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Durham, North Carolina, DUKE UNIVERSITY HEALTH SYSTEM Duke Quality Network is a division of Network Services that collaborates with DUH, SOM, DUHS departments, CSUs or divisions and other appropriate parties to advance their missions                                                                                      Divisional Purpose: The DQN Associate Patient Safety Officer (APSO) position has been created:   To support the Duke Quality Network efforts related to the execution of the Duke Quality Program for Quality affiliates, Duke LifePoint (DLP) hospitals as well as the other hospitals in LifePoint Health.     To work collaboratively at affiliated hospital sites with executive teams, other administrative staff, and medical and nursing staff to develop strategies to minimize patient harm and develop a culture of safety. Through collaborative partnerships, the DQN APSO consults with local PSOs to develop programs and services that produce measurable improvements in processes and practices that affect patient safety. This will involve developing delivery systems and programs to ensure the provision of the DUHS standard of quality care at Duke LifePoint and LifePoint hospitals, and Duke Quality Affiliates.      To independently and systematically implement effective, reliable care practices and develop appropriate institutional patient safety culture, by utilizing knowledge of best evidence-based practices combined with knowledge and experience of front line clinical operations and methods of quality improvement to provide leadership the ability to improve measures of quality and patient safety.   Job Summary The DQN Associate Patient Safety Officer (APSO) position will:   Independently provide leadership, direction and/or participate in the patient safety committees and be responsible for communicating vertically and horizontally to all constituents within DLP Hospitals and vertically within Duke and LifePoint as appropriate. Additionally, this position will be responsible for the development of standards and metrics to measure and monitor performance around patient safety and the quality of care.   Serve as the expert on issues related to Patient Safety to support the Duke Quality Network that (1) facilitates Duke-affiliated Patient Safety and Clinical Quality programs, (2) advocates for community access to high quality care, (3) provides formal and informal consultative services for Duke-affiliated programs, (4) protects the Duke brand and (5) expands the reach of the DUHS to communities and to remote market providers.   Consult with, mentor and educate community PSOs in the DQN and affiliate hospital PSOs to proactively address patient safety issues utilizing data, information from Patient Safety and Quality Committees, and other reports to analyze issues and determine root causes. Serve as a professional role model and mentor to staff by working to support the change process.  Serve as an effective clinical and operational liaison concerning the facilitation and implementation of innovative systems that eliminate patient harm.  Develop essential collaborative relationships with the DLP CEOs and PSOs, keeping them informed of patient safety priorities, initiatives and incidents to maintain patient safety as a high priority.   Introduce patient safety scorecard and/or dashboard indicators in conjunction with medical and nursing staff at the affiliate hospital leadership as a mechanism of tracking and adherence to agreed-upon patient safety goals.   Independently participate in the initial assessment of locations, make realistic recommendations based on the findings and then facilitate the interventions and resources specific to the findings.  This approach will serve to align existing safety and quality efforts with the institutional priorities. Function in a self-reliant manner, representing DUHS Network Services in meetings and discussions with senior leadership of DUHS, affiliate and external organizations, including LifePoint.   Job Responsibilities: External Component   Planning: Commence and oversee the development of a comprehensive patient safety improvement program inclusive of analysis and trending of data related to hospital initiatives Support coordination for Patient Safety assessments Develop action plans according to assessments Support determination of budgetary requirements for ongoing support Remain fully informed of national and local patient safety mandates   Operations Management.   Meet obligations specific to each site including:  Consult on topics related to the design and implementation of effective patient safety and clinical quality programs that will enhance the delivery of effective patient care, maximize patient safety, and minimize patient risk Assure leadership and integration of safety/quality initiatives with hospital operations and administration Engage community and hospital-based physicians for program participation Support the development and implementation of policies and procedures that support patient safety and clinical quality initiatives at various hospitals Analyze processes and opportunities to determine potential enhancements or improvements to facility procedures and activities.  Recommend appropriate actions or solutions consistent with overall goals Promote shared accountability initiatives Oversee the Duke trade name, trademark and intellectual property Provide support and advice regarding best practices for an annual culture of safety survey of affiliated hospitals Ensure appropriate targets are developed and met relative to the quality of care. Provide direction to promote safety standards in accordance with federal and state agencies and The Joint Commission (TJC) standards including National Patient Safety Goals Support and encourage voluntary submission of patient safety learning reports throughout the organization using a non-punitive error reporting approach Recommend and facilitate change within the organization to improve patient safety based on demonstrated risks and proactive risk assessment Oversee the development of a comprehensive patient safety improvement program inclusive of the analysis and trending of data related to hospital initiatives. Assist in the coordination and prioritization of patient safety and clinical quality initiatives in alignment with hospital priorities Continually assess programs for continuation of affiliation and communicate concerns to DQN leadership Work with all services to hardwire reliable delivery of healthcare systems that incorporate best practice patient safety methodologies. Foster and maintain collaborative relationships with all employees and medical staff in implementing best practices in patient and hospital safety Provide leadership and/or participate in patient safety committees and be responsible for communicating vertically and horizontally within the organization. Guide affiliations to accreditation, regulatory, and certification standards Support score card parameters to evaluate programs' progress   Personnel Management .  Provide performance feedback of key personnel associated with remote programs Develop and foster effective collaboration between clinical and operational departments to ensure integrated approach to providing quality and patient safety   Research and Education Management .  Proactively communicate with and educate local leadership and staff regarding patient safety initiatives and activities Compile and prepare reports and analyses setting forth progress, adverse trends and appropriate recommendations and/or concluding related to patient care Facilitate proliferation of clinical research activities related to Patient Safety Assure that educational activities are in place in DQN sites as appropriate   Performance Monitoring and Reporting .  Monitor and provide timely reports for the performance of remote affiliation activities as related to compliance with site assessment required elements Collaborate with affiliated sites expectations of continuing relationship with DUHS concerning performance of critical elements of program   Job Responsibilities: Internal Component   Planning:    Initiate and support the creation of work plans for DQN sites. Collaborate with the Patient Safety Office, Performance Services and other DUHS departments, CSUs or divisions and other appropriate parties to advance the mission of the DQN Provide leadership for creating processes to support the necessary operations Provide communication to DUHS leadership regarding the progress of initiatives Maintain the necessary flexibility to identify problems, articulate issues, and change course as necessary to achieve strategic success   Quality Reporting :  Collaborate with and serve as a liaison to the DQN Patient Safety Officer and Duke Network Services VP to share patient safety concerns Create processes, policies and procedures on clinical quality and provider oversight Provide PSO support for the Duke Oncology and Duke Heart Networks if needed Collaborate with SOM, Departmental, and Divisional leadership to create processes to support external credentialing at affiliate sites   Operations Management. Monitor and report financial constraints specific to the DQN  Participate in the negotiation of time commitments and reimbursement amounts for program participation for affiliated sites Develop expertise in accordance with the goals and priorities set forth by the Quality Oversight Committee of the DLP Quality Program   Communication In order to fulfill these responsibilities, the APSO should develop strong working relationships and maintain open communication with leaders of the following programs: Network Services, LifePoint, Duke Patient Safety Center, Duke Patient Safety Office, Duke Performance Services, Risk and Regulatory Management, Medical Staff Leadership (Patient Safety and Network Services), Continuing Medical Education, Nursing, Affiliate Hospital Leadership and Management, Affiliated Physicians and Community Constituents, and others as appropriate.  Developing an effective collaborative relationship is essential to maintaining patient safety as a high priority. This position will communicate directly with external Patient Safety Officers, Quality Directors, CEOs, CNOs and CMOs. There may be occasional communication with Board Members and Trustees. Internal communication will be directly with Patient Safety Leadership team, the Patient Safety Center staff, Performance Services, and Network Services leaders. The APSO will keep the CEO and other members of the administrative leadership team informed of patient safety priorities, initiatives and incidents.   Performance Measurement     This position will be reviewed annually based on performance against a set of goals and objectives developed in alignment with DUHS and functional strategies. The set of annual goals and objectives is to be developed and agreed to.   Required Qualifications at the Level   Position requires analytical, organizational and communications skills generally acquired through the completion of a bachelor's degree program.  MSN or Master's in health care related field strongly preferred.   Experience   Work requires a minimum of five years in business, hospital operations or project management. Significant experience in, clinical education, patient safety, quality improvement, Human Factors engineering is strongly preferred.   Knowledge Skills and Abilities:   Knowledge of performance improvement and patient safety Excellent verbal and written communication skills Experience in leading teams through process improvement and change initiatives. Ability to motivate and sustain interest in improving patient safety and clinical quality Consultative skills required, experience strongly preferred Effective organizational, problem solving, program development, computer, strong leadership, and team building skills. A proven track record of working effectively with all levels of staff. A deep understanding of clinical processes and hospital operations Excellent problem-solving skills Project management experience required Facilitation skills Ability to manage several projects and processes simultaneously Ability to travel to affiliated sites (travel will be required)     Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.  

Durham, North Carolina, Duke University Hospital Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area. Inaddition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers. Duke Nursing Highlights:   Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility)   Cancer Center Oncology Treatment Center   Nurses in the Duke Oncology Treatment Center administer chemotherapy, immunotherapy agents, and research medications via different routes of administration including intravenous, oral, subcutaneous, intrathecal, intraperitoneal, intravesicular, and through intrahepatic pumps. Nurses provide education to patients and family members to ensure patients are aware of chemotherapy side effects of each medication, the importance of their treatment, and when to call a healthcare provider once at home. Each nurse is responsible to understand important lab results for each patient and determine body surface area calculations. Other responsibilities include administering electrolyte supplementation, intravenous fluids, pain medications, blood products, and injections. Nurses in the Oncology Treatment Center place peripheral IVs as well as access central lines including port-a-caths, PICC lines, and Hickman central lines.    Occ Summary Independently plan and provide professional nursing care for patients Board of Nursing. accordance with the scope of the RN as defined by the North Carolina in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in   Work Performed   Plan, provide, supervise and document professional nursing care Perform other related duties incidental to the work described herein. Participate in own professional development by maintaining required unlicensed care providers. Delegate tasks and supervise the activities of other licensed and Monitor and initiate corrective action to maintain the environment of learners. Act as preceptor and support the development of other staff and formal Assist other nursing personnel in the delivery of nursing care and act competencies, identifying learning needs and seeking appropriate patient's baseline needs and response to care. care including equipment and material resources. as assigned. utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the as team leader or charge nurse for a group of patients or an entire unit assistance or educational offerings. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.   Knowledge, Skills and Abilities   Knowledge of scope of the registered nurse, licensed practical nurse and Ability to assess nursing needs of acute and chronically ill patients Working knowledge and completion of appropriate JCAHO and other plan of care Competent in BLS and/or other specialized life support requirements Ability to teach patients and families in accordance with the nursing regulatory requirements Knowledge of and appropriate application of the nursing process Ability to use computer and learn new software programs and their families Ability to use fine motor skills designated by work area Ability to record activities, document assessments, plan of care, Ability to navigate the entity to provide clinical care for patients Ability to establish and maintain effective working relationships Ability to independently seek out resources and work collaboratively Ability to remain focused and organized Knowledge of professional theory, practice and procedure Ability to communicate clearly with patients, families, visitors, Able to document and communicate pertinent information using computer routine and special treatments to patients interventions, evaluation and re-evaluation of patient status healthcare team, physicians, administrators, leadership and others Ability to withstand prolonged standing and walking. and/or paper documentation tools NCA Working knowledge of procedures and techniques involved in administering Working knowledge of infection control procedures and safety precautions Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Pre-employment Physical Capacity Testing Required   Level Characteristics   N/A   Minimum Qualifications     Education Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.   Experience   Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.   Degrees, Licensures, Certifications   Must have current or compact RN licensure in the state of North Carolina. BLS required.   Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.  

Raleigh, North Carolina, Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: An Advanced Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards. Responsibilities: 1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities. 2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs. 3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements. 4. Professionalism- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members. 5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care. Other Information Other information: Education Requirements: * Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program. Licensure/Certification Requirements: * Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) in the state of North Carolina. Board certification if required by the Department. Professional Experience Requirements: * No prior experience required. Knowledge/Skills/and Abilities Requirements: * Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing. Job Details Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Hematology Oncology Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $46.27 - $57.84 per hour (Minimum to Midpoint) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: Yes This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.