COMPANY OVERVIEW

Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopaedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.  

This is a hybrid/remote position. M-F. 

SUMMARY

Position supports the strategic objectives of clinical quality and patient safety, using best practice strategies to assist with achieving the goals of high quality, cost effective patient care and service, while demonstrating compliance with regulatory agencies.

ESSENTIAL FUNCTIONS

• Reviews all events and near misses reported through the event reporting system and any other means.  Makes appropriate referrals for event investigation and follow-up to business unit owners.

• Investigates and interviews all levels of staff including patients to resolve reported issues.

• For any Serious Safety Events and Sentinel Events, leads or contributes to investigation of event (to include staff interviews, review of records for timeline development, verification of policy/procedure compliance or variance).  Collaborates with QI Coordinators around Root Cause Analysis.

• Completes medical record reviews, compares current practice against best practice guidelines and provides recommendations to reduce risk and improve patient care processes.

• Implements patient safety processes and overall quality improvement activities for identified patient safety events and healthcare audit screenings

• Facilitates the Peer Review process for each of the Divisions.  This includes handling of all Peer Review requests from partner facilities, assignment and tracking of all requests and managing the Radiology over-read process.

• Provides administrative support to all Division QI Committees as well as the SHCP QI Committee.  This includes agenda preparation, minutes taking, updating quarterly Divisional Quality Rports, scheduling of meetings and working with the Chair of each Committee.

• Assists in the development of performance indicators, methods of data collection, production of reports, and analysis of quality-related information including projects in CQI education and teams

• Uses results of quality improvement activities to initiate changes in patient care practices and in the healthcare delivery system

• When indicated, conducts Root Cause Analysis (RCA) on appropriate cases.

• Provides education and support to colleagues and staff regarding quality improvement

• Organizes and reviews submitted patient safety event data and tracks patient safety event within the organization’s risk management system.

• Provides facilitation and management of the Interventional Radiology monthly M & M group.

• Provides support and management of the Anesthesia Critical Incident Committee.  This includes assignment of cases for review, maintaining that database, agenda planning and minute taking

• Supports patient safety initiatives through direction and active involvement

• Develops and implements programs designed to minimize the frequency and reduce the severity of actual and potential patient safety hazards throughout the company

• Identifies and communicates regulatory requirements related to patient safety activities

• Leads/Organizes disclosure teams for adverse outcomes when appropriate for disclosure.

• Investigates potential compensable events, which may include interviews of medical staff, employees, visitors, and patients, and assesses potential liability.

• Identifies potential loss conditions and practices and evaluates their significance. Reports findings and devises remedial action plans.

• Develops and implements loss prevention educational programs and materials.

• Attends Risk Management Weekly Rounds and all Staff Meetings

• Writes and reviews policies and procedures, develops educational safety programs and materials, and contributes to quality assurance mechanisms

  PRIMARY RESPONSIBILITIES

   

• Meets state-defined requirements for event reporting

• Plans, organizes, and prioritizes work in order to meet organizational goals and objectives

• Builds strong relationships to support clinical excellence and patient outcomes

• Demonstrates integrity by working with passion, commitment and honesty acting in the best interests of colleagues and the company

• Complies with ethical, legal, professional requirements, corporate policies and procedures

• Demonstrates professionalism at all times

• Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team and practice meetings

• Supports company-wide strategic initiatives

• Responsible for ongoing personal and professional growth and development and maintaining licensure

• Adheres to organizational policies and protocols, regulations, and accreditation guidelines

• Displays cooperative behavior and interacts positively and effectively with others to promote a team environment

• Performs other duties necessary to maintain the overall efficiency and continuity of the clinic

• Is proactive in identifying, reporting and participating in the resolution of any potential or actual patient safety issues

  QUALIFICATIONS

   

• Bachelor’s Degree in Nursing required

• Active State of Maine Nursing license or eligible for licensure

• Experience and understanding of hospital practices to include Anesthesiology, Pathology, Radiology and Radiation Oncology

• Progressive clinical experience with 3-5 years of experience in process improvement with clinical operations

• Quality Improvement, patient safety, process improvement, and/or risk management certification such as CPHQ, CPPS, CPHRM or highly desired

• Ability to analyze complex data and communicate sensitive information

• Demonstrates service excellence, detail orientation, superb organizational skills, follow-through, and analytical ability/skills.

• Excellent communication (both verbal and written) and interpersonal skills with the ability to effectively communicate with Providers, Leadership, and all staff

• Proficient computer skills with knowledge of electronic medical records

• Ability to maintain confidentiality

  PHYSICAL DEMANDS/WORK ENVIRONMENT

• Operation of various office equipment; fax machine, telephone & voice mail system, stationary/lap top computer, e-mail system, cell phone, pager, and copier.

• Requires prolonged sitting, keyboarding, repetitive reaching

• Travel to various locations for meetings or professional development events; occasional meeting attendance after hours

• Risk of exposure to hazardous conditions and blood borne pathogens  

• Standing and walking for extended periods of time

• Occasional lifting of up to 50 pounds

• Occasional bending, twisting

  BENEFITS

• Health Insurance (80% company paid)

• Dental & Vision Insurance Plans

• 401(k) Match and Profit Sharing Plan

• Life and Accidental Death and Dismemberment Insurance

• Long-term Disability Insurance

• Short-term Disability Insurance

• Generous paid time off

• Voluntary, Employee-Paid Benefits

• Medical Reimbursement Plan

• Dependent Care Plan

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