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Kaiser Permanente Careers

Quality Assurance, UR & Case Management

Passion + Vision + Integrity = Excellence

Ensure consistency and the highest ethical standards across our entire organization. Our quality assurance team drives ongoing improvement by fostering an environment of support, providing technical and specialized consultative services, and inspiring ongoing excellence.

CD Patient Safety

Location: Kula, HI Job Number: 892010 Date posted: 07/25/2020

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The Patient Safety Coordinator promotes a culture of safety and ensures appropriate patient safety standards and guidelines are implemented in the delivery of healthcare to our patients, including but not limited to The Joint Commission National Patient Safety Goals, National Quality Forum, and Leapfrog Safe Practices. The purposes of which are to develop, implement, and maintain a comprehensive, proactive processes that promotes: Identification, analysis and prioritization of actual or potential risks. Examination of alternative risk management/patient safety strategies. Selection, communication and implementation of risk management & patient safety strategies for regulatory & accreditation compliance (i.e. National Patient Safety Goals, including system changes, where appropriate). Monitoring of those strategies to ensure that the Patient Safety Program is effectively preventing, reducing, and/or controlling injuries or loss and protecting the health of patients. Minimizing potential risks to promote patient safety and enhance the quality of care and services provided to patients. Provides program development and support to Kula Hospital and Lanai Community Hospital staff and leadership in their infection Prevention and Quality Improvement.

Essential Responsibilities:

  • Collaborates with various departments/services in the implementation of programs, i.e. National Patient Safety Goals, Leap Frog, and NQF as required by accreditation/regulatory and/or external agencies/bodies.

  • Monitors compliance on patient safety indicators by performing direct observation via patient safety tracers on an on-going basis and audit activities.

  • Promotes MHS patient safety culture by rounding on inpatient care units and ambulatory areas to perform coaching and mentoring on patient safety issues for staff and physicians.

  • Provides consulting services to staff, physicians on patient safety issues.

  • Provides patient safety education to staff, members and physicians.

  • Develops, formulates patient safety reports/learnings to be shared with staff, other committees/teams and leadership as needed and appropriate.

  • Partners with various departments in developing goals and initiatives driven by national and regional priorities. Conveys shared leadership messages to reflect joint executive sponsorship and consistency in messaging.

  • Champions the technological advancement and enhancement of the hospital electronic medical record (EMR) to optimize quality, service, and patient safety.

  • Conducts patient safety risk assessment and annually completes patient safety program evaluation.

  • Provides input into the design of an effective patient safety plan.

  • Facilitates and coordinates implementation/deployment of patient safety system changes, special projects and initiatives.

  • Communicates and disseminates processes/information relative to patient safety best practices and learning at all levels of staff, leadership, and physicians.

  • Represents the medical center on patient safety matters in various programs as assigned.

  • May participate in community / healthcare industry activities to enhance the state of patient safety and clinical risk management

  • Collects and analyzes data related to patient safety programs and initiatives.

  • Performs risk assessment and other quality improvement tools such as failure modes and effects analysis, root cause analysis, use of analytical tools such as run & pareto charts, PDSA improvement models to facilitate and engage changes in processes for patient safety through identification of process and change ownership identified in action plans.

  • Reports medical errors and near misses, as well as corrective actions taken. Oversee the management and use of medical error information. Review internal error reports and utilize information from external reporting programs to achieve internal outcomes.

  • Participates in the development and implementation of internal audits for TJC, DMHC, CMS, NCQA, DHS, and State Programs compliance.

  • Coordinates the audit process, including reviewing, analyzing, and reporting findings internally to the Director, Senior Leadership, and to Kula Hospital  and Lania Hospital  Quality Committees.

  • Plans and facilitates Quality meetings for Kula Hospital and Lanai Hospital

  • Facilitates medical staff peer review.
  • Basic Qualifications:
  • Minimum two (2) years of nursing experience.
  • Education
  • Bachelor's degree in nursing, health services administration, business or public administration or public health OR four (4) years of experience in a directly related field.
  • License, Certification, Registration
  • Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure).
  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.
    Additional Requirements:
  • Knowledge and skills of patient safety science, culture of safety, human factors, interpersonal and collaborative skills.
  • An ability to inspire and influence others to believe and take action in the culture of patient safety.
  • Effective verbal and written communication skills.
  • Knowledge of risk assessment and quality improvement tools such as failure modes and effects analysis, root cause analysis, use of
  • analytical tools such as run & pareto charts, PDSA improvement models.

  • Preferred Qualifications:
  • Minimum one (1) year of experience in clinical risk management, patient safety and performance/quality improvement.
  • Master degree in business administration or health care preferred.
  • Training and certification in quality improvement and safe culture programs,
  • CPHQ certification
  • Certification as a Certified Professional in Healthcare Risk Management (CPHRM).
  • Primary Location: Hawaii,Kula,Kula Hospital Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8.00 AM Working Hours End: 4.00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: QA / UR / Case Management Department: Hospital Administration Travel: Yes, 5 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    Learn About QA, Ur & Case Management Careers

    Careers In QA, Ur & Case Management

    As an organization, we are committed to delivering the same exemplary care no matter who you are, where you are, or what your needs. But how are those standards defined, measured, and assessed? That's where our quality assurance team comes in. Implementing the action plans and initiatives that will drive successful practices, you'll work across the organization to foster the necessary education, communication, and innovation that will enable us to operate as one KP — with our mission and goals in complete alignment.

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