We are looking for an experienced Quality Leader to step into the role of Patient Safety Manager at Vassar Brothers Medical Center for Nuvance Health. You will work alongside Quality, Risk Management, and Senior Leadership to ensure corrective actions plans are implemented and monitored initiatives at this 350 bed acute care teaching hospital under the guidance of the Director of Quality Management and the VP of Quality and Patient Safety.
You will need an RN license or other clinical professional licensure, as well as a Bachelor’s Degree in Nursing or related clinical field. You will be required to have a minimum of three years of acute care hospital experience with at least one year full time in patient safety, quality, or risk management. Additional ideal qualifications include a Master’s Degree in Nursing or a related field, a CPPS certification, and certification in Lean, Lean Six-Sigma, or comparable methodology.
Nuvance Health is an integrated health system with more than 15,000 caregivers providing high-quality care through community hospitals, primary care and specialty practice locations, outpatient settings, home care services, a skilled nursing and rehabilitation facility, and telehealth visits. Their network also includes a well-known research institute, which brings breakthroughs from the lab directly to the bedside. Their hospitals include Danbury Hospital, a 456 bed acute care hospital that offers award-winning patient care; Norwalk Hospital, a 366 bed acute care facility; Vassar Brothers Medical Center, a 350 bed acute care hospital; New Milford Hospital, a 85 bed community acute care hospital; Northern Dutchess Hospital, a 84 bed nonprofit hospital; and Sharon Hospital, a 78 bed acute care facility.
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 | 0.340 | 0.014 | 0.000 | CMS | 07/01/2020 – 06/30/2022 |
Air or gas bubble in the blood What’s This? | 0.000 | 0.308 | 0.001 | 0.000 | CMS | 07/01/2020 – 06/30/2022 |
Patient falls and injuries What’s This? | 0.540 | 2.006 | 0.429 | 0.000 | CMS | 07/01/2020 – 06/30/2022 |
Infection in the blood What’s This? | 0.206 | 3.512 | 0.888 | 0.000 | 2023 Leapfrog Hospital Survey | 01/01/2022 – 12/31/2022 |
Infection in the urinary tract What’s This? | 1.039 | 3.026 | 0.735 | 0.000 | 2023 Leapfrog Hospital Survey | 01/01/2022 – 12/31/2022 |
Surgical site infection after colon surgery What’s This? | 0.941 | 2.868 | 0.832 | 0.000 | 2023 Leapfrog Hospital Survey | 01/01/2022 – 12/31/2022 |
MRSA Infection What’s This? | 0.992 | 3.653 | 0.927 | 0.000 | 2023 Leapfrog Hospital Survey | 01/01/2022 – 12/31/2022 |
C. diff. Infection What’s This? | 0.500 | 1.876 | 0.488 | 0.000 | 2023 Leapfrog Hospital Survey | 01/01/2022 – 12/31/2022 |
Death from treatable serious complications What’s This? | 163.17 | 186.71 | 143.25 | 73.88 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Harmful Events What’s This? | 1.07 | 2.70 | 0.98 | 0.50 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Dangerous bed sores What’s This? * | 0.63 | 9.62 | 0.59 | 0.01 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Collapsed lung What’s This? * | 0.19 | 0.39 | 0.19 | 0.08 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Falls causing broken hips What’s This? * | 0.04 | 0.33 | 0.08 | 0.01 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Blood Leakage What’s This? * | 2.07 | 4.73 | 2.38 | 1.29 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Kidney injury after surgery What’s This? * | 0.47 | 3.06 | 0.92 | 0.27 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Serious breathing problem What’s This? * | 7.63 | 46.91 | 6.75 | 1.15 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Dangerous blood clot What’s This? * | 6.04 | 7.74 | 3.41 | 1.11 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Sepsis infection after surgery What’s This? * | 3.75 | 8.70 | 4.15 | 1.53 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Surgical wound splits open What’s This? * | 1.00 | 1.98 | 0.81 | 0.30 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
Accidental cuts and tears What’s This? * | 1.17 | 3.13 | 1.04 | 0.32 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
* 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? | 70 | 15 | 90.58 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
Safe medication administration What’s This? | 75 | 25 | 92.67 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
Specially trained doctors care for ICU patients What’s This? | 100 | 5 | 62.31 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
Effective leadership to prevent errors What’s This? | 120.00 | 64.62 | 117.49 | 120.00 | 2023 Leapfrog Hospital Survey | 2023 |
Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 116.99 | 120.00 | 2023 Leapfrog Hospital Survey | 2023 |
Nursing and Bedside Care for Patients What’s This? | 100 | 15.00 | 71.00 | 100.00 | 2023 Leapfrog Hospital Survey | 2023 |
Handwashing What’s This? | 100 | 15 | 77.32 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
Communication with nurses What’s This? | 88 | 75 | 89.55 | 97 | CMS | 10/01/2021 – 09/30/2022 |
Communication with doctors What’s This? | 88 | 76 | 89.45 | 98 | CMS | 10/01/2021 – 09/30/2022 |
Responsiveness of hospital staff What’s This? | 77 | 60 | 80.97 | 95 | CMS | 10/01/2021 – 09/30/2022 |
Communication about medicines What’s This? | 74 | 57 | 73.85 | 88 | CMS | 10/01/2021 – 09/30/2022 |
Communication about discharge What’s This? | 85 | 62 | 84.80 | 95 | CMS | 10/01/2021 – 09/30/2022 |
Summary:
The Patient Safety Manager is responsible for working collaboratively with leadership, medical staff, and hospital staff for the purpose of measurably improving the safety of patient care & clinical outcomes. The Manager analyzes data from multiple sources to identify opportunities for improvement, determine root causes, and implements actions needed for success. S/he is responsible for the reviews of serious adverse events & near misses and facilitates effective root cause analyses and corrective action plans to prevent recurrence. Supports leadership in developing a strong culture of safety and serves as a resource to others by coaching, mentoring and educating on patient safety topics and practices.
Responsibilities:
1. Serves as hospital Patient Safety Officer and works collaboratively with Corporate Quality, Risk Management, Senior Leadership, and others to help implement the organization’s patient safety program and initiatives.
2. Responsible for timely reviews of serious adverse events & near misses. Facilitates effective root cause analyses and develops corrective action plans to prevent recurrence.
3. Ensures corrective actions plans are implemented and monitored in order in order to evaluate their effectiveness and ensure targeted changes are hardwired (sustained change over time).
4. Collaborates with staff, medical staff, and hospital leaders to ensure meaningful and actionable patient safety data & reports are in place and being used on a consistent basis to allow the organization to understand its current performance and where focused patient safety improvement efforts may be needed.
5. Uses the data-driven approach described above to identify the high priority patient safety improvement opportunities, helps develop workplans and engage teams necessary to improve patient safety, and provide follow-up & monitoring to evaluate progress and ensure process changes are hardwired.
6. Serves as a leader and resource for helping to create and sustain a strong culture of safety and high reliability across the organization.
7. Develops and delivers coaching, mentoring and education on patient safety to others on a regular basis.
8. Chairs the organization’s Patient Safety committee, establishing agendas, membership and processes needed for continuous improvement of patient safety and clinical outcomes.
9. Work closely with other Nuvance Hospitals and organizations to share information across the organization in a timely manner to improve patient safety and improve clinical outcomes.
10. Participate in other patient safety duties and responsibilities working collaboratively with all others.
11. Maintain and Model Nuvance Health Values.
12. Demonstrates regular, reliable and predictable attendance.
13. Performs other duties as required.
Education and Experience Requirements:
·Bachelor’s Degree in Nursing or a related clinical field required (or equivalent experience); Master’s Degree preferred.
·Three (3)+ years of experience in an acute care setting required, preferably in a leadership role.
·Minimum of one (1)+ year full time experience in acute care quality, patient safety, or risk management required.
License, Registration, or Certification Requirements:
·Current NYS license as a Registered Nurse or other clinical professional.
·Certified Professional in Patient Safety (CPPS) preferred.
·Certified in Lean, Lean Six-Sigma, or comparable methodology preferred.
Minimum Knowledge, Skills and Abilities Requirements:
·Experienced in the IHI Root Cause Analysis & Actions (RCA2), Model for Improvement, Lean-Six Sigma, or other formal process improvement methods. Able to coach and develop others on same.
·Strong organizational, problem solving and time management skills.
·Contemporary knowledge of patient safety and performance improvement methods in healthcare.
·Exceptional level of professionalism, discretion, and the ability to work on highly sensitive and confidential projects with a wide variety of others.
·Outstanding negotiation, written and verbal communication skills
·Outstanding listening, interpersonal relationship-building, and problem-solving skills
·Able to prioritize and manage multiple projects simultaneously with demonstrated ability to complete projects successfully on time and within budget.
·Excellent leadership attributes including positive, can-do attitude and the ability to lead, coach, mentor, and create a high-performing organization.
Location: Vassar Brothers Medical Center
Department: Quality Improvement
Work Type: Full-Time
Standard Hours: 40.00
Work Schedule: Day 8
Work Shift: 7:30am-4pm
Exempt: Yes
Working conditions:
* Significant manual skills / motor coord & finger dexterity
* Sedentary/light effort. May exert up to 10 lbs. force
* Little or no potential for occupational risk
* Generally pleasant working conditions.
About Nuvance Health:
Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care. Non-acute care is offered through various affiliates.
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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