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Work Shift

Day (United States of America)

Job Summary:

The Service Line Quality Manager will lead, in a dyad partnership, with the Service Line Quality Medical Director to lead performance improvement across all Wellstar locations in collaboration with service line stakeholders, hospital, and system quality leadership. They will be responsible for the implementation of data gathering, research, and analysis to identify gaps and opportunities for quality improvement, developing solution plans, and identify problem areas fostering a culture of safety and quality. This individual will be embedded within the Service Line to ensure quality performance efforts are focused within all relevant clinical areas and sites of services of the Service Line. This role will be accountable to ensuring alignment with System and service line leadership to review and set quality opportunities and initiatives. They will lead divisional physician and administrative dyads in regular review of quality efforts. Will guide service line specific hospital leadership to ensure alignment with established quality priorities. Will function as a liaison to hospital performance improvement committees and will be the conduit to align quality efforts across all hospitals. Facilitates annual recognition of quality accomplishments across the system relevant to their respective service line. Promotes, and supports, participation in industry-related quality conferences. Supports hospital service line teams in respective regional or national certifications. The Service Line Quality Manager is a highly competent process and program manager with a skill set that includes quality performance assessment, data review, project design, leadership, and process improvement to lead improvements for target initiatives. The person in this position is responsible for using Lean Six Sigma principles and program data to drive continuous improvement initiatives and operational excellence. This role collaborates with key stakeholders/departments in developing and educating best practice standards to ensure the reliable, safe design of care processes and workflows across the System. Strong relationship building is key to this role. The Service Line Quality Manager practices innovative design and systems thinking to improve measures of quality and safety while striving to improve the financial profile of service line programs.

Core Responsibilities and Essential Functions:

Core Responsibilities and Essential Functions Leads performance improvement initiatives for Service Line clinical and administrative leadership, and front-line staff in establishing a comprehensive quality assessment and performance improvement plan across all Wellstar locations. Dyad partner to service line physician quality medical director. Supports Wellstar high reliability leadership principles, incorporates the Just Culture into decision making and places the patient at the center of all initiatives. * Collaboration with analytical teams to develop performance dashboards. Maintains and utilizes internal and external data to identify issues and trends that impact patient safety and quality of care. * Collaborates with organizational leadership and front-line staff in formulating plans to address identified concerns. Is subject matter expert in relevant clinical registries or databases that are utilized to evaluate and track quality improvement. Interfaces with appropriate team members and leadership to provide data-based process and actions necessary for identification and escalation of trends for process improvement within the service line. Evaluating and prioritizing potential improvement initiatives based on patient outcomes and ROI along with required effort of the team. Initiates proactive change management establishing a clear and well-articulated implementation plan for improvement. Conducting detailed analysis of the current situation that accurately describes the issues and specifying deliverables, outcome indicators, and KPIs. Regularly monitors the implementation of solutions to achieve objectives and expected benefits. Effectively supports and presents service line goals and identifies gaps in data where said goals are not met. Collegial Relationships Establishes and fosters collaborative working relationship with medical and clinical staff involved in the care of identified specialty patients. Regularly meets with system and service line leadership to review quality opportunities and initiatives. Leads divisional physicians and dyad partners in regular reviews of quality efforts. Facilitates annual recognition of quality accomplishments across the system. Provides leadership in facilitating appropriate communication systems between medical staff and other health care professionals. Facilitates, supports and co-leads specialty committee with medical director. Regulatory Adherence and Compliance Maintains current working knowledge related to applicable laws, regulations, statues, and best practice literature that may affect: Georgia Medical Board, Board of Nursing, The Joint Commission (TJC) and accreditation requirements, AHRQs National Quality Forum-Serious Reportable Events (NQF-SRE) and HIPAA. Ensures adherence to regulatory standards. Financial/Fiscal Responsibility Demonstrates responsibility in financial management, continuous quality improvement, institutional support and representation, and customer service. Professional Practice Fosters cooperative spirit among team members. Facilitates annual recognition of quality accomplishments across the system. Utilizes appropriate intervention behaviors and communication styles to be an effective liaison and resource. Maintains climate of open communication by listening, providing regular feedback, and involving employees in process implementation Utilizes effective verbal and written communication skills and maintains appropriate interpersonal relationships. Serves as mentor in the development of peers and staff. Promotes positive learning environment for staff and promotes professional practice through shared governance, evidence-based practice, and ethical accountability. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

or Bachelors Business Administration/Management or Bachelors Health Science or Bachelors Nursing or Bachelors Industrial Engineering or Masters Health Administration or Masters Business Administration/Management or Masters Business Informatics
• *** Format Error Masters Nursing

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 4 years of experience in healthcare, nursing, clinical practice, or performance improvement Required and Minimum 2 years of experience in high reliability, Lean, and safety design principles Required

Required Minimum Skills:

Organizational and interpersonal skills with the ability to work independently as well as with a team; High time management; Medium excellent written and communication skills; High high degree of professionalism, discretion, and confidentiality. Medium Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings. High Skilled computer skills with Microsoft Office. High Strong analytical, investigative skills, program/protocol development and implementation experience necessary. Medium Demonstrates knowledge of standards related to the field of practice, clinical management and concepts of interpersonal relationships. Medium Delegation skills and ability to multitask High Adept as a change agent High Utilizes a wide range of theories in managing complex problems or problem resolution Medium

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