Smilow Quality & Safety Coord

New Haven, CT
Mar 25, 2019

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

Under the direction of the Smilow Performance Manager in collaboration with the Chief Quality officer, the Network
Medical Director, and the Director of Patient Services, along with cancer center network leaders, the Smilow Cancer
Hospital Care Centers Quality and Safety Coordinator develops and supports the design, implementation, evaluation
and advancement of a culture of clinical quality and patient safety within the Smilow Care center sites. The
incumbent plans, develops and directs the patient safety and quality improvement initiatives of Smilow Cancer
Hospital providing the leadership necessary to achieve national best practice performance levels in quality
improvement while facilitating the implementation of evidence based medicine /clinical practices. The incumbent
ensures that the quality of cancer care services rendered meets or exceeds professionally recognized national and
institutional standards. The incumbent interfaces with a diverse range of clinical and administrative professionals ,
resolves sometimes complex policy and service issues within the group, directs prescribed data analysis and
reporting activities and ensures compliance with regulatory agency requirements (state, federal, and accreditation
organizations). The incumbent leads quality improvement initiatives and conducts RCA and ACA as required .
EEO/AA/Disability/Veteran.
RESPONSIBILITIES
1. Leads/Facilitates Smilow Cancer Hospital quality improvement initiatives
Facilitate multidisciplinary teams using Six Sigma, LEAN, and other available methodologies to achieve
agreed upon performance goals
1 .1
Perform periodic gap analyses and action plan development to ensure conformance with national patient
safety and clinical quality initiatives
1 .2
Provides mentoring and training to Smilow Cancer Hospital staff and engaged in unit -based on
cross-departmental improvement efforts
1 .3
2. Provides leadership to ensure patient safety throughout the continuum of care
Organizes, facilitates and leads the review and analysis of patient incidents, conducting root cause
analyses on serious events in collaboration with faculty, staff and leadership.
2 .1
2 .2 Works with cancer center leaders and staff to create a culture of high reliability
2 .3 Designs programs to evaluate patient care and to identify, study, and correct deficiencies
Identifies opportunities to improve the patient-care delivery process and the patient experience.
Collaborates with the leadership team to implement improvements.
2 .4
3. Data Management
Assists with design of data collection tools, facilitates data collection and analysis, and consults with
leaders and staff to convert data into useful information to make process and practice change
3 .1
Prepares and disseminates reports and information based on quality improvement/patient safety
initiatives
3 .2
Maintains relevant clinical databases and other necessary functions to assure that information is readily
available to others

Maintains relevant clinical databases and other necessary functions to assure that information is readily
available to others

Serves as a representative of Smilow Cancer Hospital and Yale Cancer Center for internal and external
committees with the purpose of improving quality of care
4.
Actively participates with identified quality and safety departments and committees to develop integrated
quality improvement processes
4 .1
Participates in the development, review, and revision of policies that relate to clinical practice and
process improvements
4 .2
Serves as a point person for all regulatory agencies in Smilow, including DPH, QOPI, TJC, Radiation
Safety agencies and CMS.
4 .3
4 .4 Serves as a representative for committees, such as the C4QI consortium, Vizient, and C3NSI.

EDUCATION
Bachelor's Degree in Nursing, Healthcare, Health Administration, Public Health or related field. Master's Degree or
higher preferred.

EXPERIENCE
3+ years of healthcare experience. Clinical experience in the field of Oncology or quality improvement preferred .
Knowledge of various regulatory agencies, including TJC, DPH, CMS, National Comprehensive Cancer Network
(NCCN) and other nationally recognized oncology related standards of care as well as the Press Ganey Patient
Satisfaction Reporting System are strongly preferred.

SPECIAL SKILLS:
1. Strong analytical and problem solving skills; ability to multitask in a fast paced complex environment 2. Excellent
verbal and written communication, interpersonal, coordinative, and organizational skills.
3. Excellent understanding of accreditation, federal and state regulations/requirements
4. Proficient in Microsoft Office such as Excel, Word, Visio, PowerPoint and Outlook
5. Evidence of Lean, DMAIC or Six Sigma training and/or project experience. Certification is strongly preferred.

ACCOUNTABILITY
In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right
thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences),
accountability (being responsible and taking action), and compassion (being empathetic).

COMPLEXITY
In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right
thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences),
accountability (being responsible and taking action), and compassion (being empathetic).
Plans, develops and implements program and culture of clinical quality and patient safety for the Smilow Cancer
Hospital. Liaises among and between the Yale New Haven Health System Cancer Network, Yale New Haven
Hospital; Smilow Cancer Hospital and Yale Cancer Center.
LICENSURE/CERTIFICATION:
R.N with active CT licensure (preferred). Certification in quality improvement (desirable).
INFORMATIONAL
SPECIAL WORKING CONDITIONS AND PHYSICAL DEMAND:

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Job Info

Job: 5813

Department: Oncology Nursing Admin
Category: Nursing-staff
Sub Category: OTHER
Status: Full Time
Shift: DAYS
Hours: 40.00

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