Director of Quality, Regulatory & Patient Safety

Overview

Required Skills and Experience 1. Master’s degree in public health, nursing, health care administration, business administration or related area. 2. 5 years related experience is required. 3. RN degree preferred. Lean certification preferred. In depth experience with risk management principles, patient safety science, publicly report quality measures, operations analysis and quality management-performance improvement methods required. 4. Ability to effectively utilize a variety of computerized software applications such as spreadsheet, word processing, relational database and graphics software packages required. What You Need to Know - The daily management of the hospital quality and patient safety team, including risk, infection control, patient advocacy and performance improvement. - Coordinates the regulatory compliance program to meet the standards identified by the JCAHO, DPH and CMS, including the National Patient Safety Goals. Support project structure to insure all staff is involved in regulatory readiness on a daily basis, including tracer rounds with defined tools and processes that include feedback from the patient and/or family, rounds with Senior Leadership and other unit/service specific tracers. - Is knowledgeable of all standards specific to The Joint Commission, CMS, DPH, OSHA, FDA, etc. - Is knowledgeable and versed in the completion of the annual Periodic Performance Review including identification of hospital vulnerabilities that require changes to ensure ongoing survey readiness. - Works on a team to recommend and facilitate sustainability efforts to improve quality and patient safety, based on identified risks and hospital data. Regularly reviews the sustainability educational program for relevance, participation and effectiveness, and adjusts as needed. - Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met.

Benefits

Company

This facility is a teaching hospital of Tufts University School of Medicine, provides patients and families access to some of Boston’s most respected physicians and advanced treatments offering specialized care, including: Advanced Center for Cardiac Surgery da Vinci® Robotic surgery program; Mako Robotic-Arm Assisted Surgery Level III Neonatal Intensive Care Unit (NICU) Award-winning bariatric surgery program Dana-Farber Cancer Institute at St. Elizabeth's Medical Center State-of-the-art emergency care with short wait times Our medical staff, made up of some of the highest rated physicians in Boston, treats patients in our community practices in neighborhoods, including Allston, Boston, Brighton, Brookline, Newton, Watertown and Weston. Patients receive tertiary care at our 267-bed main campus in the heart of Boston’s Brighton neighborhood. Today, they are consistently recognized for providing the highest quality care to our community. The hospital has consistently been honored with several prestigious recognition, including: One of Healthgrades America’s 50 Best Hospitals for Cardiac Surgery™ for 2 Years in a Row (2018-2019) One of Healthgrades America’s 100 Best Hospitals for Cardiac Care™ for 7 Years in a Row (2013-2019) One of Healthgrades America’s 100 Best Hospitals for Coronary Intervention™ for 3 Years in a Row (2017-2019) Named by U.S. News World Report a High Performing Hospital in treating heart failure and performing heart bypass in its annual U.S. News’ 2018-2019 High Performing Hospital listing Earned the 2017 and 2019 American Heart Association’s Get With The Guidelines® Heart Failure Gold Plus Performance Achievement and Target Heart Failure: Honor Roll recognition Earned the 2019 American Health Association and American Stroke Association Get With The Guidelines® Stro