Director Of Clinical Outcomes

We are looking for a Director of Clinical Outcomes to join our team at Kansas Spine & Specialty Hospital!

Duties and Responsibilities:

People

1. Nurtures the development of appropriate working relationships with facility administrators, physicians, department leaders and employees
2. Demonstrates effective verbal and written communication skills in keeping staff informed
3. Demonstrates skills as a team player and works closely with leaders to establish positive relationships
4. Educates staff on regulatory requirements
5. Remains composed and takes action to restore calm in stressful situations
6. Successfully implements change by managing conflict successfully through mediation
7. Utilizes sound judgment and critical thinking skills
8. Acts as a resource person on a consistent basis
9. Relates well to diverse groups of people throughout the organization
10. Builds rapport and forms constructive relationships
11. Is characterized by diplomacy and tact and able to diffuse tense situations
12. Can get things done through both formal and informal channels and influence
13. Ensures application of Just Culture principles and no-blame culture consistently to respond to events

Service / Leadership

1. Participates in Employee Orientation as appropriate
2. Models appropriate interaction with staff to ensure high level of service in all areas of responsibility
3. Provides educational opportunities to clinical staff
4. Participates in the development and evaluation of professional practice by participating in department and/or hospital committees, special projects and attendance at leadership meetings
5. Responsible for actively pursuing knowledge and compliance with TJC, CMS and Texas Health and Human Services regulations
6. Fosters teamwork, effective communication, and collaboration among all departments
7. Assures customer complaints are addressed timely with follow through to resolution to foster an environment of Service Excellence. Responds to customer concerns (written, verbal or in person) within 48-72 hours. Closes the loop timely with all parties when following up on complaints
8. Accepts accountability for assignments, adapts to various working conditions, and supports or assists coworkers when needed
9. Adapts to multiple demands, ambiguity, shifting priorities and rapid change in the health care setting
10. Shows resilience in the face of adversity and demonstrates a willingness to modify one's approach to reach stated goals
11. Utilizes the strength and talent of others to meet the needs of the department
12. Seeks assistance when needed
13. Demonstrates Managerial Courage by stating what needs to be said and providing action-oriented feedback to others.
14. Confronts situational problems directly and quickly with the ability to make unpopular decisions when necessary.
15. Collects sufficient information to make timely and effective decisions. Does not procrastinate when making difficult decisions.
16. Escalates concerns to Senior Leaders timely, and in accordance with policy.

Quality

1. Supports culture of safety through development and support of Zero Preventable Harm Culture
2. Assists with collection and analysis of organizational metrics
3. Assists with collection and analysis of quality indicators
4. Work demonstrates accuracy, thoroughness and evidence-based research
5. Stays abreast of The Joint Commission Standards, Texas Department of Health and Human Services, Texas Administrative Codes and CMS Regulations
6. Uses aggregate data to effectively analyze opportunities to reduce errors, identify problem prone processes and make decisions for improving clinical outcomes
7. Maintains a safe environment through participation in drills, safety rounds and survey readiness activities
8. Drives departmental processes and communication toward prioritizing quality outcomes including aggressive safety compliance. Routinely shares outcome metrics with all staff
9. Knowledgeable of core measures, HCAHPS and publicly reported data
10. Performs clinical debriefings, Code Blue debriefings, Root Cause Analysis meetings and Proactive Risk Assessments
11. Assesses occurrence reports for trends and opportunities for improvement
12. Assist with OPPE and FPPE data collection
13. Track and trend safety events, identifying opportunities for improvement and initiates actions plans based upon needs and acceptable standards of the organization.
14. Mitigate risk through proactive implementation of evidence-based practices to ensure best patient outcomes.
15. Participates with and notifies insurers as needed, to ensure appropriate follow-up and actions are

Finance

1. Prevents readmissions by working with case management, navigator and patients
2. Work is completed in a cost-efficient manner
3. Performs other administrative duties as required
4. Maintains most cost-effective strategies to meet budgetary expectations. Consistently evaluates for strategies to reduce lengths of stay
5. Monitors HAC, HAI and Meaningful Use and Pepper reports for potential penalties
6. Reduces financial risk to the organization through proactive risk management/patient safety and quality programs.

Growth

1. Provides monthly staff education activities based on needs assessment / leadership requests
2. Shows willingness to take on additional assignments to assist others in the facility
3. Keeps abreast of current developments in quality and patient safety
4. Pursues opportunities for continuing education
5. Seeks personal specialty certification or educational opportunities
6. Seeks out opportunities for organizational and program excellence / quality recognition
7. Presents new and original ideas; researches evidence base practices
8. Exercises good judgment regarding what, how and when to make major changes
9. Encourages and facilitates effective brainstorming

Team Membership Expectations:

Performs effectively when one's success depends upon the performance and success of others. Functions within a team and participates actively in meetings to produce results in a cooperative effort. Places shared goals before one's own interests and builds relationships with others throughout the system. Derives a sense of accomplishment from a team effort. Establishes action plans for self and others to ensure work is completed efficiently. Practices active listening skills in one-to-one and group settings by paraphrasing and acknowledging information. Displays patience to hear opposing viewpoints, asks probing questions to increase understanding and conveys understanding to others. Exhibits managing up co-workers and directing staff to their appropriate leader(s). Supports new strategies, programs and expectations publicly and always demonstrates a unified alliance with all co-workers. Embraces new staff and peers with support and understanding.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Qualifications:

• Demonstrates eligibility for employment in the U.S.
• Graduate of a school of professional nursing with current and valid licensure with the Kansas State Board of Nursing as a Registered Nurse.
• Bachelors in either Nursing or related health care field required.
• Master's Degree in Nursing/related health care field preferred
• BLS prerequisite
• Minimum of 10 years nursing experience in a hospital required; 5 years direct supervisory experience; and 3 years of performance improvement experience highly desired
• Specialty certification highly desired (RNC, CNOR, CPHRM, CPHQ, CPPS, etc.)
• Familiarity with Kansas Board of Nursing professional nursing standards and the ANA Scope of Service standards and performs in accordance with them.
• Understanding of Kansas Administrative Regulations, promulgated by the Kansas Department of Health and Environment as they pertain to Hospital Operations, Quality, Infection Prevention, Employee Health, Risk Management, and Outpatient Surgery requirements.
• Knowledge of commonly used concepts, practices, and procedures within Quality, Safety, Infection Prevention and Control, Employee Health, and Risk Management.
• Knowledge of state, federal and accrediting body regulations and standards related to healthcare. (CDC Guidelines, The Joint Commission Standards, CMS and KDPH)
• Ability to relate and work effectively