Christus St. Vincent Regional Medical Center -
Sante Fe, New Mexico
Clinical Nurse Program Manager
Job Summary
Clinical Nurse Program Manager
We are looking for a quality professional to step into the role of Program Manager of Quality at Christus St. Vincent Regional Medical Center in Santa Fe, New Mexico. You will lead the Quality department and lead Performance Improvement programs at this 203 bed hospital. You will report to the Chief Nursing Officer.
You will be required to have your Bachelor’s Degree in Nursing, though a Master’s in a healthcare related field is preferred. A Black Belt or Master Black Belt certification is preferred, and must be achieved within 3 years. You will be required to have a minimum of 5 years’ experience in clinical quality, patient safety, or performance improvement in a hospital setting. Other experience we are looking for includes experience in clinical information system report design/developing for all areas of responsibility and contributions, as well as management experience and scientific performance improvement including Lean, Six Sigma, Change Leadership.
Christus St. Vincent Regional Medical Center in Santa Fe, NM is rated high performing in 6 adult procedures and conditions. It is a general medical and surgical facility. The evaluation of Christus St. Vincent Regional Medical Center also includes data from CHRISTUS St. Vincent Physicians Medical Center. CHRISTUS Health, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God’s healing presence and love. More than 45,000 dedicated team members, including 15,000 clinicians, provide personalized care to neighbors across the globe.
Santa Fe, New Mexico’s capital, sits in the Sangre de Cristo foothills. It’s renowned for its Pueblo-style architecture and as a creative arts hotbed. Founded as a Spanish colony in 1610, it has at its heart the traditional Plaza. The surrounding historic district’s crooked streets wind past adobe landmarks including the Palace of the Governors, now home to the New Mexico History Museum. With legendary history and culture around every corner, an art scene that spans from traditional to contemporary, accommodations with a local feel yet world-class status, and award-winning cuisine that’s as eclectic as it is sumptuous, there are countless of experiences to encounter in Santa Fe.
Christus St. Vincent regional medical center
Located in Santa Fe, the 200-bed hospital operates under a 50/50 partnership with CHRISTUS Health and local community health impact organization, Anchorum St. Vincent. Together, our hospital and outpatient clinics provide the more than 300,000 residents of north-central New Mexico with access to 39 services and lines of specialty care.
About the town
Sante Fe, NM
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Leapfrog Hospital Safety Scores
Christus St. Vincent Regional Medical Center
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Dangerous object left in patient’s body What’s This? | 0.000 | 0.373 | 0.02 | 0.000 | CMS | 07/01/2018 – 12/31/2019 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.642 | .0016 | 0.000 | CMS | 07/01/2018 – 12/31/2019 |
| Patient falls and injuries What’s This? | 0.406 | 2.075 | 0.42 | 0.000 | CMS | 07/01/2018 – 12/31/2019 |
| Infection in the blood What’s This? | 1.548 | 4.620 | 1.05 | 0.000 | 2021 Leapfrog Hospital Survey | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| Infection in the urinary tract What’s This? | 0.848 | 3.337 | 0.85 | 0.000 | 2021 Leapfrog Hospital Survey | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| Surgical site infection after colon surgery What’s This? | 0.615 | 2.765 | 0.79 | 0.000 | 2021 Leapfrog Hospital Survey | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| MRSA Infection What’s This? | 0.871 | 4.033 | 1.03 | 0.000 | 2021 Leapfrog Hospital Survey | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| C. diff. Infection What’s This? | 0.498 | 1.783 | 0.52 | 0.000 | 2021 Leapfrog Hospital Survey | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| Death from treatable serious complications What’s This? | 181.97 | 206.08 | 159.68 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 0.79 | 3.34 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.19 | 8.78 | 0.58 | 0.04 | CMS | 07/01/2018 – 12/31/2019 |
| Collapsed lung What’s This? * | 0.24 | 0.48 | 0.23 | 0.12 | CMS | 07/01/2018 – 12/31/2019 |
| Falls causing broken hips What’s This? * | 0.09 | 0.16 | 0.09 | 0.07 | CMS | 07/01/2018 – 12/31/2019 |
| Blood Leakage What’s This? * | 2.56 | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | 1.32 | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | 4.62 | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 2.98 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | 4.25 | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | 0.82 | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 0.91 | 3.97 | 1.21 | 0.37 | CMS | 07/01/2018 – 12/31/2019 |
| * This measure is a part of the Harmful Events Composite and is not used for scoring. | ||||||
Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Doctors order medications through a computer What’s This? | 100 | 5 | 86.60 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Safe medication administration What’s This? | 100 | 5 | 84.18 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Specially trained doctors care for ICU patients What’s This? | 100 | 5 | 64.46 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Effective leadership to prevent errors What’s This? | 120.00 | 46.15 | 117.09 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 116.88 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Enough qualified nurses What’s This? | 100.00 | 0.00 | 98.36 | 100.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Handwashing What’s This? | 100 | 15 | 76.22 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Communication with nurses What’s This? | 91 | 75 | 90.25 | 96 | CMS | 07/01/2020 – 03/31/2021 |
| Communication with doctors What’s This? | 90 | 77 | 90.18 | 97 | CMS | 07/01/2020 – 03/31/2021 |
| Responsiveness of hospital staff What’s This? | 88 | 63 | 82.17 | 93 | CMS | 07/01/2020 – 03/31/2021 |
| Communication about medicines What’s This? | 74 | 57 | 75.24 | 89 | CMS | 07/01/2020 – 03/31/2021 |
| Communication about discharge What’s This? | 83 | 65 | 85.73 | 95 | CMS | 07/01/2020 – 03/31/2021 |
Official job description
Christus St. Vincent regional medical center
Job Description:
Working as a partner with CHRISTUS St. Vincent quality and operations leaders, this individual has direct accountability to identify, design and implement improvement methodologies grounded in Lean and Six Sigma principles for the development of high performance non-clinical and clinical process improvement at the Regional level. The position supports the CHRISTUS System clinical quality, safety, process improvement efforts, and brings clinical expertise when guiding clinical improvement.
The Process Improvement Leader is responsible for guiding teams in the CHRISTUS model for improvement, which is a blend of performance improvement methodologies including reliability for healthcare. The Process Improvement Leader will work closely with hospital directors and facility medical staff, nurses, and quality/patient safety leaders to identify and ensure best practices are developed, implemented, and hardwired in order to sustain achievements.
Travel Required: 1-10%
Requirements
EDUCATION: Bachelor’s degree in Nursing. Master’s degree in healthcare related degree preferred.
CERTIFICATION/LICENSES: Black Belt or Master Black Belt certification from a CHRISTUS recognized body desired but not required. Must achieve CHRISTUS Black Belt certification within three years.
SKILLS:
Background in Lean, Six Sigma, Change Leadership in a healthcare environment.
Able to design/improve with statistical analyses and report writing.
Excellent teaching and speaking skills.
Excellent interpersonal communication skills.
Knowledge of computer programs such as: Joint Commission Accreditation Manager and Tracer software, Minitab, Microsoft, Excel, PowerPoint, National Database in Nursing Quality Improvement and Access.
Ability to manage multiple projects and work collaboratively with CHRISTUS leaders and all associates.
EXPERIENCE: Minimum five (5) years’ experience in clinical quality, patient safety, performance improvement experience in a hospital setting. Management experience is preferred. Experience in both quality and performance improvement. Experience in clinical information system report design/developing for all areas of responsibility and contributions. Scientific performance improvement including Lean, Six Sigma, Change Leadership.
NATURE OF SUPERVISION:
-Responsible to: Chief Nursing Officer
ENVIRONMENT:
-Bloodborne pathogen: A
Normal office conditions in a temperature controlled environment
PHYSICAL REQUIREMENTS:
Frequent use of computer monitor screens
Ability to walk, stand and sit for long periods
Lifts up to 25 pounds with occasional lifting and/or carrying of objects
Ability to bend, twist, stoop, kneel, squat, pull, push, reach, overhead reach, and wrist flexion/extension
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Most frequent questions and answers
Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating.
Yes. We will prep you for every interview you take. We know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus.
Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible.
Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.
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If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles.
We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.
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In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
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