Assistant Director, Quality and Clinical Education - Perioperative ServicesHiring Department: Hosp Surgical SvcsLocation: Chicago, IL USARequisition ID: 1028253Posting Close Date: November 22, 2024About the University of Illinois ChicagoSalary: $150,000 - $180,000UIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent Best Colleges rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has over 300,000 alumni, and is one of the largest employers in the city of Chicago.Description:About UI Health The University of Illinois Hospital & Health Sciences System (UI Health)provides comprehensive care, education, and research to the people of Illinoisand beyond. A part of the University of Illinois at Chicago (UIC), UI Healthcomprises a clinical enterprise that includes a 495-bed tertiary care hospital,22 outpatient clinics, and 13 Mile Square Health Center facilities, which areFederally Qualified Health Centers. It also includes the seven UIC healthscience colleges: the College of Applied Health Sciences; the College ofDentistry; the School of Public Health; the Jane Addams College of Social Work;and the Colleges of Medicine, Pharmacy, and Nursing, including regionalcampuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Healthis dedicated to the pursuit of health equity.The RN Assistant Director Quality and Compliance Perioperative Services assists, collaborates and works under the direction of Director for Quality and Clinical Education Perioperative Services. The Assistant Director is responsible for the implementation, monitoring and compliance of departmental quality and efficiency initiatives. The Assistant Director is responsible for staff orientation, staff competencies, clinical education, and in-services.The RN Assistant Director assists in assessing planning, implementation and evaluation of process improvement initiatives and strategies for all Perioperative departments. The Assistant Director leads and participates in Perioperative Departments quality initiatives with a goal of excellence, best patients' outcomes, and zero harm. Focus on meeting departmental metrics and ensure effective processes and procedures are aligned with regulatory requirements (such as Joint Commission, IDPH, CMS etc.).Duties & ResponsibilitiesClinical quality & regulatory compliance
- Lead quality improvement projects including enhancements to processes, procedures, infrastructure, and EMAR to ensure compliance with regulatory requirements.
- Develop and align the Perioperative Departments with evidence based best practices and programs. Oversea corporate compliance program(s) as it applies to Perioperative Departments develops and maintains compliance record(s). Ensures that all required elements of compliance are implemented and followed.
- Engage with customers, staff, physician partners and key stakeholders to build and to foster collaborative Perioperative environment.
- Evaluate the need for new Perioperative quality and/or safety improvement initiatives, design, implement, monitor/measure compliance through audits and report findings to Perioperative Leaders. Develop data driven action plans.
- Prepare Perioperative Departments for regulatory visit(s).
- Develop and maintain up-to-date knowledge of corporate compliance requirements, related laws, and regulations as mandated or recommended by JC, CMS, IDPH and other agencies.
- Develops and oversees processes for internal incident reporting and escalation.
- Reviews incident reports and conducts follow-ups for all Perioperative Patient(s) Safety events. Develops written patient safety plan(s) as well as evaluation of the plan's effectiveness. Reports findings to Perioperative leaders.
- Collaborates with Associate Chief Clinical Operations Officer, Director Quality and Clinical Education, and Perioperative Directors in investigation of clinical events, including sentinel events, near misses, or violation of Red Rules. Leads and/or participates in development of root cause analysis as directed by the leadership.
- Recruit, lead, develop, engage, and mentor departmental talent.
- Develops and maintains Perioperative Department policies and procedures.
Education & Orientation
- Evaluate and adjust Perioperative Departments staff orientation programs to meet departmental needs.
- Prepare and oversee the execution of Perioperative staff training programs and documentation to ensure all staff are compliant.
- Monitor progress of staff on orientation. Adjust orientation to meet individual staff training needs.
- Monitor staff compliance with orientation requirements and coach non- complaint staff.
- Collect, evaluate, and develop action plan(s) based on preceptor performance feedback.
- Perform annual staff in-service and manage best practices, requirements, and updates.
- Collects data regarding staff learning needs and proposes action plan.
- Designs specialty-based orientations for clinical staff & new Perioperative leaders.
- Designs annual in-service calendars and continuing education programs for staff.
- Participates in the design of centralized and unit-based preceptor education and development initiatives.
- Prepares educational objectives,
Qualifications:Minimum Qualifications
- Graduate of an accredited nursing program
- Current license as a Professional Registered Nurse f rom the State of Illinois, and BSN, required.
- CNOR
- Previously demonstrated data analytics skills.
- Three (3) years of operating nursing experience.
- Proficiency in EPIC required.
- Previously demonstrated leadership skills evidenced by serving as a charge nurse or, operating room educator, surgical service line team leader, or a leader of a committee.
- Effective communication skills (oral and written).
- Intermediate computer skills with the ability to become proficient in on-the-job training.
- Data entry skills, ability to collect, input and interpret data, maintain records, run, and present monthly reports.
- Work on site schedule- Monday through Friday 0700-1500.
Preferred Qualifications
- Master of Science in Nursing, or Master Healthcare Administration or Master Business Administration.
- Current AHA BLS/CPR and other required unit-specific certifications.
- Five (5) years experience in perioperative services project in quality, efficiency, compliance and education.
- Previous experience as an Operating Room educator or Operating Room manager.
- Previous experience working within multidisciplinary teams or nursing leadership committees.
- Attention to details, interpersonal skills, and team oriented.
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.The university provides accommodations to applicants and employees. Request an Accommodation