The Surgical Quality Management (QM) Consultant is directly responsible to the Chief of Quality Management (QM). The Surgical QM Consultant works closely with assigned services/service line chiefs, nurse managers, committee chairpersons and hospital leadership. In addition, the Quality Management Specialist develops and uses collaborative relationships with other medical center disciplines to enhance the delivery of patient care to veterans and provide educational experiences for the staff. Provides leadership in delivering and improving holistic patient care through collaborative strategies with others, evidenced through various performance measurement, performance improvement, and quality of care activities. Responsible for the administrative and scientific conduct of the noncardiac components of the Veterans Affairs Surgical Quality Improvement Program including, but not limited to, clinical screening, data compilation, documentation, and entry into the database of all eligible patient cases. Appropriate safeguarding of confidential information is expected. Attendance at all program conferences is also expected with this role. Provides support to the assigned services/service chiefs/committee chairpersons in planning, integrating, modifying, implementing, and evaluating the on-going service/committee quality management program(s). Supports/ collaborates on policy and program implementation strategies and provision of linkages for the medical center-wide quality management program. Serves as a facilitator and educator for administration, medical staff and service lines in meeting compliance with regulatory or accrediting agencies, VHA directives/handbooks, as well as, community healthcare standards. Participates in the development, planning, implementation, and evaluation of VHA and VISN„ wide performance improvement and other related quality initiatives. Formulates/influences policies of the Salem VA Medical Center and the service(s) /committee(s) assigned. Identifies patient care trends that require intervention for improvement of patient care issues or risk situations. There is open and collaborative communication with the Patient Safety Manager. Analyzes and reports patient treatment data by procedure and outcome to identify clinical practice and resource patterns and trends. Comprehends and effectively analyzes the clinical content of patient care records and associated documents in terms of quality and appropriateness of care issues such as adherence to, or deviation from, accepted diagnostic and treatment protocols, including drug therapies and the presence or absence of expected outcomes. Develops programs which prepares for continuous readiness (i.e., preparation and development of educational training programs and materials, mock readiness surveys, patient tracer activities, etc.) for the area(s) of assignment. This includes the preparation of status reports; corrective actions with the service(s) /committee(s) to correct areas of risk in standards compliance. Analyzes data to identify the need for change, minimize risks, and ensure effectiveness of clinical improvements. Performs in a manner to demonstrate sound nursing and administrative judgment in decision making and leadership with interdisciplinary clinical and administrative groups. Work Schedule: Monday - Friday 7:45 a.m to 4:30 p.m. 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.