Quality and Continuous Improvement (CI) Manager (Fixed Term Contract Position - Maternity Leave Cover) - UPMC

Please send letter of application along with an up-to-date CV to Natalie Moore, HR Coordinator, UPMC Whitfield Hospital, Cork Road, Waterford, or by email to mooren11@upmc.ie.

Closing date for receipt of completed applications is Monday, 21 September 2020.

Quality and Continuous Improvement (CI) Manager

Fixed Term Contract Position – Maternity Leave Cover
UPMC Whitfield Hospital, Waterford
Reports to: Senior Director of Quality and Patient Safety

The position of quality and CI manager will ensure that quality improvement activities are directed toward continuous quality improvement. The quality and CI manager identifies opportunities for improvement based on evidence-based practices, understanding of data, regulatory and accrediting agency requirements, and monitoring of high risk, high volume, and/or problem prone processes by supporting the design, monitoring, analysis, and improvement of patient care and organizational functions while implementing the day-to-day quality management program functions.

Duties and Responsibilities

Continuous Quality Improvement
  • The quality and CI manager performs, coordinates, and facilitates quality improvement, patient safety activities, and clinical effectiveness initiatives to achieve organizational goals. This involves performing the assessment and analysis of operations and processes and working collaboratively with staff and managers to promote, design, and implement quality improvements and innovations.
  • Utilize and develop valid internal and external standards to measure quality.
  • Work to promote quality improvement and innovation, and monitor progress towards goals by collecting accurate, timely data to display the quality, cost, and service outcomes.
  • Provide content knowledge in the interpretation, implementation, and maintenance of all accreditation, national quality assurance standards, or regulatory standards to match external requirements.
  • Maintain accountability for ongoing self-development activities, especially related to presentation facilitation, change management, and application of quality improvement activities.
  • In order to achieve defined outcomes, the quality and CI manager engenders commitment, encourages cultural changes, disseminates information, and provides support for behavioural safety process changes.
  • Liaise with UPMC International quality teams to standardise and maintain quality metrics.
Clinical Data
  • Coordinate the capture of data and analyses clinical information from a variety of internal and external sources relating to patient safety, utilization of resources, system problems, and other quality functions.
  • Identify trends, variances, deficiencies, and problems utilizing aggregated data and information and work with multidisciplinary teams on improvement efforts.
  • Support departmental statistical data analysis. This includes providing meaningful statistics that describe the day-to-day operations of the unit and identify strengths and opportunities for clinical outcomes improvement
  • Ensure quality assurance data is kept updated to meet all accreditation, regulatory, and national quality assurance programme requirements while ensuring the integrity of data quality.
  • Ensure clinical indicators are collated and reported as required for governance.
Quality Improvement Projects
  • Liaise with the project management office and business and process improvement manager. Consult with managers to deliver organisational projects.
  • Liaise with department leads and critical committees as appropriate to finalise and advance the quality project goals.
  • Lead or cofacilitate teams by coaching and advising team members to fulfil their role in a project team.
  • When assigned, complete special projects and perform other related duties according to agreed upon goals and parameters.
  • Utilize Lean Six Sigma tools in quality improvement projects.
Risk Management
  • Provide the leadership for creating a culture of patient safety and work across departments to ensure compliance to accreditation standards, International Patient Safety Goals, and promote proactive risk management activities.
  • Work with departments to develop departmental risk registers.
  • Engage in audit and coordinate data.
  • Review all incidents to ensure corrective and preventative actions are implemented, incidents are graded, and learning is communicated.
  • Review all complaints to ensure corrective and preventative actions are implemented, and learning is communicated.
  • Where required meet with all complainants to hear their complaint and to communicate close out actions.
  • Develop and deliver education and training regarding quality and risk issues.

Skills Essential to the Post

  • Experience of working with multi-disciplinary teams.
  • Have good IT skills and ability to learn data bases.
  • Evident experience of managing change.
  • Excellent interpersonal and communication skills and the ability to motivate, influence, inspire, and encourage different ways of working.
  • Good organization skills and analytical skills including problem-solving.
  • Self-starter with the ability to learn quickly.
  • Ability to prioritise and to deliver to short deadlines.
  • Excellent verbal, written and presentation skills.
  • Effective team player both as a facilitated and a worker.
  • Flexible and adaptable approach to work.
  • Knowledge of quality improvement concepts and methodology, knowledge of The Joint Commission standards and regulatory requirements.
  • Good understanding of or willingness to learn Lean Six Sigma methodology.
  • Self-initiative and ability to do detailed work with accuracy while upholding confidentiality standards.

Person Specification

  • Degree or higher-level healthcare qualification.
  • Post graduate education in quality in healthcare is desirable.
  • A minimum of six years’ of previous health care experience.
  • Previous experience of quality improvement projects in healthcare.
Job Specific Competencies and Knowledge
  • Ability to work on own initiative, independently, but also as part of a multi-disciplinary team.
  • Must have good working knowledge of data collection and dissemination.
  • Willingly puts forth effort in starting job duties on a regular basis. Contributes new ideas, seeks self-improvement, and masters new job duties.
  • Ability to deliver training and education.
Personal Competencies
  • Acts in accordance with the vision, mission, and values of UPMC and in compliance with hospital policies.

This job description is intended to be an outline of the areas of responsibility. As the needs of UPMC Whitfield Hospital and the post holder develop, this job description may be subject to review in light of the changing needs of the Centre.

About UPMC

A $21 billion  healthcare provider and insurer, Pittsburgh, Pennsylvania-based UPMC is inventing new models of patient-centred, cost-effective, accountable care. Working in close collaboration with the  University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial and technological skills worldwide through its innovation and commercialisation arm, UPMC Enterprises, and through UPMC International.

Providing high-quality healthcare in the South East since 2006, UPMC’s operations in Ireland now include UPMC Whitfield Hospital in Waterford, UPMC Kildare Hospital in Clane, the UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapy locations at UPMC Whitfield and in Cork, and the UPMC Concussion Network. UPMC is the Official Healthcare Partner of the GAA and GPA.

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