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Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize

the abundant opportunities for growth and success.

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HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Quality Improvement RN

Full-Time

Overview:

The Quality Improvement RN will develop a performance improvement quality program to support the nursing clinical staff achieve the highest level of quality and patient safety by ensuring HSS meets or exceeds compliance with TJC, NYS DOH, CMS regulations and Magnet benchmarks. The role will collaborate with the nursing leadership team and Quality and Accreditation team to coordinate activities and develop quality improvement projects; and provide support for nursing staff and multidisciplinary teams undertaking improvement initiatives. The quality improvement RN will provide and analyze data, anticipate programmatic changes, inform organizational and clinical leadership of such changes, forecast organizational performance, and coordinate performance improvement initiatives to meet the goals. The role supports evidence-based practice by assisting nursing staff in the development of process standards that are consistent with evidence-based literature, regulatory requirements, and pertinent professional nursing standards. This role will act as a departmental liaison between the Department of Nursing and other hospital departments to drive collaboration between interprofessional partners to improve quality care across the enterprise.

Responsibilities include:

• Annual evaluation and report of the Nursing quality and performance improvement plans
• Occurrence reviews, including Patient Event Debriefs, RCAs, FMEAs, and corrective action plans with Nursing leadership team and the Quality and Accreditation team.
• Analyzes data, evaluates outcomes, and supports the development of action plans to improve practice.
• Assists in improvement to ensure the right methodologies are utilized, including Lean and Six Sigma, A3 Problem Solving, AND Plan-Do-Study-Act (PDSA).
• Monitors regulatory compliance. Coordinate activities to ensure the effective implementation and sustainability.
• Identifying opportunities for improvement and the development and implementation of improvement strategies
• Assist with benchmarking activities through the National Database for Nursing Quality Indicators (NDNQI).
• Provides project management support for quality improvement teams including arranging meetings, providing minutes, managing project timelines, and preparing reports. Participates in development of presentations, reports, and publications.
• Assessment of the learning needs of nursing staff as they pertain to quality and performance improvement; assists with the provision of education and mentoring in the methods and tools of rapid cycle and continuous quality improvement.
• Develops tools to audit and monitor outcomes at the unit level.
• Manages all phases of a Nurse Sensitive Indicator (NSI) dashboard, including data collection, evaluation, and presentation of data to the clinical staff in partnership with unit-based nursing leadership
• Coordinates and serves as the contact person for the NDNQI (National Database of Nursing Quality Indicators) data collection, reporting, analysis, and dissemination of results.
• Coordinate nursing peer review activities.

Passion

• Commitment to achieving higher levels of performance for patients, staff, and the organization
• Demonstrates focus and alignment with the organizational goals
• Displays the desire to be a lifelong learner
• Driven to achieve result

Teamwork

• Mentors and coaches all members of the team in quality improvement methodologies and performance improvement project management
• Demonstrates necessary skills for team building, open communication and promotion of a collegial atmosphere
• Collaborates with the interprofessional team

Excellence

• Collaborates with the team to drive quality initiatives
• Partners with Patient Care Directors regarding data related to clinical practice, staff communication and change facilitation
• Active engagement, council membership and serves as co-chair on councils
• Utilizes performance improvement model (Plan-Do-Study-Act) to improve patient outcomes
• Critical Thinking: Analyzes problems, issues and opportunities. Systematically and logically able to make decisions that support the mission, vision, values and goals of the organization.
• Project Management: Develops and implements projects using a systematic approach to translate work plans into actionable components and measurable outcomes.
• Program Management: Supports, Enhances and develops departmental programs with actionable and measurable outcomes. The programs will support the strategic goals of the organization and cascading goals to the Nursing Department.

Creativity

• Supports an environment that encourages out of the box thinking
• Maintains current clinical knowledge of evidenced-base practice
• Creates an environment leading to innovation

Integrity

• Maintains confidentiality
• Encourages honesty and open communication
• Leads by example
• Serves as a Mentor and role model

Requirements

• BSN from an accredited school of nursing required
• Masters of Nursing
• 5 years of acute care RN experience required
• NYS RN license and registration required
• AHA BLS certification required
• Specialty Nurses Certification as applicable, required