Clinical Quality & Performance Improvement RN - On Site

Employment Type: Full time Shift: Day Shift Description: On Site position requires RN License Position Purpose Implements and maintains a compliant and comprehensive, organization-wide, Quality and Performance Improvement Process to address performance opportunities impacting the quality of care delivery to meet regulatory requirements for Saint Francis Hospital (SFH) and Mt. Sinai Rehabilitation Hospital (MSRH). Partners to perform Root Cause Analysis (RCA) for safety events utilizing the High Reliability Organization (HRO), Healthcare Performance Improvement (HPI) process and procedure for SFH and MSRH. Monitors and accesses PSI 90 cases for improvement action. Participates in Adverse Events investigation of incident and plans for actions to improve performance and eliminate preventable patient harm for SFH and MSRH. Assists the Director of Quality, Patient Safety, Regulatory Affairs and Patient Relations, the Regulatory and Patient Safety Specialist, and the Clinical Quality and Patient Relations Coordinator in executing action plans for continuous improvement. Acts as a resource for staff by providing education and assistance regarding performance improvement in quality of care delivery, regulatory requirements, patient safety and other associated activities. What you will do Facilitate hospital-wide ongoing efforts to address opportunities for improvement directed at continuously building high reliability and safe processes Oversee performance improvement activities to ensure mechanisms are in place to prevent avoidable harm and to meet regulatory compliance with the CMS Conditions of Participation, Quality Assurance and Performance Improvement (QAPI) program, The Joint Commission and the Connecticut Department of Public Health Manage the review and compilation of performance improvement activities surrounding safety events, precursor safety events and near misses Perform RCA and Failure Modes Effects Analysis (FMEA) activities as required Support the coordination of investigations into occurrences, tracking and completing action plans to address known concerns Maintain a log of performance activities and outcomes to meet QAPI directives NDNQI collaboration with Nursing Education Provide assistance to the organizational high reliability and safety program to sustain safety training and safety habits throughout the organization Minimum Qualifications Connecticut RN license required Bachelor's degree in related field required; Master’s Degree in Nursing, Healthcare, or related field preferred At least five (5) years hospital clinical experience. At least two (2) years’ experience in a quality/regulatory and/or patient safety/ performance related role. Knowledge of regulatory requirements, surrounding patient adverse events, patient quality of care and safety initiatives, and quality indicators Certified Professional in Healthcare Quality (CPHQ) preferred Position Highlights and Benefits Full time 40hrs M-F days Excellent benefits - starting day 1! Ministry/Facility Information Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.