Location Address: 9100 W. 74th Street, Mission, KS 66204
Top Reasons To Work At AdventHealth Shawnee Mission
Received MagnetÂ® recognition from the American Nurses Credentialing Center in January 2019
Providing faith-based, whole person care to Kansas City since 1962
Excellent health benefits, an onsite child care center and fitness facility
Tuition reimbursement to support continuing education
Employee Referral Program
Largest health care provider in Johnson County with three campuses
You will be responsible for:
Implements the objectives of Performance Improvement Plan and Patient Safety Plan
Working knowledge of the PSO (Patient Safety Organization)
Demonstrates excellent management, communication, organization, interpersonal, problem-solving, critical thinking, systems thinking, consulting, and team building skills.
Ability to prioritize, plan and execute while pursuing various projects simultaneously.
Readily identifies barriers and develops effective strategies to address.
Incorporates patients, physician, and associates needs and concerns into decision-making and organizational action.
Provides high-level leadership and collaboration with other departments.
Facilitates meetings and projects effectively, with producible, measurable results.
Assures integrity and validity of information used in making associated quality and patient safety decisions.
Creates a positive environment that fosters innovation and change. Facilitates the change management process.
Seizes opportunities to share âœlessons learnedâ through organizational learning techniques.
Demonstrates the ability to delegate responsibilities to all levels of the organization.
Supports and encourages error reporting and near miss reporting throughout the organization
Leads and facilitates the PI teams, FMEAs, and RCAs as warranted.
*Responsible for management of assigned direct reports: recruitment, hiring, coaching/ disciplinary, development, education and competencies, payroll functions and documentation of these activities.
Utilizes the Performance Improvement Model
Utilizes excellent interpersonal skills to deal with challenging situations while maintaining strong supportive relationships. Readily available for questions; handles requests in a courteous and respectful manner.
Communicates effectively, both written and verbally.
Demonstrates a proactive attitude and seeks to remedy situations before mistakes are made or corrects errors when found; takes responsibility for the overall âœquality imageâ of the department.
Ensures accuracy of data collection and submission; validates integrity of data collected.
Develops data reports for projects, committees, hospital departments, medical staff departments, as designated.
Knowledge of and utilizes statistical approaches, measurement techniques, including benchmark and comparative data to develop quality reports.
Collects, aggregates, analyzes, summarizes and reports quality data for hospital organizational performance and physician performance data as indicates.
Participates in hospital-wide outcomes and quality improvement initiatives/ performance improvement teams.
Assists in efforts to improve and streamline the process and workflow of the department.
Demonstrates the ability to set appropriate priorities.
Recognizes how absence impacts the functioning of the healthcare team and strives to minimize this effect.
When requested, is willing to adjust personal schedule in order to complete workload when necessary
Attends educational offerings as needed to promote continuous learning and support to department
Responsible for staying current on CMS Conditions of Participation (CoP) and Joint Commission standards for all levels of care.
Effectively leads patient safety initiatives and adverse event improvements as appropriate
Coordinates the SAQ survey process and Action and Implementation Plans
Responsible for Joint Commission Accreditation/CMS CoP Compliance
Ensures continuous survey readiness/compliance with accreditation standards
Conduct Periodic Performance Reviews for accredited programs
Communicates with and educates associates and medical staff on Joint Commission standards
Facilitates and coordinates changes necessary to remain compliant-"ever ready activitiesâ
Responsible for on-site survey activities (preparation, planning, coordinating, etc.)
Serves as the official liaison between SMMCâ™s accredited programs and the Joint Commission
Communicates and facilitates necessary changes in order to remain continuously compliant with accreditation standards.
Collaborates with other hospital leaders in developing, monitoring, reporting and analyzing patient safety and accreditation efforts.
Proactively seeks opportunities/mechanisms aimed at continually minimizing risks in our patients.
Recommends and facilitates change to improve patient safety based on identified risks.
Facilitates the creation of an effective action plan in response to identified patient safety issues.
Responsible for follow through and oversight for completion and actions plans relating to patient safety, including follow up measures of effectiveness.
Participates with leaders from SMMC and medical staff in planning, promoting and facilitating organization-wide patient safety activities.
What You Will Need:
1 to 2 Years of Position-Related Experience
Kansas Registered Nurse License
Masterâ™s Degree Preferred
2 to 5 Years of Position-Related Experience Preferred
CPPS (Certified Professional in Patient Safety) Preferred
CPHQ (Certified Professional in Healthcare Quality) Preferred
The Accreditation and Patient Safety Manager is part of the Quality Management Leadership team and reports to the Administrative Director of Quality, Risk and Safety. The Accreditation and Patient Safety Manager has primary responsibility for ensuring Joint Commission standards and CMS Conditions of Participation compliance. Responsible for Joint Commission continuous readiness for the Hospital, Home Care, Behavioral Health, Shawnee Mission Surgery Center and Prairie Star Surgery Center Accreditations. Also serves as a resource for hospital identified programs seeking Joint Commission Certification. The Accreditation and Patient Safety Manager is also responsible for facilitation and coordination of organization-wide Patient Safety initiatives.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.