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Quality and Patient Safety Manager

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Job ID: 147622
Category: Quality/Performance Improvement
Work Type: PT 20+ HOURS
Location: West Chester, PA, United States
Work Schedule: Part time day shift

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Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

General Summary Statement

The Quality and Patient Safety Manager /Improvement Advisor participates in the planning, implementation and evaluation of the quality, patient safety and operational performance improvement program. The manager serves as an advisor and local change agent for entity-wide service lines and departments or others as assigned, and supports teams connected to those areas. The Quality and Patient Safety Manager provides teams with the most current PI methods and tools, including project management support.

The Quality and Patient Safety Manager /Improvement Advisor mentors and coaches, providing support and experience for local process improvement teams when needed. The work includes, though is not limited to, facilitation of PI projects and workshops, management and surveillance of data for PI opportunities, messaging trends in the data to departments and staff, education of staff in the latest PI methods, and responding to serious patient safety events. This position is accountable for facilitating improvement in the areas of clinical quality and patient safety, patient satisfaction, operations and continuous survey readiness.

Essential Duties and Responsibilities

Provide management and support for hospital wide performance improvement and patient safety activities at Chester County Hospital.

1. Key Areas of Responsibility:

• Mentoring, teaching, and coaching teams, providing feedback, support, and direction as needed; viewed as a PI resource for the entity.

• Provides departments and service lines with the most current PI methods, assisting in seeking areas for improvement and the facilitation of projects while working with varying levels of professional, clinical and ancillary staff.

• Able to competently evaluate and facilitate improvement activities by providing useful feedback to insure safe, effective, and compliant patient services. Able to communicate effectively both verbally and in writing.

• Ability to work under supervision and when appropriate, take initiative to act independently.

• Maintains and models organization’s Core Values and seeks out opportunities to improve the patient experience.

2. Planning & Facilitation:

• Helps teams plan and stay organized by actively assisting with planning and implementing PI strategies for the entity.

• Collaborates with leadership & frontlines to effectively prioritize problem solving

• Applies PI methods and tools appropriately.

• Promptly investigates serious safety events and quality concerns and provides PI support for process

redesign after a serious event.

3. Data Management:

• Maintains data integrity & validity and helps teams and leadership access useful data.

• Helps the organization understand trends, the meaning of data, and comparison to benchmarks.

• Is effective in disseminating information.

• Proficiency with Microsoft Office (Work, Excel, PowerPoint, Access, Project, etc.), flowchart/

workflow presentation software, such as Visio, QI Macros, or similar.

Education Training and Experience

A Bachelor’s degree is required, Master’s degree is preferred. Clinical experience is preferred, although candidates with non-clinical degrees, such as MBA, MPH, or MS will be considered if there is commensurate work experience in healthcare performance improvement. Applicants must have knowledge and experience in quality improvement modes, especially Lean/Six Sigma, the IHI Model for Improvement, or Human Factors Engineering. Knowledge of national standards and outcomes for quality, safety and healthcare - such as CMS Core Measures and Value Based Purchasing, AHRQ, Patient Safety Indicators (PSIs), Leapfrog, US News and World Report rankings, is preferred. Experience with Root Cause Analysis is desired. Knowledge of Joint Commission, CMS and Pennsylvania Department of Health standards/regulations is required.


Six Sigma Green Belt/Lean (Black Belt preferred). Certification/IHI Improvement Advisor training or equivalent experience.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

   Current UPHS employees must apply HERE
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