The Department of Quality, Safety and Risk Prevention (QSRP) equips and empowers VUMC faculty and staff to offer care that is safe, timely, effective, efficient, and patient-centered. As a member of QSRP, this position is responsible for the engagement of Vanderbilt Health System faculty and employees to ensure compliance with all applicable federal and state regulations. Acts as a performance improvement engineer and patient safety manager for quality and patient safety activities. Serve as a quality improvement resource by collaborating with personnel and departments. Provide project management facilitation, education and data analysis for improvement of organizational or departmental systems/processes. Assist with coordination, aggregation, analysis, and translation of info for use by leadership and improvement teams. Provide leadership and coordination of major projects and initiatives. Provide research and analysis of event, coordinates and facilitates analysis to identify process/system flaws, and assist in development of planning for process redesign. Coach and mentor staff and management in quality improvement, process management, and event analysis. Mentor internal staff to expand knowledge and expertise.
Documents and evaluates project outcomes to facilitate organizational memory and knowledge transfer including:
Under minimal supervision, coordinates and oversees the evaluation and planning phases of projects
Organizes team resources, including steering committees, projects teams and work groups as needed
Research evidenced based care
Develops high level project plan and achieves buy-in on task responsibilities and timelines from the appropriate team members
Defines communications, issue management and scope management strategy and achieves approval from the appropriate team members
Identifies, evaluates, documents and manages project issues and risks and escalates, as appropriate, to achieve timely resolution
Assists in defining project objectives and success metrics
Creates and communicates appropriate documentation, including project overview, scope, team structure, status reports, issue management reports, change control reports, and meeting notes, as directed, in a timely manner
Under minimal supervision, serves as a project leader to ensure timely completion of tasks in line with project and organizational objectives
Manages and communicates project status to team members and executive staff.
Provides documentation to communicate project status to team members and executive staff, as directed
Identifies and documents project issues and risks and escalates, as appropriate, to achieve timely resolution
Ensures compliance with regulatory agencies including meeting deadlines, when applicable
Assists and/or develops measures to quantify process or quality improvements
Coordinates the introduction and incorporation of quantitative or qualitative evaluation measures into project requests and evaluations
Assists department managers or other quality improvement teams in identifying, developing and monitoring outcomes
Assists in coordinating planning for obtaining data in evaluation measures.
Outlines and conveys responsibility for achieving proposed goals to appropriate persons whiles supporting and suggesting measures that quantify benefits.
Actively consults with management and/or QI teams to ensure goals are achieved
Obtains data to evaluate project at completion and formally closes project.
Participates in improving organizational performance through improvement activities and process engineering
Collects and analyzes data
Provides input to departmental discussions based on data, best practice research and benchmarking
Coordinate and facilitate event analysis process
In coordination with Risk Management and organizational leadership, coordinate event analysis process (arrange meeting logistics)
Assist in the research and analysis of event
Assist in the development of action planning with all levels of organizational leadership
Coach and mentor staff and management and mentoring of QC's in areas such as quality improvement and process management.
Provides education and consultation to teams through in-service, orientation, individual and/or group sessions
Maintains current knowledge of process improvement literature and resources and stays abreast of TJC and other regulatory agency standards. Attends related conferences, seminars and topic-specific process improvement meetings
Supervise, manage, or participate in departmental assignments. Handle planning, selection, logistics
Actively mentor other quality improvement consultants to expand their knowledge and expertise
Master's Degree (or equivalent experience) and 10+ years hospital/healthcare experience
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
VUMC Recent Accomplishments
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
US News & World Report: #1 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology ( Bill Wilkerson Center ), 9 adult and 9 pediatric clinical specialties ranked among the nation's best, #15 Education and Training
Truven Health Analytics: among the top 100 hospitals in the US
Becker's Hospital Review: one of the "100 Greatest Hospitals in America"
The Leapfrog Group: grade "A" in Hospital Safety Score
National Institutes of Health: among the top 10 grant awardees for medical research in the US
American Association for the Advancement of Science: 12 faculty members elected fellows in 2014
Magnet Recognition Program: Vanderbilt nurses are the only group honored in Tennessee
Nashville Business Journal: Middle Tennessee's healthiest employer
American Hospital Association: among the 100 "Most Wired" medical systems in the US
Internal Number: 1809667
About Vanderbilt Health
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As th...e largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.