Quality Program Manager – Solutions for Patient Safety (SPS)

• Collect, validate, analyze, and interpret patient safety and quality data, including both internal and external data sets such as PHIS.
• Develop dashboards and scorecards for hospital leadership.
• Identify trends and opportunities for improvement.
• Prepare reports for executive leadership, board committees, and frontline teams.

• Partner with nursing, physicians, pharmacy, respiratory therapy, infection prevention, risk and patient safety and other leaders and frontline staff to reduce serious safety events.
• Participate in root cause analyses (RCA), apparent cause analyses, and event reviews.
• Monitor Serious Safety Events (SSEs), near misses, and precursor events.
• Assist in identifying system failures and developing sustainable corrective actions.
• Promote just culture and high reliability principles.
• Support organizational patient safety initiatives and accreditation readiness.
• Facilitate interdisciplinary rounds focused on patient safety.

• Educate clinical teams on SPS initiatives and quality improvement methodologies.
• Develop educational materials, toolkits, and standard work.
• Coach unit/department leaders on implementing evidence-based practices.
• Promote a culture of safety, transparency, and continuous learning.
• Recognize units demonstrating improvement and sustainment.
• Facilitate workshops, committee meetings, and improvement events.

Bachelor’s degree in a Healthcare, Engineering, or Performance Improvement field or equivalent.

Possess a minimum of 5-7 years’ experience in healthcare, performance improvement, project management, or other advanced positions.

Knowledge of performance improvement techniques and methodologies.

• Bachelor of Science in Nursing (BSN)
• Master’s degree in Nursing, Healthcare Administration, Public Health, or related field
• 2 years of clinical or nursing experience
• Minimum 3 years of quality improvement, patient safety, project management, or healthcare operations experience
• Certification in:
• Certified Professional in Patient Safety (CPPS)
• Certified Professional in Healthcare Quality (CPHQ)
• Lean Six Sigma Green Belt or Black Belt

• Experience leading multidisciplinary improvement initiatives
• Demonstrated knowledge of quality improvement methodologies
• Experience with Solutions for Patient Safety or comparable national safety collaborative
• Pediatric hospital experience
• Strong knowledge of patient safety science
• Quality improvement methodologies (Model for Improvement, Lean, Six Sigma)
• Exceptional communication and interpersonal skills with all levels of staff, including physicians and administrative staff.
• Experience facilitating groups with many different stakeholders
• Ability to elicit cooperation and maintain productive working relationships with internal and external leaders.
• Ability to lead complex, interrelated portfolio of projects, using program management tools and techniques.
• Ability to set strategic vision for portfolio/ program and is accountable for all quality-related operations and goals in the focus area to have a major impact on clinical operations and outcomes in that area.
• Ability to manage, interpret, and present data.
• Self-motivated: given appropriate direction for goals, must be able to work autonomously in a sometimes ambiguous and changing environment
• Microsoft Excel, Smartsheet, Tableau, or similar reporting tools

• Shift: Days