• 1. Creates and sustains a High Reliability Culture in consort with the Management team
• 1.1 1.1. Develops strong, positive relationships with all members of the team. 1.2.Successfully integrates high reliability organization principles into current and future practice. 1.3. Supports the clinical teams participating in the initiative by facilitating briefings and debriefing. 1.4. Ensures the briefings, debriefings and other elements of team communication occur. 1.5.Remain current with national standards of practice and disseminate pertinent patient safety information. 1.6. Facilitates or assists in providing team training education sessions. 1.7. Brings patient and staff patient safety and quality of care concerns to appropriate clinical forums. 1.8. Participates in clinical performance improvement meetings. 1.9. Oversees, participate and/or collaborate in initiatives related to creating a blame free culture for medical error reporting. 1.10.Observes processes/practices in the designated areas.
• 2. Expertise in High Reliable Safety Culture, is an expert in knowledge regarding patient outcomes.
• 2.1 2.1. Collaborates with staff to identify adverse events and near-miss occurrences 2.2. Maintains a database of observations, briefings, and debriefings. 2.3. Participates in Root Cause Analyses and Failure Mode & Effects Analyses. 2.4. Assesses the documentation of all charts reviewed and collaborates with leadership on plans for improvement.
• 3. Supports a just culture and acts as a coach to assure staff understand a just culture environment.
• 3.1 3.1. Complies with HIPPA guidelines for security and confidentiality of data and information. 3.2. Travel to YNHHS member facilities is required. 3.3. Travel to off-site conference and training as required. 3.4. Other duties as required.
• 4. Leads, facilitator and executive projects.
• 5. Under Nursing Leadership direction facilitates multidisciplinary teams using performance improvement methodologies to achieve agreed upon performance goals. (Plan-Do-Study-Act (PDSA), Six Sigma, CAP, LEAN)
• 6. Works in collaboration with Nursing Education to facilitate training for certain projects.
• 7. Under the direction of the Director, Medical Directors, Nursing Professionals Governance Councils and Patient Safety Committee perform periodic gap analyses and action plan development to ensure conformance with nation al patient safety and clinical quality initiatives including Joint omission National Patient Safety Goals, NQF Safe Practice, and Leapfrog Group Quality.
• 8. Utilizes dashboards and reports to monitor key quality, safety, financial and satisfaction metrics. Assists unit leadership with data for patient safety and quality boards.
• 9. Provides mentoring and training to staff engaged in unit-based or cross-department improvement efforts.
• 10. Under the direction of the Director, Medical Directors and Nursing Professional Governance Councils identify and manage resources required to successfully execute projects.
• 11. Proposes process and technology improvements to successful completion in both departmental based and cross-functional team settings.
• 12. Serves on committees to facilitate projects that encourage innovation and best practice.
• 13. Works closely with the entire health care team on innovative projects to improve quality, efficiency, safety, and reliability supported by Evidence Based Practice.
• 14. Serves as a resource by providing expert knowledge of regulatory standards and accreditation processes.
• 15. Provides education in the approach and methods of quality assessment and improvement throughout the department.
• 16. Special assignments as requested by Sr. Leadership (Support Magnet journeys).
• 17. Develops sustainability measures and audits tools for projects.
• 18. Population Management Objectives
• 18.1 18.1. Evaluates the current status and needs of a given patient population. 18.2. Consults with evidence-based literature and practice. 18.3. Collaboratively establishes an evidence-based, evolving plan for the improvement of care. 18.4. In coordination with other unit leadership, ensure that Patient Care Services staff are meeting evidence-based practice standards and institutional policies and strategy. 18.5. Ensures appropriate patient care delivery methods for a defined population based on industry trends. 18.6. Addresses variations in clinical outcomes for the patient population.
• 19. Outcomes Leader/Risk Analyst/Reduction and Elimination of Adverse Events
• 19.1 19.1. Establishes an evolving risk assessment methodology to evaluate, plan for and mitigate risk on behalf of patients, families, unit (care area) and organization. 19.2.Decrease/Eliminate service line adverse events: i.e., HACs, CLABSI, CAUTI etc. 19.3. Utilizes information systems and technology that places knowledge at the point of care to improve health care outcomes. 19.4.Reviews unit-based data on nurse sensitive indicators for the patient population and compares them against both hospital, system, and national benchmarks.
• 20. Mentorship
• 20.1 20.1. Collaborates with clinical staff, assuming patient care across the continuum. 20.2. Serves as a mentor to clinical staff, empowering their advocacy of patient care. 20.3.Promotes the use of scientific principles and critical thinking skills in the delivery of nursing care. 20.4. Provides opportunities for staff to observe and support staff in physical assessments, data review, evaluation of patient outcomes and other learning experiences/opportunities. 20.5. Mentors the staff on developing time management, prioritization, and clinical thinking skills on a continuum. 20.6. Is a leader in and facilitates staff engagement in innovation and evidenced based care.
• 21. Clinical Leadership
• 21.1 21.1. Promotes safe, effective, high-quality care and optimal outcomes in the service line. 21.2. Uses appropriate teaching/learning principles, strategies and materials and current research and technologies to facilitate the care team's learning. 21.3. Practices and mentors skilled communication. 21.4. Practices and mentors collaboration with interdisciplinary teams. 21.5. Intentionally round to support education and quality assurance. 21.6. Collaborates with shared governance and supports the submission of best practice changes.
• 22. Customer Satisfaction
• 22.1 22.1 Supports the leadership team in ensuring that customer service standards reflect the service excellence pledge and policy. 22.2. Models and upholds a customer service focus to all internal and external customers. 22.3. Demonstrates value for all people in the work area.
• 23. Professional Member/Lifelong Learner.
• 23.1 23.1. Advocates for the professional nurse as a key member of the inter-professional team. 23.2. Holds membership in professional organization(s). 23.3. Upholds the standards of specialty practice applicable to the patient population. 23.4.Participates in continuing education for self and the development of future colleagues. 23.5.Assumes responsibility for the professional presentation of oneself. 23.6.Practices and adheres to one?s scope of practice. 23.7.Develops personal goals for professional development and continuing education.

EDUCATION

Baccalaureate degree required; Masters preferred. DNP, CNL, CNS or APRN preferred. Current CT state RN licensure and/or eligibility for CT state RN licensure required

EXPERIENCE

Three (3) years minimum experience in area of clinical specialization required.

LICENSURE

Current Connecticut State RN Nursing licensure and/or eligibility for CT RN licensure required.

SPECIAL SKILLS

Demonstrated ability to manage multiple priorities. Demonstrated clinical expertise, critical thinking and computer skills. Must have excellent prioritization and communication skills. Demonstrated ability to implement, support and effectively monitor change. Must be able to translate research and data into practice. Pre-requisite classes preferred: - Foundations of Safety, Quality and Performance Improvement - Project management - (or Planning and managing Projects) - Tools for Improvement - (or applying Lean Principles) - Change Acceleration Process (CAP) - Workout facilitation

PHYSICAL DEMAND

Exposure to bio-hazardous blood and body fluids. Prolonged standing, walking, and lifting required.