership position, overseeing safety and quality initiatives.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Expertise in leading management and multi-disciplinary teams in the achievement of company goals.

Strong knowledge of health care operations/health care delivery, project management, and quality improvement.

Must have excellent problem identification, analysis and resolution skills.

Strong Knowledge of Patient Safety literature, national best practices in patient safety and quality, knowledge of accreditation and regulatory groups' requirements/recommendations, methods and strategies for successful process improvement, problem solving, and project management.

Ability to motivate, train and manage employees while creating a positive and collaborative environment.

Demonstrated leadership, team facilitation and presentation skills.

Must possess strong interpersonal, verbal and written communication skills with ability to interact and communicate effectively at all levels and across the organization.

Strong interpersonal skills and the highest degree of personal and professional integrity.

Experience in Lean improvement methodologies.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Sitting, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Standing, lifting 1-10 pounds, grasping/squeezing.

Occasionally (25%): Bending, reaching overhead, carrying/pushing or pulling 1-10 pounds.

Rarely (10%): Walking, stooping/kneeling/crouching, climbing stairs.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds, operation of a motor vehicle, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours:

40 Caregiver Type:

Regular Shift:

First Shift (United States of America) Is Exempt Position?

Yes Job Family:

VICE PRESIDENT SENIOR Compensation (min.):

0/ Hour Compensation (mid):

0/ Hour Compensation (max):

0/ Hour Scheduled Days of the Week:

Monday-Friday Shift Start & End Time:

Posted 30+ Days Ago

Full time

R1006563

About Us St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon.

The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine.

Suggested Jobs Director - PeriAnesthesia and Procedural Scheduling

Keywords: St. Charles Health System Inc., Bend , SVP/Chief Safety and Quality Officer, Other , Bend, Oregon

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