West Florida Healthcare - Pensacola, FL
Manager of Quality RN
Job Summary
Manager of Quality RN
We are looking for a registered nurse to step into the role of Manager of Quality RN at West Florida Healthcare. You will report to the VP of Quality at this 515 bed facility and will supervise a team of 5 quality professionals.
You must have your RN license in the state of Florida as well as an Associates Degree in Nursing, or related healthcare field. You must also have at least 2 years of clinical healthcare management experience and acute care hospital experience in quality. You will need to obtain your CPHQ within 1 year of hire and a Bachelor’s Degree is preferred.
West Florida Healthcare
West Florida Healthcare is the area’s leading health care facility in quality outcomes performance and offers specialized Emergency Department services tailored specifically to the needs of seniors as well as a Kids’ ER dedicated to serving the emergency medical needs of children. The hospital campus includes our acute care hospital; an inpatient rehabilitation facility accredited by the Commission on Accreditation of Rehabilitation Facilities; and an age-friendly designated mental health facility.
About the town
Pensacola, FL
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Leapfrog Hospital Safety Scores
West Florida 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? | 0.069 | 1.778 | 0.42 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Infection in the blood What’s This? | 1.606 | 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? | 0.511 | 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? | 1.324 | 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? | 0.770 | 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? | 0.685 | 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? | 139.54 | 206.08 | 159.67 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 0.95 | 3.35 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.10 | 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? * | 1.83 | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | 1.58 | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | 5.21 | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 4.56 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | 6.09 | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | 0.79 | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 0.80 | 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? | 70 | 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? | 89 | 73 | 91.10 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Communication with doctors What’s This? | 88 | 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? | 76 | 53 | 77.66 | 92 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about discharge What’s This? | 85 | 67 | 86.51 | 96 | CMS | 01/01/2019 – 12/31/2019 |
Official job description
Manager of Quality RN - West Florida Healthcare
The Quality Manager oversees the day-to-day functions of the Quality Department under the supervision of the VP of Quality Improvement.
Essential Functions:
Responsibilities include abstracting clinical / demographic data, preparing reports including graphs, compliance with federal, state and other regulatory organizations rules and regulations and tasks related to the overall quality improvement plan including patient safety.
Maintains all documentation according to laws that supports and defines organizational-wide quality improvement processes, plans and policies, as outlined in the medical staff bylaws and organizational wide policies and procedures.
Compile data from reports and inputs into a spreadsheet format for presentation to committees utilizing Excel, Word, and/or PowerPoint as appropriate.
Coordinate committees and/or meetings including scheduling, creating agendas, taking & transcribing minutes, providing reminder calls, etc. and other duties necessary for successful meetings as requested.
Support improved outcomes by emphasizing both appropriate behaviors and robust systems that include concise accountability measures and follow-up.
Coordinates tracking and reporting of clinical outcomes, and follow-up of corrective action plans.
Assists with coordination of quarterly (or more often as necessary) Quality Council Meetings.
Assist the Patient Safety Director with administering the Patient Safety Program on a day to day basis.
Provides in-service training to staff in the area of quality assurance/performance improvement.
Promotes and displays a positive customer oriented demeanor to patients, visitors, staff, and physicians
Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
Reviews Quality Improvement tools and surveys and provides technical assistance to staff.
Prepares Quality Improvement reports and statistics.
Other duties as assigned.
Education:
Associates Degree in Nursing required
Bachelor’s or Master’s Degree in Healthcare Related Field preferred
5+ years of clinical and/or healthcare management preferred
Licenses/Certifications:
Registered Nurse – Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation. State of Florida license or appropriate compact licensure. If Florida is not the primary State on the multi-state license must establish Florida as primary on license within 90 days of hire or within 90 days of establishing residency in Florida (whichever is sooner) required
Certified Professional in Healthcare Quality (CPHQ) within 12 months of hire required
We are committed to providing our employees with the support they need. At HCA, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:
Student Loan Repayment
Tuition Reimbursement/Assistance Programs
Paid Personal Leave
401k (100% annual match – 3% to 9% of pay based on years of service)
Identity Theft Protection discounts
Auto, Home, and Life Insurance options
Adoption Assistance
Employee Stock Purchase Program (ESPP)
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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.
First, everything we offer to our candidates is completely FREE.
We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.
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.
Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.
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.
In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.
Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way; we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.
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