**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.** 40hpw; Monday -Friday **Job Description:** Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization. It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care. **Position Summary:** Reporting to the Chief Medical Officer will oversee a comprehensive quality, risk and regulatory patient safety program at Beth Israel Deaconess Plymouth (BIDP). In collaboration with local clinical and administrative leadership, the Director of Quality and Patient Safety, will support leadership, education and project management at BIDP in accordance with the quality and safety plan of the hospital. The goal is to improve quality, operational clinical initiatives, promote innovation and to identify/develop best practices for clinical excellence, service excellence and patient safety. The Director of Quality and Patient Safety will oversee Hospital specific operations inclusive of Hospital performance improvement, infection control, patient safety, regulatory affairs and service excellence in partnership with other Hospital leaders to promote model programs and approaches in assuring superior delivery of services. The Director of Quality and Patient Safety will serve as a clinical consultant for the model of local implementation for quality improvement and patient safety. The Director of Quality and Patient Safety will support the implementation and monitoring of programs and activities designed to ensure that BIDP incorporates methods to improve the safe administration of care into all clinical processes, while developing a culture that perceives safety to be of paramount importance. This position will support the clinical leadership including the Hospital’s Chief Nursing Officer, Hospital President, etc., to operationalize a common outcomes measurement and reporting system related to patient safety, and provide leadership in analyzing, prioritizing, implementing, collaborating and communicating patient quality, service and safety initiatives consistent with the BIDP Quality and Safety Plan. **Duties/Responsibilities:** + Facilitate formal mechanisms of communication and networking among clinical leaders at BIDP including forums for information sharing, knowledge transfer, best practices, and innovative problem solving. + Support analytic, operational and strategic leadership in helping to position Beth Israel Deaconess Plymouth as a quality and patient safety leader within the healthcare industry. + Provide over-site in the implementation of improved systems for tracking, evaluating and communicating patterns in patient safety for the Hospital. + Provide support and guidance to the clinical leadership in meeting the goals within the patient safety agenda at the BIDP. Work closely with the Beth Israel Lahey Health (BILH) quality and patient safety leadership, to implement programs designed to eliminate the following: preventable mortality, adverse drug events, falls, pressure ulcers, surgical complications, nosocomial infections and The Joint Commission recommendations. + Provide education and coaching for front line clinical leadership in maximizing performance within the clinical decision support system. + Provide support in the implementation of an integrated database designed to promote more timely and accurate information related to patient safety issues and quality challenges, develop educational programs and networking opportunities to enhance Hospital’s use of failure mode and effects analysis, root cause analysis, and improvement strategies related to quality and patient safety. + Support the collection of patient safety data for trends and recommend changes, as appropriate, thereby improving the safety of the care at the Hospital. + Coordinate the regulatory compliance program to meet the standards identified by The Joint Commission, Department of Public Health and Centers for Medicare and Medicaid Services. Support project structure to ensure all staff are involved in regulatory readiness on a daily basis. Works with administrative and clinical leadership to insure they recognize their role in preparation for regulatory readiness. Is supported by the Hospital leadership in assuring the process is hospital wide. + Oversees the infection control program to ensure practice is consistent with regulating bodies. + Works to support the medical peer review process in association with the Hospital leadership and coordinate reporting to the Board of Registration in Medicine or Department of Public Health. + Recommends performance improvement activities in collaboration with Hospital leadership to ensure quality and safety processes are coordinated in a multidisciplinary fashion. + Fosters and maintains a collaborative relationship with external agencies, purchases and stakeholders related to quality, performance improvement and safety initiatives. Reviews and evaluates services to ensure that safety and regulatory recommendations are implemented and desired results are obtained. Coordinates and oversees data collection and analysis, public reporting, measure validation processes, pay for performance initiatives, annual Leapfrog survey among others. Performance measure data reported to the system including system Quality Goals Performance measure data from external agencies (CMS, MassHealth, Leapfrog, Joint Commission) Patient Experience data (Press Ganey) Commercial Payer Pay-for-Performance programs (BCBS AQC, HPIP, HPHC) + Acts as a liaison with the Massachusetts Coalition for Prevention of Medical Errors, Institute for Healthcare Improvement and the Institute for Safe Medication Practices.Keeps current with emerging initiativesPlans designs, and implements educational programs for staff to maintain compliance with standards.Includes emerging national or local initiatives into ongoing recommendations + Assumes accountability for determining, developing and evaluating annual budget. + May perform other job-related duties as requested or required _It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required._ **Education/Experience Required:** + ­BS or MS in health care field. + Five to ten years’ experience in a senior clinical leader position with a strong foundation in quality and patient safety. + Highly motivational communication skills accompanied by the ability to analyze and present data to influence behavior, stimulate innovation, promote best practices and drive organizational change. + Excellent presentation style, including the ability to present data to clinicians and staff at all levels of the organization. + A highly skilled change agent with demonstrable sensitivity to the interpersonal, group dynamic, organizational, political and perceptual issues associated with changed. + Results orientation accompanied by the skill set required to conceptualize, implement and operationalize a user-friendly clinical excellence and patient safety program. + Demonstrated ability to create and sustain momentum through relationship building and collaborative management. **Physical/Environmental Requirements** This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs. There will be occasional need for climbing stairs, lifting in excess of 50 – 100 lbs and sitting. Constant use of hearing, sight and speech. Frequent use of smell and touch. Frequent keyboard and telephone use. Constant concentration and problem solving **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**