University Hospitals Rehabilitation Hospital is a state-of-the-art 50-bed inpatient rehabilitation hospital, located in Beachwood, Ohio. A patient-focused, specialized rehabilitation hospital dedicated to the treatment and recovery of individuals who have experienced a loss of function due to an injury or illness such as brain and spinal cord injury, stroke, burns, amputation and multiple trauma. At UH Rehabilitation Hospital in our goal is to restore lives, helping patients regain their independence so they can return home. Job Summary: The DCQPI assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DCQPI will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement. He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DCQPI will focus on measuring, analyzing and trending information in order to improve outcomes. He/she will assure ongoing monitoring of performance to ensure that improvements are sustained. The DCQPI will direct and assist in compliance with federal and state regulations and accreditation standards. Responsibilities : - Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program.
- Measures and assesses performance through collection, analyses, and trending of data.
- Focuses on processes and systems to improve performance.
- Directs, facilitates, and reports on all aspects of services relating to risk management, patient safety, and employee health .
- Investigates factors contributing to adverse outcomes in order to improve processes and systems. Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and/or outcomes.
- Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training.
- Responsible for nursing education, in-services and training.
- Directs the functions and operation of the hospital-wide infection control (IC) program including policies of surveillance, management of job-related unprotected exposures to infectious diseases, concurrent review of records for infections and other indicators of quality; reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate.
- Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff.
- Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.
- Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.
- Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.
- Other duties as assigned.
Professional Requirements: - Adheres to dress code, appearance is neat and clean.
- Maintains regulatory requirements, including all state, federal and Joint Commission regulations.
- Maintains and ensures patient confidentiality at all times.
- Reports to work on time and as scheduled.
- Wears identification while on duty.
- Attends departmental in-services and completes annual competencies/education requirements.
- Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
- Represents the organization in a positive and professional manner.
- Complies with policies and procedures regarding department operations, fire, safety, infection control and emergency management.
- Complies with all organizational policies regarding ethical business practices.
- Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
Experience/Skills: - Registered Nurse with current licensure in the state of Ohio.
- Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
- BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.
- Current Basic Life Support/CPR Card
- Demonstrated ability to plan, coordinate, and evaluate PI activities; effective oral and written communication skills and proficiency in basic computer skills required.
- Working knowledge of staff development and the educational process, quality improvement, infection control/employee health, and safety/risk management standards.
- Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.
Job : Compliance/Quality/Risk Primary Location : OH-Beachwood-CHC Payroll - University Hospitals Rehab Organization : 6781 - CHC Payroll - University Hospitals Rehab Shift : Day |