19 days old

Senior Performance Improvement & Patient Safety Coordinator, FULL-TIME, M-F, 8A-5P

The Nemours Foundation
Wilmington, DE 19801
  • Job Code

As one of the nations leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children even those who may never enter our doors through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

Nemours Is seeking a Senior Performance Improvement & Patient Safety Coordinator, FULL-TIME, M-F, 8A-5P, to join our team in Wilmington, Delaware.


Coordinates and participates in the collection of data from medical records, logs, databases and error reporting systems that support performance improvement,patient safety, and regulatory readiness activities of the Hospital and the Practice. Coordinates the collection of quality& safety- related data for medical staff quality profiles. Coordinates and facilitates the Failure Mode, Effects Analysis and Root Cause Analysis processes.

This position is responsible for organizing, compiling, documenting, and analyzing data to produce reports from which opportunities for quality/safety improvement, intervention and educational activities can be identified. Educates staff in continuous quality improvement and patient safety concepts, processes, and tools as needed within the scope of these responsibilities Utilizes the quality methodology in training departments and multi-disciplinary teams. Works with Hospital and Medical staff at all levels of the organization to design and implement data collection methodologies, databases, action plans, and reporting strategies. Facilitates teams as necessary to achieve performance improvement within the organization. Participates in continuous survey-readiness activities. Coordinates and conducts evaluation of hospital and medical staff processes via Tracer Methodologyto support compliance with state, federal and other regulatory agencies standards.

Participates as a member of Committees, as assigned. Supports essential hospital and enterprise-wide quality & patient safety initiativesincluding, but not limited to, Medication Safety. Cross covers, as needed, to meet the responsibilities of the department as a whole.

This position supports these activities in all venues within the Enterprise as assigned. It is anticipated that travel of up to 25% of scheduled work time may be required to meet the objectives of this position

  • Facilitates commitment to an organization and enterprise-wide quality/safety culture and strategy.
  • Facilitates the participation of individual department, service or Medical Staff in organization and enterprise-wide quality/safety activities.
  • Collaborates with Hospital, Practice and Medical Staff leadership and key committees to develop long-range goals, objectives, and strategies for quality/safety improvement across all Enterprise entities.
  • Assists in the identification of specific organizational needs and priorities related to quality improvement and patient safety utilizing a variety of sources including, but not limited to, measurement data, variance reports, patient/staff suggestions, team recommendations, comparative data, regulatory standards/reports, focus groups and knowledge-based information.
  • Establishes a process, in collaboration with Departmental Leaders, for proactively assessing the Hospital and/or Practice for quality and safety improvement opportunities.
  • Educates and acts as a resource to all hospital and practice personnel on quality methodologies and regulatory standards related to quality and patient safety
  • Designs data collection processes and tools as appropriate to the project.
  • Supports the hospital and Enterprise Medical Staff and departmental leaders in the ongoing collection of data to meet regulatory and peer review needs.
  • Conducts concurrent and retrospective focused studies to evaluate and analyze targeted areas of performance.
  • Analyzes data to identify trends and opportunities for improvement as assigned. Prepares data into meaningful information using forms, reports, graphs, tables, slides, and other documents to communicate results.
  • Presents as appropriate data results to administration, medical staff, departments, and committees.
  • Facilitates multidisciplinary teams or committees as assigned.
  • Assist managers and employees identify action plans to improve performance and safety in the Hospital and Practice.
  • Utilizes Tracer Methodology to assess compliance with Accreditation and Regulatory requirements.
  • Under the direction of the Managing Director of Quality and Safety, performs enterprise wide mock survey activity to support survey readiness at each pertinent business location
  • Facilitates and/or prepares formal documents, reports, plans or policies to support quality and safety activities, i.e. Root Cause Analysis, Failure Mode Effects Analysis, Team Proposal forms, progress reports, data definitions, etc.
  • Under the Direction of the Managing Director of Quality and Safety, designs and assures the capture of quality/safety data for the Medical Staff quality and outcomes review process by working with the Medical Staff to identify, define, and determine the best metrics to be used throughout the Enterprise
  • Supports the Medical Staff peer review process through indicator screening, case identification and referral.
  • Provides input into the employee Annual Safety Training to ensure necessary educational components are included to meet State, Federal, and JCAHO regulations.
  • Facilitates and participates in the evaluation of quality/safety program effectiveness.
  • Keeps Director of Quality and Patient Safety appraised of barriers to completion of objectives.


  • Bachelor's degreerequired; Master's degree preferred.
  • Current Delaware Nursing license required.
  • Minimum of five (5) years' experience in healthcare performance/ quality improvement and patient safety required.
  • Certification in Healthcare Quality, Lean, or Six Sigma required.
  • Experience in dealing with regulatory agencies required.
  • Experience in utilizing and teaching a variety of quality methodologies/models required.
  • Experience in the design and manipulation of databases required.
  • Must be able to travel for up to 25% of scheduled work time.

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique Bridge to a Healthy Future pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.

Posted: 2019-11-25 Expires: 2019-12-24
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Senior Performance Improvement & Patient Safety Coordinator, FULL-TIME, M-F, 8A-5P

The Nemours Foundation
Wilmington, DE 19801

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