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

Duties and Responsibilities:

PEOPLE Nurtures the development of appropriate working relationships with facility administrators, physicians, department leaders and employees

Demonstrates effective verbal and written communication skills in keeping staff informed

Demonstrates skills as a team player and works closely with leaders to establish positive relationships

Educates staff on regulatory requirements

Remains composed and takes action to restore calm in stressful situations

Successfully implements change by managing conflict successfully through mediation

Utilizes sound judgment and critical thinking skills

Acts as a resource person on a consistent basis

Relates well to diverse groups of people throughout the organization

Builds rapport and forms constructive relationships

Is characterized by diplomacy and tact and able to diffuse tense situations

Can get things done through both formal and informal channels and influence

Ensures application of Just Culture principles and no-blame culture consistently to respond to events SERVICE / LEADERSHIP Participates in Employee Orientation as appropriate

Models appropriate interaction with staff to ensure high level of service in all areas of responsibility

Provides educational opportunities to clinical staff

Participates in the development and evaluation of professional practice by participating in department and/or hospital committees, special projects and attendance at leadership meetings

Responsible for actively pursuing knowledge and compliance with TJC, CMS and Texas Health and Human Services regulations

Fosters teamwork, effective communication, and collaboration among all departments

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

Accepts accountability for assignments, adapts to various working conditions, and supports or assists coworkers when needed

Adapts to multiple demands, ambiguity, shifting priorities and rapid change in the health care setting

Shows resilience in the face of adversity and demonstrates a willingness to modify one’s approach to reach stated goals

Utilizes the strength and talent of others to meet the needs of the department

Seeks assistance when needed

Demonstrates Managerial Courage by stating what needs to be said and providing action-oriented feedback to others.

Confronts situational problems directly and quickly with the ability to make unpopular decisions when necessary.

Collects sufficient information to make timely and effective decisions. Does not procrastinate when making difficult decisions.

Escalates concerns to Senior Leaders timely, and in accordance with policy. QUALITY Supports culture of safety through development and support of Zero Preventable Harm Culture

Assists with collection and analysis of organizational metrics

Assists with collection and analysis of quality indicators

Work demonstrates accuracy, thoroughness and evidence-based research

Stays abreast of The Joint Commission Standards, Texas Department of Health and Human Services, Texas Administrative Codes and CMS Regulations

Uses aggregate data to effectively analyze opportunities to reduce errors, identify problem prone processes and make decisions for improving clinical outcomes

Maintains a safe environment through participation in drills, safety rounds and survey readiness activities

Drives departmental processes and communication toward prioritizing quality outcomes including aggressive safety compliance. Routinely shares outcome metrics with all staff

Knowledgeable of core measures, HCAHPS and publicly reported data

Performs clinical debriefings, Code Blue debriefings, Root Cause Analysis meetings and Proactive Risk Assessments

Assesses occurrence reports for trends and opportunities for improvement

Assist with OPPE and FPPE data collection

Track and trend safety events, identifying opportunities for improvement and initiates actions plans based upon needs and acceptable standards of the organization.

Mitigate risk through proactive implementation of evidence-based practices to ensure best patient outcomes.

Participates with and notifies insurers as needed, to ensure appropriate follow-up and actions are FINANCE Prevents readmissions by working with case management, navigator and patients

Work is completed in a cost-efficient manner

Performs other administrative duties as required

Maintains most cost-effective strategies to meet budgetary expectations. Consistently evaluates for strategies to reduce lengths of stay

Monitors HAC, HAI and Meaningful Use and Pepper reports for potential penalties

Reduces financial risk to the organization through proactive risk management/patient safety and quality programs. GROWTH Provides monthly staff education activities based on needs assessment / leadership requests

Shows willingness to take on additional assignments to assist others in the facility

Keeps abreast of current developments in quality and patient safety

Pursues opportunities for continuing education

Seeks personal specialty certification or educational opportunities

Seeks out opportunities for organizational and program excellence / quality recognition

Presents new and original ideas; researches evidence base practices

Exercises good judgment regarding what, how and when to make major changes

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 with others.

Ability to read, write and communicate effectively in English, with additional languages preferred.

Demonstrates ability to comprehend written and oral instructions.

Willingness to participate in goal-setting and educational activities for his/her own professional advancement and that of others.

Must be computer literate with basic computer skills that are required to perform essential job-related duties including Microsoft Suite™, Excel™ and Powerpoint™. Knowledge, Skills & Abilities:

Under the supervision of the Chief Nursing Officer, the Director of Clinical Outcomes oversees performance improvement, infection prevention, employee health, and risk management initiatives in compliance with all regulatory requirements. Responsible for driving positive patient experience outcomes and establishes and promotes collaborative and effective relationships with physicians, patients, families, vendors and additional members of the healthcare team. Educates members of the healthcare team on Quality Improvement and drives improvement using the PDSA (Plan-Do-Study-Act) model. Keeps current with health care trends related to population care, quality, safety and performance improvement. Leads and directs quality improvement activities that produce better patient care and more efficient operations. Tracks and presents results of improvement efforts, event reports, and ongoing measures of clinical processes to hospital and corporate leaders. Stays current with NAHQ (National Association for Healthcare Quality) and AHRQ (Agency for Healthcare Research and Quality) and IHI (Institute for Healthcare Improvement) and SP (Surgery Partners) standards. Familiar with ECRI (Emergency Care Research Institute) and ISMP (Institute for Safe Medication Practices) evidence-based safety recommendations. Helps to advance excellence in the facility by producing evidence that makes healthcare safer, higher quality, more accessible, equitable, and affordable. Responsible for all regulatory oversight and management of the facility. Assists in Quality Strategic Planning for the facility. Projects a professional demeanor and appearance while maintaining the confidentiality of patients, coworkers, and facility information and adhering to all HIPAA requirements and guidelines. Reports, in good faith, any known or suspected activity that appears to violate laws, rules, regulations or the SP Code of Conduct. Fulfills annual continuing education requirements. Personal attributes include the ability to be self-directed; demonstrates accountability, professionalism, and receptiveness to change; seeks guidance, direction, and assistance when needed. Works under stress and in situations that demand patience, stamina, endurance, and tact while providing impeccable service. Fosters an attitude of teamwork and willingness to assist others. Sets priorities, responds timely to issues which require a decision, and ensures desired results are achieved by means of consistent follow through. Collaborates with appropriate departments to develop multidisciplinary approach to patient care and teaching. Displays excellent organizational and time management skills in all daily activities. On call activities are expected. Physical Requirements:

May be expected to lift up to 10 - 20 pounds occasionally. Work is of light demand; walking, standing and sitting most of the time while on duty. Visual and auditory acuity and manual dexterity essential to performing designated duties required. Optimal auditory acuity required. Manual dexterity involving the handling of office equipment is essential to performing assigned duties. Physical conditions are clean, neat and well lit. Climate control and ambient temperature variances may be experienced. Hours of duty may be irregular or unexpectedly extended due to the requirements of the job. Benefits: Comprehensive health, dental, and vision insurance

Health Savings Account with an employer contribution

Life Insurance

PTO

401(k) retirement plan with a company match

And more! Equal Employment Opportunity (EEO) & Americans with Disabilities Act (ADA) Statement

Our hospital is committed to fostering an inclusive and diverse workplace. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law. Additionally, we are dedicated to providing reasonable accommodations to qualified individuals with disabilities in the application and employment process. If you require assistance or an accommodation due to a disability, please contact Human Resources so that we may engage in an interactive process to determine an appropriate accommodation.