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Manager, Quality and Patient Safety - Hospice

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Job ID: 163407
Category: Quality/Performance Improvement
Work Type: FT
Location: King of Prussia, PA, United States
Work Schedule: Full time

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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?


  • The Quality and Patient Safety Manager is responsible for establishing and implementing quality, patient safety and regulatory structures and processes that support high quality and safe patient care across Penn Home Care & Hospice Services. He/she provides leadership related to quality measurement, performance improvement, and regulatory compliance for the related discipline (homecare/hospice) agency. This individual is accountable for the collection, analysis, interpretation, and dissemination of quality and compliance data findings; contributes to the evaluation of quality trends, and provides leadership, management, and facilitation of quality improvement teams. This role is responsible for establishing and supporting systems designed to ensure that patient care is consistent with standards of care and regulatory requirements, assuring that the organization advances the culture, processes and standards to achieve clinical excellence and designing and implementing mechanisms that accurately measure and evaluate patient satisfaction and clinical outcomes., patient satisfaction and clinical operations.


  • Facilitate improvement in patient satisfaction, patient safety, clinical quality and operations.
  • Assists in survey readiness activities related to quality including chart review, standards interpretation, improvement activities and monitoring activities
  • Serve as a change-agent to programs in their efforts for quality/safety improvement
  • Maintain quality dashboards through the collection, collation and reporting of quality measures including patient satisfaction, standard quality metrics, falls, infection control and safety events
  • Understand, disseminate and communicate trends in data.
  • Collaborate with leadership team to develop, write and approve annual QAPI plan
  • Perform infection control monitoring and develop, write and approve annual Infection Control Plan
  • Manage safety including review event reporting, event investigation, RCA/ACA, complaints/grievances, and agency response.
  • Promotes a culture of safety; assists with the Patient Safety Culture Survey and action plan. Helps develop project plans and facilitates improvement in our risk reduction initiatives
  • Data collection and quality review of Interdisciplinary Team meetings and Home Health Aide Supervision

Minimum requirements:

  • Bachelor's Degree (clinical degree preferred) and 3+ years Progressive healthcare experience requiring project management, data analysis, communication, and improvement strategies. Participation in at least one regulatory survey such as Joint Commission, CMS, or Pennsylvania Department of Health is required. Knowledge and experience in quality improvement modes, such as Lean/Six Sigma, the IHI Model for Improvement, or Human Factors Engineering. 
  •  Knowledge of Joint Commission, CMS, and PA DOH standard/regulations. Knowledge of national standards and outcomes for quality, safety and healthcare related to discipline of care (ie.Home/Hospice). Experience with Root Cause Analysis.
  • 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. Prefer prior experience in related discipline of care (ie.Home/Hospice) settings although other healthcare experience will be considered.
  • Six Sigma Green Belt/Lean preferred.

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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