Category: Quality & Process Improvement
Job Type: Full time
Shift: Day - 08 Hour
Location: Palo Alto, CA
Req: P140540-2032
Employee Group: Exempt
Benefits Eligible: Yes
Remote Eligible: Yes
Department: Quality Improvement
Scheduled Weekly Hours: 40

At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job ID: P140540-2032

JOB SUMMARY

This paragraph summarizes the general nature, level and purpose of the job.

The PPE Specialist is responsible for the collection, entry, and integrity of clinical cases for PPE review. Facilitates the process for Medical Staff Professional Practice Evaluation at a division/departmental/service line level and integrates findings into the Hospital wide Performance Improvement Program. Facilitates compliance with Medical Staff standards as required by regulatory agencies. This role performs chart reviews and works closely with the physicians to ensure the accurate and complete documentation of PPE review triggers, causal analysis, action items, and meeting minutes. The PPE Specialist is also responsible for the administrative and scientific activities for clinical projects including clinical screening, data compilation, and documentation of all eligible patient cases.

ESSENTIAL FUNCTIONS

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

- Monitors a variety of information for events (e.g., patient complaints, grievances, generic indicators, etc.) with potential adverse consequences for medical staff related incidents. Triages to appropriate PPE forum(s) and notifies appropriate leadership of significant events based on potential severity.
- Conducts preliminary investigation of occurrence reports, patient complaints, grievances, generic indicators, serious safety events or other event related report, as appropriate, for referral to PPE process.
- Ensures adverse events are reviewed in a timely manner. Reports significant delays in review to the appropriate administrative and medical staff leadership.
* Acts as a liaison to the Patient Safety, Medical Staff Office and Risk Management Departments. Communicates information that is relevant to potential or actual legal proceedings. Ensures that information is disseminated to appropriate staff.
- Conducts chart review and prepares case reviews for PPE Committees.
- Monitors results of PPE findings for quality and performance-related issues and trends that may indicate an opportunity to improve care; recommends actions and tracks follow-up.
- Provides data support to medical staff committees. Provide education to committee members on regulatory requirements.
- Provides staff support to Care Improvement Committee (hospital PPE committee). Prepares cases for review, ensures that notification to appropriate medical staff occurs, and ensures proper follow-up of action items.
- Reviews assigned meeting minutes for accuracy and consistency. Ensures that follow-up is done as documented.
- Participates in Ongoing Professional Practice design, data oversight, and facilitates actions base on review of data.
- Facilitates and supports medical staff leadership in the Focused PPE process.
- Develops and fosters strong cross-functional relationships and processes with clinical and administrative departments as appropriate.
- Recommends and facilitates improvement activities related to regulatory compliance.

MINIMUM QUALIFICATIONS

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Bachelor's degree in a work-related discipline/field from an accredited college or university.
Experience: Three (3) years of progressively responsible and directly related work experience.

License/Certification:

• Registered Nurse by California Board of Registered Nursing

KNOWLEDGE

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.

- Ability to collect and record data, evaluate data and statistics, and maintain effective reporting systems.
- Ability to communicate effectively, both orally and in writing.
- Ability to plan, organize, prioritize, work independently and meet deadlines.
- Knowledge of computer Systems and software used in functional area.
- Knowledge of Medical Terminology and related levels of care and treatment.
- Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation.
- Knowledge of the current theories, principles, practices and standards of as well as emerging technologies, techniques, issues, and approaches in the Nursing profession.
- Knowledge of the variables that affect the processes and outcomes of patient health care.
- Ability to foster effective working relationships and build consensus.
- Ability to maintain confidentiality of sensitive information.
- Ability to use judgment and make sound decisions.
- Ability to work effectively with individuals at all levels of the organization.

PHYSICAL REQUIREMENTS

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Pay Range
Compensation is based on the level and requirements of the role.
Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.
Typically, new team members join at the minimum to mid salary range.
Minimum to Midpoint Range (Hourly): $60.34 to $80.04

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.