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Posted: 28-Aug-23
Location: Durham, North Carolina
Salary: Open
Categories:
Internal Number: 234460
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Department Description
Oncology Quality and Safety Program Manager
General Description of the Job Class
In collaboration with DUHS Quality and Safety Department and DCI Clinical and Administrative Leadership the Quality and Safety Program Manager will provide for driving cost effective quality and safety management services for Duke Cancer Institute (DCI). This position oversees cancer data capture, analyses, and reporting; manages significant clinical event investigations, ensures peer review, decision support, coordination of regulatory and accreditation compliance and surveys (CoC, FACT, Joint Commission, DHS, CMS), patient safety, process improvement, and all other required quality related activities.
Duties and Responsibilities of this level
Oversees cancer data capture, analyses, and reporting. Shares quality data as required by DCI and DCI partnerships. Supervises and coordinates all quality and safety programs that are administered within clinical divisions, departments and/or disease-site programs. Supports clinical leadership in fulfilling their stewardship over quality and safety.
Analyzes incidents, sentinel events, and risk outcomes with administrators, physicians, clinical leaders, and staff to identify improvement opportunities utilizing quantitative techniques and knowledge of health care operations and systems thinking. Manages significant clinical events and root cause analysis, including peer review, process improvement, tracking and reporting of processes, policies, and procedures. Eliminates sources of error, including identifying causes of variation, implementing systems and processes to facilitate effective clinical practice and error reduction.
Ensures and supports integration and standardization of process across Duke Cancer Institute. Supports/Leads in development, implementation, and migration of best practices for safe clinical practice and outcomes at the system or business level. Ensures state of the art data systems and accurate and reliable data acquisition, including analysis and inter-rater reliability of data to support clinical and administrative decision making. Obtains and uses literature, best practice, and benchmark data whenever possible.
Coordinates closely with the DUHS insurance division to develop and implement value-base care goals for cancer physicians and cancer care delivery. Leads CMS value-based programs specific to Oncology. Recommends and oversees the development and implementation of short- and long-range quality and safety goals and objectives and determines the optimal progression. Reviews analyses, and reports of various activities to determine progress toward stated goals and objectives. Supports the development and achievement of department budgets in conjunction with these goals and in accordance with company standards.
Provides leadership to assure compliance with federal and state regulatory programs, oncology specific accreditation requirements, and helps to ensure that established organizational policies and procedures are aligned with the current and future DCI partnerships. Internal Customers include all assigned facility administrators, physicians, staff and corporate administrators, management team and staff. External customers include accreditation and regulatory organizations, peer review organizations, payers, patients, physicians, clinical registries, and databases.
Required Qualifications at this level
Experience:
- Must have a proficiency level typically attained with at least two years' experience in patient safety/quality management. Requires at least two years management experience or demonstrated leadership abilities through successful large- scale projects
- Experience directly related to creation, manipulation, and management of complex data sets, analytical tools, and database applications for healthcare organizations.
- Progressive knowledge of process/quality improvement and Lean Methodologies.
Degrees, Licensure, and or Certification:
- Master's degree in healthcare related field or experience consistent with Master's degree.
- Certified Professional in Healthcare Quality (CPHQ or Patient Safety (CPPS) preferred.
Knowledge, Skills and Abilities:
- Must possess demonstrated flexibility in responding to the needs of multiple constituencies with a service-oriented philosophy.
- Demonstrated ability to lead and facilitate interdisciplinary teams.
- Must also possess demonstrated skill in problem analysis, project management, conflict resolution and oral/written presentation.
- Requires ability to balance and manage multiple projects.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
