At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.
General Summary and Purpose: Responsible for the development, communication and successful execution of established objectives (financial and non-financial) within the functional areas of Patient Safety, Critical Response, Infection Prevention, and Regulatory Compliance within the Saint Alphonsus Health System (SAHS), as articulated through strategic and tactical plans. The Director provides day-to-day oversight upon the direction from the Chief Quality Officer for the Patient Safety and Regulatory Compliance and the Performance Improvement departments in Boise and Nampa which includes personnel management, planning, deployment of resources, project management, evaluation of processes, analysis of data, continuous accreditation readiness, reducing nosocomial infection rates, and management of the Infection Prevention Medical Director contract.
At the health system level, the Director has a dotted line relationship with the colleagues at Ontario and Baker City who manage/coordinate the functional areas of Patient Safety, Critical Response, Infection Prevention, and Regulatory Compliance. The dotted line relationship includes setting performance goals, maintaining regular communication, monitoring progress to goals and providing input toward the evaluation of these associates based on the defined expectations. This position actively collaborates with health system leaders to develop strategic goals and tactical plans and communicates regularly on progress toward goals.
Skills, Knowledge, Education and Experience:
Master’s in health related field, preferred.
7 years experience in implementation of patient safety principles/applications, Joint Commission accreditation standards, and CMS regulations, required.
Demonstrated team, analysis, presentation, performance improvement and interpersonal skills.
Ability to lead lean improvement projects with demonstrated results, preferred
5 years of management experience in a large healthcare organization, or multi-hospital organization, in areas related to this job description, preferred.
Working knowledge of Microsoft business applications (MS Word, MS Excel, and PowerPoint) and electronic mail application.
Good written and oral communication skills, ability to analyze complex processes.
Able to travel as required to other health system sites; may include over night stays.
Has achieved Patient Safety Officer Certification through IHI or equivalent, preferred.
Meets medical center’s Caring Standards including interpersonal communication and professional conduct expectations.
Executes successfully the established strategic and tactical plans and services of the functional areas of responsibility at the Saint Alphonsus Health System level, through analysis, measurement and monitoring, reporting, and adjusting the direction, allocation and utilization of available resources.
Facilitates and manages team performance to the established performance levels by the effective use of Performance Improvement, Human Resources and Financial skills, techniques, and communications.
Establishes and maintains a positive and productive working relationship with all relevant stakeholders.
Serves as liaison to Senior Management, Medical Staff and the Board for the functional areas of responsibility.
Provides reports to SAHS medical staff committees as indicated by the Chief Quality Officer.
Leads UCO Ministry Teams as indicated by the Chief Quality Officer.
Establishes and maintains a patient safety program that integrates executive responsibility, the performance improvement structure, and risk management in a manner that establishes patient safety as a priority health system objective. Establishes such program with appropriate measurements to monitor and define success.
Incorporates patient and medication safety initiatives in the prioritization of an annual performance improvement plan. Works with directors and managers throughout the health system to create and implement projects around patient safety and medication safety that could be incorporated into the annual PI plan.
Works collaboratively with physicians, nurses, pharmacists, and patients to solicit input on current safety concerns. Uses such information to construct a gap analysis and opportunities for performance improvement around patient and medication safety. Maintains a working knowledge of the literature around patient and medication safety to constantly review gaps in our performance on safety concerns.
Tabulates and reports data as appropriate. Identifies major trending patterns and collaborates regarding corrective actions.
Supervises the role of the patient safety staff, regulatory staff and infection prevention staff as indicated by the Chief Quality Officer, either through direct or dotted line relationships.
Maintains a dotted line relationship with the associates at each MO who manage/coordinate the functional areas of Patient Safety, Critical Response, Infection Prevention, and Regulatory Compliance. The dotted line relationship includes setting performance goals, maintaining regular communication, monitoring progress to goals and providing input to the evaluation of these associates based on the defined expectations.
Leads collaborative efforts to maintain compliance with Joint Commission standards and CMS regulations for the entire Saint Alphonsus Health System, by developing continuous readiness strategies and tactics and implementation of new standards as they arise.
Leads collaborative efforts to reduce nosocomial infections throughout the entire Saint Alphonsus Health System by developing and implementing standardized infection prevention and surveillance processes.
Leads collaborative efforts to improve recognition and early treatment of deteriorating patient condition through rapid response systems.
Promotes standardization of patient safety practices across the health system to ensure best practices, in each ministry.
Develops, coordinates and/or presents education for associates, management, and medical staff pertaining to patient safety, infection prevention, critical response and regulatory compliance.
Participates in Unified Enterprise Ministry education seminars, task forces and improvement activities representing the Saint Alphonsus Health System.
Promotes a health system culture of safety by collaborating with others to develop, implement, monitor and improve methods and programs to produce an informed culture, reporting culture, learning culture, just culture, and flexible culture.
Provides ongoing support for all patient safety, regulatory compliance and infection prevention staff at each health system ministry and seeks to understand the ongoing work within each ministry.
Why Saint Alphonsus?
Saint Alphonsus is a four-hospital regional, Catholic, integrated health system that serves the communities in Oregon and Idaho. Saint Alphonsus Regional Health System is dedicated to delivering advanced medical services in a spiritual and healing environment close to home. For more than 120 years, Saint Alphonsus has been helping the Boise community thrive and is a trusted... partner for life. Saint Alphonsus has been consistently ranked nationally in Cardiac, Orthopedics, Neurosciences, and Critical Care.The Cancer Care Center was recently awarded the Outstanding Achievement Award by The Commission on Cancer (CoC) of the American College of Surgeons (ACoS).
Idaho's capital city of Boise is the 3rd largest city in the Pacific Northwest. The Boise Valley is an outdoor enthusiast’s paradise and a flourishing scene for arts, entertainment and collegiate and professional sports. Boise also offers a reasonable cost of living, low crime rate, excellent cultural programs, neighborhood parks, nearby national forests and rivers. Several high-profile publications rank the Boise metro area as one of the best places in the country to do business and live.
• Forbes recently ranked the Boise metro area 2nd for raising a family; particularly noting its low crime and high school quality, not to mention the chance to mix urban and outdoor lifestyles.
• CNN/Money ranks the Boise metro area 3rd best place to retire and also named Idaho as the friendliest state for small businesses.
• Outside Magazine recently said, “The winner for best overall town in the western U.S. is Boise, Idaho.”