Capital Health is the region's leader in advanced medicine with significant investments in advanced technologies and the best physicians. Comprising its two hospitals (Capital Health Regional Medical Center in Trenton and the Capital Health Medical Center - Hopewell) and the Capital Health - Hamilton outpatient facility, Capital Health is a growing healthcare organization that is accredited by The Joint Commission. Capital Health has also received Magnet® status for the fourth consecutive time in recognition of its quality patient care, innovations in professional nursing practice, and nursing excellence. Only 29 organizations in the country have received Magnet status four times and five of those organizations are in New Jersey. In addition, our nursing team received special recognition for excellence in stroke and outpatient emergency care.
Assists the director with the supervision and coordination of performance improvement staff in facilitating performance and quality compliance in a timely and cost effective manner.
Assumes the responsibility for overall daily operations of the performance improvement and quality compliance program.
Develops and maintains performance improvement and quality dashboards that reflect the organization's goals and objectives.
Ensures that all issues related to quality of care are reviewed, and the necessary follow up is deployed.
Analyzes, tracks and trends quality issues to develop appropriate action plans to improve clinical quality outcomes.
Coordinates quality review and preparation of timelines in response to safety events and unexpected occurrences which caused or may cause serious physical or psychological injury.
Produces and submits performance improvement and quality reports as requested by administration, clinical departments, or committees using available information systems and databases.
Oversees or conducts statistical analysis, interpretation, and monitoring of performance improvement and quality data.
Establishes and supports organizational multidisciplinary performance improvement and quality teams.
Serves as performance improvement and quality resource by collaborating with personnel and departments involved in improvement activities.
Demonstrates and applies knowledge of patient safety, just culture and high reliability in providing project support and data collection assistance for the improvement of safety culture.
Establishes policies, procedures, and standards to meet performance improvement and quality outcomes in a safe, productive and cost-effective manner.
Collaborates with director in preparation and control of annual budget.
Maintains accurate and complete individual staff competencies and performance records.
Coordinates the hospital education plan for performance improvement.
Integrates knowledge of external standards including TJC and other state and federal regulations pertaining to patient safety.
Conducts research and promotes implementation of evidenced based guidelines.
Attends in-service training sessions and seminars to maintain and improve knowledge of performance improvement techniques.
Assists with employee orientation that includes current patient safety and PI expectations, strategies and initiatives.
Bachelor's degree in Nursing, Healthcare Administration, or other healthcare-related field.
Five years Quality Management, Safety, Risk Management or education experience in acute care environment.
Possesses excellent organizational, interpersonal, conflict resolution, and verbal presentation skills.
Self-starter with ability to effectively manage multiple priorities and initiatives and to provide anticipated outcomes in a fast paced environment.
Demonstrates ability to foster teamwork and bring together diverse groups in a collaborative and effective manner.
Excellent verbal and written communication skills to develop and present reports and educational materials. Ability to work with all levels of leadership. Demonstrates tact and diplomacy in situations of conflict and controversy.
Strong computer skills required including MS Office (Work, Excel, Power Point). Data analysis and quality experience. Knowledge in lean, six sigma or other process improvement techniques desired.
Certification in specialty area preferred (CPHQ, PSC).
Valid NJ RN License.
• Competitive salaries • Tuition reimbursement • Low employee expense for medical and dental insurance • 403(b) Savings and Retirement Program
Easy commute from PA and major NJ routes.
Find out why our 3000+ employees have chosen Capital Health.