This position is located within Quality Safety and Improvement Service, Nursing Service at the Phoenix VA Healthcare System in Phoenix, AZ. Phoenix VA Health Care System (PVAHCS) is a Level 1a major interdisciplinary teaching facility with functional service lines serving medical, surgical, mental health, and long-term care inpatients and outpatients with an Emergency Department and multiple community-based outpatient clinics (CBOC). Is consultant who works with staff at all organizational levels to assist the organization meet regulatory and accreditation compliance. 1. Continuous Readiness: The Quality Manager will be responsible for the ongoing development and maintenance of a continuous readiness program which ensures facility accreditation and compliance with external accrediting standards and internal performance expectations as delineated in VHA guidelines and directives. The Quality Manager will promote a culture of continuous readiness within an enterprise risk management framework, driving improvement and developing processes which support safe and efficient patient care delivery. Achievement of these responsibilities will require strong skills in: the leading of both large and small interdisciplinary groups seeking systems improvement outcomes; teaching; writing; chart review; data extraction, evaluation and trending; electronic data reporting, including development of spreadsheets, tables and graphs; project management skill; presentation development; priority-setting and critical thinking skills. The Quality Manager will coordinate special projects within Quality, Safety, and Improvement Service which promote continuous readiness of the organization and its staff, such as systems tracers and accreditation preparation and survey support. 2. Liaison and Communication: The Quality Manager is administratively responsible to the Chief of Quality, Safety, and Improvement Service and will work in a collegial effort with other Quality, Safety, and Improvement staff members. The incumbent will act as an inside consultant for an array of Quality Management programs. The incumbent is a member of the Quality team that advises top management, service chiefs, and other staff regarding VHA, Joint Commission, Office of Inspector General, Office of the Medical Inspector, and other accrediting/oversight entity requirements and standards. The incumbent will communicate effectively orally and in writing, prepare a variety of reports, brief supervisors and management personnel, and provide training, leadership, and guidance in his/her assigned programs. The incumbent is responsible for translating the policies, regulatory standards and strategies into action within the complex interrelationships that exist related to assigned programs. 3. Accreditation Oversight: The Quality Manager is responsible for the multiple and complex activities within Quality Management, including but not limited to: continuous quality improvement; patient safety; performance measurement; internal investigations; Joint Commission accreditation and other accreditation processes; Office of Inspector General Capability Assessment Program reviews; coordination of administrative and clinical reviews; and internal and external review monitoring. The Quality Manager will plan and adjust work operations to meet changing or emergency program or production requirements within available resources and with minimum sacrifice of quantity or quality of work. The Quality Manager will have a working knowledge of principles of the Quality Management program (such as quality improvement, patient safety, risk management, utilization management, external peer review program, credentialing and privileging, etc.). The Quality Manager will have a working knowledge of legal, ethical, and clinical issues associated with standard of care practices, Joint Commission, Medicare, and other regulatory and accreditation programs. The Quality Manager will demonstrate ability to develop programs, policies and procedures to improve quality of care and services provided, customer service activities, or other business procedures used by the facility. 4. Collaboration: Objectivity and fairness in judging people on the ability, and situations on the facts and circumstances. Deal effectively with individuals or groups representing widely divergent backgrounds, interests, and points of view. 5. Management Advisory Responsibilities: Analyze organizational and operational problems and develop timely and economical solutions. Demonstrated ability to investigate and analyze adverse quality trends or conditions and initiate corrective action. Performs quality management and performance improvement activities in support of system improvements that ultimately are designed to improve quality of care and services provided, customer service activities, or other business procedures used by PVAHCS. The Quality Manager will be assigned special projects and/or special reviews to meet the overall quality management needs of the Quality, Safety, and Improvement Service. Work Schedule: Monday to Friday 7:30am to 4pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.