Essential Job Statements

Lead the integration of safety & quality into the fabric of the organization to achieve care targets. Advance the organization through collaboration, learning and communication.

• Implement processes for engagement and teamwork

• Create learning opportunities to advance the organization

• Communicate effectively in multiple venues via multiple routes

• Ensure appropriate use of data to drive change and improvement

Use proven methods to facilitate improvement initiatives

• Utilize performance and process improvement tools

• Implement change management methodology

• Employ project management tactics

Leverage data analytics to help guide decision-making and inform improvement initiatives

• Design and implement data structure and plans to support initiatives

• Integrate data from multiple sources into initiatives

• Use statistical and data visualization methods

Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture and improving processes that detect, mitigate, or prevent harm

• Facilitate root cause analyses and FMEAs

• Apply high-reliability principles to improvement initiatives

• Ensure focus remains on process-driven solutions rather than people-driven ones

• Promote psychological safety through transparency of data and information.

Evaluate and improve healthcare processes and care transitions to advance the safe, equitable, efficient, effective, and timely care of our diverse patient population.

• Integrate population health management strategies into initiatives

• Apply a holistic approach to improvement

• Collaborate to improve care processes and transitions

Maintain & update knowledge base

• Update professional knowledge applicable to the role by participating in education opportunities such as reading professional publications and networking locally and regionally.

• Complete required continuing education to maintain certification (as applicable).

Ensure responsibility and visible commitment of diversity equity and inclusion strategy, programs, and initiatives through collaboration and implementation of initiatives across the health system.

Performs other duties as assigned and/or participating in special projects in order to support the mission of VCUHS and the HR Business Advisory team. Accepting alternate responsibilities as required.

Patient Population

Not applicable to this position.

Employment Qualifications

Required Education:

Bachelor's Degree in Nursing, Healthcare Administration, Business Administration, or related clinical or academic field

Preferred Education:

Master's Degree in healthcare field (e.g. MSHA, MPH, MSN, MHA), Quality Engineering, Business Administration or related field

Supplemental course work in quality improvement, such as quality methodologies/tools, data analysis, patient safety, Lean, Six Sigma, quality engineering, and/or project management

Course work in statistics

Fellowship in Patient Safety

Licensure/Certification Required:

Current license in the Commonwealth of Virginia (e.g. Registered Nurse, Pharmacist, Nurse Practitioner, Registered Dietitian or similar) if candidate holds a professional license

Lean Six Sigma Green Belt or equivalent within 1 year to maintain position

Licensure/Certification Preferred:

Certified Professional in Healthcare Quality (CPHQ) preferred
Certified Professional in Patient Safety (CPPS) preferred
Certified Project Manager (PMP) preferred
Lean Six Sigma Black Belt preferred

Minimum Qualifications

Years and Type of Required Experience

Minimum of three (3) years of work experience in the healthcare environment which may include hospital or clinic setting with specific experience in the following areas:

• clinical processes

• safety & quality improvement processes and tools

• facilitating and/or leading interdisciplinary groups

• leadership (formal or informal) in a healthcare organization

• collecting, organizing, and analyzing data

• developing and making presentations

Previous experience using a personal computer and software application to include the Internet, e-mail, Microsoft Office (Word, Excel, etc.), MS Project, Visio

Other Knowledge, Skills and Abilities Required:

Cultural Responsiveness

Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.

Other Knowledge, Skills and Abilities Preferred:

Previous experience with organization-wide performance improvement and/or coordinating projects in an academic medical center with a wide variety of services, including ambulatory care, home care, emergency care, critical care, and inpatient care.

Previous experience applying and explaining statistical process control tools; conducting group facilitation/presentation; and designing data collection tools

Previous experience using mapping/flowcharting software and working with databases (e.g., Visio, Access)

Combination of education and experience in lieu of a degree.

Working Conditions

Periods of high stress and fluctuating workloads may occur.

General office environment.

May have periods of constant interruptions.

Prolonged periods of working alone.

Other: May be required to car travel to off-site locations occasionally

Physical Requirements

Physical Demands

Lifting/ Carrying (0-50 lbs.)- up to 33% of the time

Push/ Pull (0-50 lbs.)- up to 33% of the time

Work Position

Sitting, Walking, Standing

Additional Physical Requirements

Manual dexterity (eye/hand coordination)

Repetitive arm/hand movements

Finger Dexterity

Hazards

N/A

Mental / Sensory

Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking

Emotional

Fast-paced environment, Steady Pace, Able to Handle Multiple Priorities, Able to Adapt to Frequent Change

The Patient Safety & Quality consultant is a thought partner with VCUHS executive, physician, nursing and ancillary leaders in strategic planning and implementation of data-driven initiatives to achieve clinical excellence at the system, clinical service and care site level. The role may serve as a coach, facilitator, or advisor as appropriate for the needs of the organization. The role is responsible for accelerating the successful management of change to ensure improvements are spread and a sustainability plan is implemented. The Patient Safety & Quality Consultant manages improvement projects and multi-disciplinary teams through all phases from inception to implementation and spread. The role provides formal and just-in-time education on safety & quality improvement methodologies to increase organizational improvement capability.

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.