Description
This position provides enterprise wide oversight for the Hospital and Clinics’ Quality, Risk Management and Patient Safety. Reports directly to the Executive Director Patient Care Services. Works closely with leadership, GRH Executive Team and Board of Trustees on cultivation and maintenance of a culture of safety. Provides oversight for organization readiness and follow up from any regulatory or accreditation survey. Provides oversight for organization’s performance improvement processes.

Monitors credentialing score cards, peer review and provider related quality initiatives. Assures timely evaluation and management of all complaints and grievances. Assures compliant responses. Responsible for oversight of all quality metrics, analysis of event monitoring and follow up of patient experience activities. Works collaboratively with employees of all levels. Works collaboratively with professional liability and other insurance carriers on claim review, analysis and risk mitigation.

Skilled in facilitation RCA, FMEA and other root cause and effect related tools. LEAN/Six Sigma training preferred and encouraged. Mentors direct reports/department leaders in individual areas of oversight including Quality, Risk Management, Patient Experience, Patient Safety, Survey Readiness and Follow Up, Infection Prevention/Control, and Employee Health.

Requirements
– Bachelor’s degree in healthcare related field required
– Master’s degree or JD preferred.
– Certification in Risk Management (CPHRM), Quality (CPHQ), or Patient Safety (CPPS) required within 18 months of job acceptance.
– Experience in successfully leading a Quality or Risk Management Department with quantified performance improvement required.
– Clinical department leadership experience with successful quantifiable performance improvement may be accepted in exchange of QRM dept. leadership experience.
– Strong communication skills, ability to work calmly and effectively under pressure and with all types of employees, providers, patients and families.
– TeamSTEPPS, Just Culture, Human Factor, Patient Safety Culture training preferred.
– Accreditation and Regulatory survey experience preferred, TJC survey experience preferred.
– Emotional maturity and able to maintain confidentiality in all matters.
– Strong organizational, planning and data interpretation and analysis skills.
– LEAN/Six Sigma training preferred and encouraged.

About the Hospital:
Since 1907, Grande Ronde Hospital has led this region in efforts to stabilize and secure rural health care services for the communities we serve, while also working to improve the quality of life of all our residents. Located in beautiful Union County, Oregon, we are privileged to serve a local population of more than 25,000 residents, as well as the greater Eastern Oregon and southeast Washington region. We are a state and nationally recognized and award winning, privately held, not-for-profit health system that includes a 25-bed Critical Access Hospital and 13 outpatient clinics.

Today we employ more than 700 people, all dedicated to providing quality health care services to our patients. We offer a broad range of diagnostic, surgical and therapeutic outpatient services, a Level IV Trauma Emergency Services Department, a Family Birthing Center;Physical, Occupational and Speech Rehabilitation Therapy Services, and Home Care Services providing both home health and hospice care needs. We also operate 13 primary and specialty care clinics: the Behavioral Health Clinic, the Cardiology Clinic, the Dermatology Clinic, the Elgin Clinic, the Hematology & Oncology Clinic, the Neurology Clinic, the Regional Medical Clinic, the Sleep Clinic, the Specialty Clinic (General Surgery, Orthopedics & Sports Medicine, Otolaryngology (ENT), Podiatry, Rheumatology, and Urology), the Union Clinic, Urgent Care, the Women’s & Children’s Clinic (Gynecology, Obstetrics and Pediatrics), and the Wound Care Clinic.