When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in investigating patient safety incidents, risk management, reviewing publicly reported quality data by reviewing charts in the EMR, reviewing outliers, compiling reports and serving as the liaison with clinical stakeholder and clinical committees in sharing the outcomes of safety incidents and data. In addition to the goal of optimizing performance on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety by specifically focusing on high reliability processes to reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret data, and implement quality improvement initiatives to deliver excellence in clinical care.
Principal Duties and Responsibilities
Commitment to Care with Compassion Professional Standards
1. Demonstrate courtesy, respect and presence: Make people feel at home when they wish they were.
2. Listen and communicate with care: Let your words and deeds say “you matter to me.
3. Reach out and offer help: Don’t just react. Act first
4. Take care of our environment: Help to build confidence in us and promote calm and healing.
5. Consider and support coworkers: Through teamwork, cooperation and respect, we make each other stronger.
understand your role. Collaborate for the sake of our patients.
6. Use respectful telephone etiquette: When you’re on the phone, our reputation is on the line.
7. Respect people’s time: When people are waiting, every minute is an hour.
8. Handle difficult situations with kindness and compassion: Listen and ease the person’s way to satisfaction and solutions.
9. Protect confidentiality and privacy: It’s a matter of respect and the law.
1. Follows hospital and department policies with special attention to safety, dress, attendance and punctuality, and display of ID badge. Subscribes to hospital’s mission statement, code of ethics, and standards of conduct.
2. Handles all work-related information in a confidential manner, as outlined in Confidentiality Policy. Recognizes and respects each patient’s right to privacy, and understands that this is protected by statute. Understands that looking up patient information not needed for job duties is prohibited and may be grounds for immediate dismissal.
3. Demonstrates initiative and creativity to continuously improve services, departmental and interdepartmental processes, and any other activities that affect quality.
4. Plans, organizes, and renders care for (neonate, pediatric, adolescent, adult, geriatric) patients within an assigned area.
5. Performs work responsibilities while staying in compliance with all applicable laws, rules, and regulations. Understands and agrees to uphold the Hospital Compliance Plan.
6. Adheres to Bloodborne Pathogen Exposure Control plan including consistent use of safety devices as designed to prevent sharp injuries.
Patient Safety
1. When taking a telephone order, writes the order on the Doctor’s Orders, reads the order back to the MD and document as a TORB.
2. When taking a verbal order, repeats the order back to the MD prior to implementing the order and documents as a VORB.
3. Uses only accepted abbreviations when documenting in the medical record.
4. Uses two unique patient identifiers prior to treatment or patient transport.
5. Adheres to Safe Injection Practices i.e. never reuses needles, cannulae and syringes.
6. Complies with Isolation Precautions including standard precautions; i.e, dons and removes appropriate personal protective equipment (PPE) as required by specific patient precautions.
7. Consistently complies with the hospital's Hand Hygiene Policy, i.e. cleans hands before every patient contact (even if gloves are worn), before donning sterile gloves for aseptic task, after handling body fluids, after every patient contact, and after contact with patient's environment.
8. Participates in EHS's TB program.
9. Participates in hospital's annual seasonal vaccine program (vaccination or declination completed).
*Development plan on record.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED
1. R.N. with experience in risk management, quality assessment, or utilization
management.
2. Strong spreadsheet, database, and word processing skills in order to maintain effective
computerized incident reporting systems and provide detailed reports to groups on a regular
basis. Microsoft Office skills to include Word, Excel, Access, Powerpoint, Project and Sharepoint. Fluent with EHR and data entry systems (electronic medical records, electronic health records). Experience with Epic a plus.
3. Superior interpersonal communication skills in order to work effectively with a variety of
individuals, including physicians, administrators, nurse managers, outside regulatory
organizations, insurance companies, and support staff.
4. Superior writing skills to prepare various reports to state and federal regulators, insurance
appeals, internal correspondence, and clinical summaries for medical peer review.
5. Excellent understanding of clinical aspects of care. Applies knowledge of disease and
nursing processes to write effective appeals and clinical abstracts, identifies quality of care and
risk management issues. Uses clinical knowledge to assess whether the level of care was
rendered was at appropriate level (inpatient vs. outpatient).
6. Analytical skills to interpret and apply clinical and regulatory requirements to individual
cases. Ability to quickly and accurately abstract and communicate clinical information from the
medical record and supporting documents.
6. Experience with QI tools including PDSA cycles, process mapping, fishbone diagrams etc
7. Excellent organizational skills to prioritize and manage multiple responsibilities on a daily
basis. Independently sets priorities.
8. Certified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Quality (CPHQ) Preferred.
WORKING CONDITIONS
1. Normal hospital environment
2. Performs data entry with repetitive hand movement and visual concentration at video display
terminal in order to review and enter data.
Mount Auburn Hospital employees must be able to readily adjust to change and handle a rapid-paced environment and the stresses associated with that, while continuing to provide high-quality, efficient service.
Pay Range:
$73,112.00 USD - $188,448.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Beth Israel Lahey Health is a new, integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what health care can and should be.
