<p>SUMMARY</p> <p>Reporting to the Surgeon in Chief and Chief Surgical Quality Officer, the Children's Surgery Program Manager is responsible for establishing and coordinating a multidisciplinary approach to neonatal and pediatric surgical quality and performance improvement across the continuum of care. He/she Leads the administrative, strategic, and clinical direction of the Surgical Quality and Safety Program.</p> <p>ROLE RESPONSIBILITIES</p> <p>In collaboration with the Chief Surgical Quality Officer and the Surgeon in Chief, provides program development, implementation, and ongoing evaluation in accordance with national standards necessary for achieving and maintaining Level I Children's Surgery Verification status as granted by the American College of Surgeons (ACS). Ensures optimal patient care through the use of evidence-based practice, clinical best practice models, culture of safety, appropriate staffing and technologies and continuous process improvement measures.</p> <ul> <li>Lead efforts to obtain and maintain Children's Surgery Verification (CSV) with the American College of Surgeons, meeting all regulatory compliance and standards, as applicable. The incumbent will coordinate all responses to the verification application and site visit, documenting and facilitating issue resolution and corrective action plans. </li><li>Coordinates care across the continuum of children's surgical care, including planning and implementing of clinical protocols, clinical pathways and practice management guidelines, monitoring care, and serving as an expert resource for clinical practice both within the facility and at other outside system entities. Oversees the development and review of care protocols, policies and procedures that promote organized and effective pediatric surgical care. </li><li>Facilitates the development and implementation of intra-facility and regional staff development educational programs including hospital nursing and physician continuing education programs. Facilitates and participates in case review, standardizing practice guidelines, and directs community education for appropriate transfers to inpatient surgical services or intra-facility transfers to a higher level of care. </li><li>Oversees the implementation of clinical program initiatives, including: core measures, clinical data abstraction, and patient safety efforts. Works collaboratively with multidisciplinary teams to strategize, develop, and achieve goals. In particular, works with the Pediatric Trauma and hospital Quality Department to coordinate surgical quality efforts. </li><li>Formulates, drives, and leads projects using process improvement methodologies (e.g. Lean, Six Sigma, PDSA), project management strategies, facilitation, and change management to achieve improvements in operational and/or clinical outcomes. </li><li>Provides ongoing evaluation of the effectiveness and efficiency of the pediatric surgical enterprise. Must be a self-starter, being pro-active for generating, developing and maintaining the process improvement program. Monitors clinical processes, outcomes and system issues related to quality of surgical care through the development of quality filters, audits, case review and root-cause analysed. Identifies trends and sentinel events, and helps to outline corrective actions as applicable. Is involved in patient engagement efforts and monitors patient perception of the quality of care delivered. </li><li>In conjunction with the Chief Surgical Quality Officer plans, coordinates and conducts quality and safety meetings such as the Quarterly Surgical Quality Meeting, Surgery/Trauma Steering (Systems) Committee Meeting, Surgery Department Wide Performance Improvement and Patient Safety Meeting, Grand Rounds and Multidisciplinary Committees as appropriate. Sees that agendas, attendance, records/minutes and follow up are prompt, detailed, and accurate. </li><li>Provides oversight and direct supervision of the collection, coding, validation, analysis, and distribution of data used to guide performance improvement activities for surgical registries. Designs processes to facilitate performance improvement activities, trend reports and research while protecting confidentiality. </li><li>Supports clinical program, facility and corporate goals and initiatives. Attends and actively participates in system level meetings representing the facility. Presents/reports on progress to directors, administrators and leadership boards as assigned. </li><li>Assists in annual strategic planning, operational, personnel and capital budgetary planning for the children's surgery program. Adheres to staffing and operational budgets as applicable. Completes and submits budget reports as required by facility. </li><li>Facilitates communication and collaboration to stabilize the complex network of many disciplines and departments that work in concert to provide high quality children's surgical care. Represents the children's surgery program on various hospital and community committees to enhance and foster optimal surgical care management. </li></ul> <p>SUPERVISORY RESPONSIBILITIES</p> <p>Yes</p> <p>EDUCATION and/or EXPERIENCE REQUIRED</p> <p>Bachelor's degree/BSN required, Master's degree/MSN preferred.</p> <p>Leadership/Supervisor experience in education or clinical management of a health care team required.</p> <p>Minimum 16 hours of pediatric continuing education per year required.</p> <p>Position Specific Job Education and/or Experience</p> <p>Quality improvement or patient safety knowledge and experience preferred.</p> <p>Project management experience preferred.</p> <p>LICENSE and/or CERTIFICATION REQUIRED</p> <p>Registered nurse, with at least 2 years of experience in pediatric surgery, a pediatric surgical subspecialty or in a quality role in an adult surgical program. Current licensure to practice nursing in Connecticut required.</p> <p>KNOWLEDGE, SKILLS AND ABILITIES REQUIRED</p> <p>KNOWLEDGE OF:</p> <p>Mission Focus</p> <ul> <li>Demonstrates a commitment to patient safety and quality. </li><li>Makes decisions that are in the best interest of the hospital as a whole </li></ul> <p>SKILLS:</p> <p>Strategic Thinking</p> <ul> <li>Strong analytical skills, effective communication and exceptional organizational skills are essential. </li></ul> <p>Business and Industry Acumen</p> <ul> <li>Confidentiality is an imperative character trait for this position. </li></ul> <p>Communication and Influence</p> <ul> <li>Proven on the job leadership skills working with multidisciplinary patient care providers in a hospital setting. </li></ul> <p>ABILITY TO:</p> <p>Build a High Performance Workforce</p> <ul> <li>Sets clear goals for their team </li><li>Coaches team members to improve performance </li><li>Holds people accountable for results </li><li>Develops people to ensure they have the skills and abilities to drive success </li><li>Inspires others to take action </li></ul> <p>Lead Change</p> <ul> <li>Encourages new and improved ways of doing things </li><li>Communicates information about changes in a timely manner </li><li>Supports others in implementing change </li><li>Employs strategies to overcome resistance to change </li></ul> <p>Teamwork and Collaboration</p> <ul> <li>Partners with colleagues to accomplish common goals </li><li>Constructively raises concerns </li><li>Uses a problem-solving approach to identify solutions </li><li>Supports the decisions of the EMT internally and externally </li><li>Helps colleagues address challenges they are facing </li><li>Reaches out to others for advice or get their input for key decisions </li></ul> <p>Personal Leadership</p> <ul> <li>Treats others with respect </li><li>Focuses on achieving goals </li><li>Admits mistakes </li><li>Takes responsibility for actions and decisions </li><li>Models integrity by operating in an ethical manner </li></ul>