Quality Patient Safety Program Manager - CommonSpirit Health

Dignity Health Woodland Memorial Hospital is Yolo County’s largest health care provider serving the community since 1905. Woodland Memorial Hospital is a 108-bed acute care facility offering the most comprehensive range of health care services in Yolo County including inpatient and outpatient surgical services family birth center/labor and delivery emergency services home health services palliative care inpatient mental health services sleep disorders center and cancer care services. With strong ties to our community we believe in providing compassionate high-quality health care to you and your family close to home. Woodland Memorial Hospital is part of Dignity Health one of the nation’s largest health care systems with a 22-state network. For more information please visit our website at www.dignityhealth.org/woodland.

The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.

Key Responsibilities (but not limited to)

1. Assists in the design, planning, implementation and coordination of QM, PS and PI activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions.
2. Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures.
3. Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
4. Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance.

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Minimum Qualifications:

• Current California license in a clinical field in state of practice (LVN, RN, CLS, etc.)
• Bachelor's degree or five (5) years of related job or industry experience in lieu of degree.
• Three (3) years of clinical experience at an acute care facility.
• Must obtain Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment