HCA Mercy Hospital - Miami, FL
VP, Quality Rn
Job Summary
VP, Quality Rn
We are looking for a registered nurse to fill in the role of Vice President of Quality RN for HCA Mercy Hospital in Miami, Florida. You will manage the Quality department, along with one direct report at this 488 bed medical center, and you will report to the facility’s CEO.
You will be required to have a Bachelor’s of Science in Nursing, and a Master’s in a healthcare related field is preferred. You will need 5 years of management experience or experience at a director level with a focus on Quality Management, performance improvement, or Risk Management. You must also have acute care hospital experience, and a RN license, CPHQ, or CPPS is preferred.
HCA MErcy Hospital
Since 1950, Mercy Hospital has been serving the healthcare needs of South Florida. Licensed for 488-beds, Accredited by the Joint Commission, Mercy Hospital is affiliated with more than 1,000 physicians representing a wide range of medical specialties to serve the residents of Miami-Dade county and surrounding communities. Services include emergency care, heart and vascular care, maternity and neonatal care (Level II NICU), as well as outpatient and CARF accredited inpatient rehabilitation. Accessible by land, air and sea, Mercy is designated by the Joint Commission as a Primary Stroke Center and the hospital’s Comprehensive Community Cancer Program is accredited by the American College of Surgeons Commission on Cancer.
Mercy Hospital is sponsored by the Sisters of St. Joseph of St. Augustine, Florida, and affiliated with HCA Healthcare’s East Florida Division. As Miami-Dade County’s only Catholic hospital, Mercy has maintained its reputation for excellence while following the Catholic tradition of caring for God’s people and providing spiritual support. Since its inception, Mercy Hospital has been dedicated to providing excellent medical care, while remaining true to its mission of caring for the physical and spiritual needs of all the people it serves.
About the town
Miami, FL
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Leapfrog Hospital Safety Scores
Mercy Hospital
| 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 | 0.359 | 0.02 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.036 | .0004 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Patient falls and injuries What’s This? | 0.579 | 1.778 | 0.42 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Infection in the blood What’s This? | 2.569 | 3.420 | 0.81 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Infection in the urinary tract What’s This? | 0.979 | 2.644 | 0.75 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Surgical site infection after colon surgery What’s This? | 0.800 | 2.887 | 0.80 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| MRSA Infection What’s This? | 0.549 | 3.055 | 0.84 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| C. diff. Infection What’s This? | 0.760 | 1.949 | 0.54 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Death from treatable serious complications What’s This? | 119.85 | 206.08 | 159.67 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 1.04 | 3.35 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.44 | 8.80 | 0.58 | 0.04 | CMS | 07/01/2018 – 12/31/2019 |
| Collapsed lung What’s This? * | 0.20 | 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? * | 2.74 | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | 1.33 | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | 6.68 | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 3.07 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | 6.39 | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | 0.83 | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 1.01 | 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 | 85.77 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Safe medication administration What’s This? | 100 | 5 | 83.25 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Specially trained doctors care for ICU patients What’s This? | 100 | 5 | 62.82 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Effective leadership to prevent errors What’s This? | 120.00 | 46.15 | 116.85 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 116.49 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Enough qualified nurses What’s This? | 100.00 | 17.65 | 98.16 | 100.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Handwashing What’s This? | 100 | 15 | 74.36 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Communication with nurses What’s This? | 90 | 73 | 91.10 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Communication with doctors What’s This? | 90 | 80 | 91.00 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Responsiveness of hospital staff What’s This? | 82 | 60 | 84.38 | 94 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about medicines What’s This? | 77 | 53 | 77.66 | 92 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about discharge What’s This? | 82 | 67 | 86.51 | 96 | CMS | 01/01/2019 – 12/31/2019 |
Official job description
VP, Quality RN
Job Summary:
The VP of Quality is responsible for ensuring full compliance with all accreditation and licensure standards at all times. Coordinates hospital-wide continuing quality improvement activities. Responsible for identification, investigation, analysis, and evaluation of risk and selection of the most advantageous method of correcting, reducing or eliminating identifiable risk. The risk responsibilities as identified by the CEO. Responsible for medical Staff activities, credentialing, and leadership. Responsible for ensuring Infection Control activities are compliant. Reports the activities of the Quality program to the Medical Staff, Leadership Team, and the Board of Trustees.
Qualifications:
RN license preferred
CPHQ, CPPS preferred
Bachelor’s degree required, Master’s preferred, graduate from an accredited RN or other healthcare related field
Minimum of 5 years health care experience with a focus on Quality Management, performance improvement, and/or Risk Management in a supervisory and/or management capacity required
Thorough knowledge of Quality Assessment and Improvement, Medical Staff Credentialing, Medical Terminology, and must possess fundamental knowledge of hospital regulatory requirements, standards of Joint Commission, CMS, and other State and Federal Regulations
Additional Information:
· Minimum of 5 years Management Experience or Director level health care experience with a focus on Quality Management, performance improvement, and/or Risk Management in a supervisory and/or management capacity required
CMO is comfortable in having someone that has Management Experience or Director level experience but must be an RN and CMO is willing/open to training if needed
· BSN is required
** Must have acute care hospital experience
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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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