Registered Nurse- High Reliability Organization Program Director
Veterans Affairs, Veterans Health Administration
Location: Minneapolis, Minnesota
Internal Number: 652471000
The High Reliability Organization Program Director is a registered professional nurse who is accountable to the Quality Management Leadership in Quality, Safety & Value (QSV). They have full responsibility for strategic planning as well as coordination (development, implementation, monitoring and evaluation) of facility Lean/Six Signa/Systems Redesign and activities that relate to HRO journey including CBOCs, at a Level 1a-medical center. Basic Requirements must be met at the time of application. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Preferred Experience: Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility, serving medical, surgical, and mental health inpatients and outpatients. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Must be able to lift at least 45 pounds. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. This position requires heavy lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 12 hours; both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Transferring patients and objects may be required. ["The HRO Program Director is expected to lead transformative quality, safety, effectiveness, and efficiency improvement efforts, act as the project manager for complex healthcare and operational improvement functions across the medical center, conduct studies and organizational analysis of diverse functions and work processes, provide consultative guidance to management and leadership to effect improvements in mission effectiveness, resource utilization and cost savings, and develop collaborative relationships and funding mechanisms with VHA, academic and private health care industry partners in support of HRO activities. The HRO Program Director Provides the overall direction and consultation for the HRO principles across the facility. Major Duties include but are not limited to: · Planning and organizing developments within the facility as well as evaluating, advising and coordinating administrative and clinical activities`. · Management improvement and education to deliver strong HRO principles across the culture of the entire organization. · Mentorship and partnership across all service lines and all levels of staff in the organization. · Incumbent will ensure sustainability and spread of efforts directed at improving quality, safety, effectiveness through utilization of HRO principles of preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience and deference to expertise. · The individual plans and develops policies, procedures, and goals, and implements and educates staff on HRO. Actively seeks out potential organizational or departmental vulnerabilities by engaging with front-line staff and leaders. Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. · Incumbent is responsible for working collaboratively across all levels of the organization. Incumbent will participate in hospital wide committees and execute plans in relation to roll through committee and task force work. · Utilizes rigorous systematic, data driven continuous improvement approaches to promote strong leadership, patient safety, system redesign, and high reliability. · The incumbent selects, and monitors quality and performance measures for process improvement and patient satisfaction; completes advance data pulls from national and local databases and warehouses; reviews and analyzes various reports and complex data, completes trend analysis relating to quality improvement to ensure desired outcomes; monitors clinical services' compliance with the standards of external bodies and accrediting agencies; and recommends remedial action. · The incumbent compiles final reports related to these monitors, conducts workload studies and revises statistical information to determine if the program goals are being met. Communicates key performance indicators and other stakeholder driven results to appropriate parties and determines action plans for improvement and guides the implementation of change. Responds to National program needs and local program needs for quality assurance and reporting. · Participates in supported research projects in the Minneapolis VAHCS. · HRO Program Director works with other VA facilities to import and share best practices. Works with the VISN HRO designee to ensure metrics and ideals are met and implemented with consistency. · Possesses a background in patient safety and / or work with implementing High Reliability initiatives in healthcare. Fluent knowledge and understanding of Root Cause Analysis, Systems, Crew Resource Management (CRM), Just Culture, and the characteristics of High Reliability Organizations (HRO). · At the Facility level the role/responsibilities of the HRO Champion broadly involves leadership, oversight, leading cultural change, communication and strategic planning. Work Schedule: Monday-Friday Days\nTelework: May be authorized on an Ad Hoc basis.\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.