As the largest hospital in San Luis Obispo County, Sierra Vista Regional Medical Center strives to produce optimal outcomes and exceptional patient experiences to the community it serves. With 164 beds and hundreds of physicians, Sierra Vista puts advanced technology into the hands of experienced medical specialists to deliver quality healthcare to Central Coast residents and visitors. Its distinct, high-level services include neurosurgery, orthopedics, obstetrics, perinatology (high-risk pregnancy), neonatology (high-risk newborn care), pediatrics and trauma. Sierra Vista houses the largest Level III Neonatal Intensive Care Unit between Santa Barbara and Salinas, the only dedicated pediatric unit in San Luis Obispo County and serves as the county�s designated trauma center. Sierra Vista is recognized as a leader in orthopedics, cancer care and is a Joint Commission accredited primary stroke center. Sierra Vista is fully accredited by The Joint Commission and has been serving the community since 1959.

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Job Summary:

This position is responsible for leading, improving, monitoring, and sustaining adherence with the Tenet Operating System for Patient Safety. This includes: Successful adherence to patient safety policies and procedures, standard work process, improved patient safety outcomes, regulatory requirements and accreditation, and clinical measures as appropriate. The position implements and supports processes which drive outcomes based, evidence based, cost-effective and safe practices in the multiple facilities setting. Reduces clinical risks at the point of care and mitigate those risks once they occur in collaboration with the Tenet Quality & Patient Safety Department. Implements and evaluates the effectiveness of the patient safety plan through tracking of multiple facility acquired conditions and through developing and reporting of other key performance indicators. Collaborates with the multiple facility CEO, CNO, COO, CMO, and DCQI to adhere to applicable federal, state, local regulations i.e. (The Joint Commission, EMTALA, FDA reporting, etc.) and will work closely with the multiple facilities CO in managing the quality of care domain of the compliance program.

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EDUCATION: Must have Bachelor�s Degree (patient care related field preferred). J.D, or Master�s in Nursing, Health Services, or Patient Safety preferred.
WORK EXPERIENCE: At least 3 years of experience (five years preferred) with progressive responsibility working in a quality/performance improvement and/or patient safety department. Experience leading interdisciplinary initiatives in process improvement or directly improving the reliability of healthcare delivery at the point of care. Those at the novice (no experience) or beginner level (less than 3 years� experience) must complete the National Patient Safety Foundation (NPSF) curriculum on patient safety within 120 days of hire.
CERTIFICATION: Certified Professional Healthcare Risk Management (CPHRM) [Preferred]
REQUIRED LICENSURE: Maintains active professional license, as applicable
SKILLS, KNOWLEDGE AND ABILITIES: Demonstrated knowledge of: Patient Safety, Regulatory and Accreditation, Clinical Measures (TJC, CMS, Leapfrog, CMS Hospital Compare, and other reportable measures). Able to identify and report potential or actual regulatory/accreditation risk issues that can impact regulatory/accreditation compliance and pose a financial or reputational risk to the facility or company. Detail oriented and has ability to work with and analyze complex health care process and outcome data using both qualitative and quantitative techniques. Communicates (written, verbal and presentation skills) with many levels of key stakeholders from the board level to the point of care staff. Personal computer skills, understanding of statistics, Microsoft EXCEL spreadsheets, and database systems. Demonstrated understanding of current trends in patient safety. Demonstrated change leader mentality in support of achieving Tenet patient safety initiatives. Able to lead intermediate and complex projects using rapid cycle and other quality/ safety science management methodologies. Able to manage multiple large projects at one time. Able to synthesize outcome data into meaningful actions. Able to prepare written reports of clinical and operational survey findings. Demonstrated knowledge of outcomes and quality improvement methods and using and applying diagnostic tools (defect analysis, fault tree analysis). Able to remediate findings when in a multiple facilities. Able to develop and monitor corrective action plans. Able to development and provide education programs.
SYSTEMS EXPERIENCE: Preferred experience in the following systems: Electronic Health Record, eCARE (Electronic Clinical Analysis and Resource Efficiency),eCQS (Electronic Clinical Quality System � also known as Quantros), eSRM (Risk Management System), Accreditation Manager Plus with Tracers (AMP + Tracers), Data Access / Showcase, Leapfrog Database and Reports, Balanced Score Card / Clinical Services Scorecard, SharePoint, PC based Word and Excel spreadsheet program, Policy Tech, Industry publications as they relate to Quality and other areas, as applicable, such as Safety, Risk Management, etc.

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.