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Responsibilities This position is remote but requires extensive travel, with up to 70% of your time spent visiting SCAH facilities and attending sponsored events. Candidates must prepare to travel frequently to various locations, as on-site presence is critical to the role’s responsibilities listed below. Regional Operations Partnership Direct support of approximately 10-15 SCAH facilities or up to 2 regions Conduct routine meetings with regional operations leads to ensure coordination and communication of clinical-quality initiatives Present clinical data for regional MORs Participate in MAP process at the facility level Accreditation and Regulatory Readiness Support Assist with access to NHSN, DPH regulatory reporting platforms, etc. Ensure access/use of SCT core compli Regulatory & Accreditation support platform Act as liaison with SCAH teammates in and outside group to consult and share resources, policies and tools and knowledge Forward new requirements, bills, etc. from compliance to facilities Assist with coordination of activities for facilities adopting MCN policy platform Safety Event Management Assist/Activate Apparent Cause Analysis (ACA) Process Assist/Activate RCA process (3 mtgs) – provide guidance for entering and closing out RCA files Educate facility leaders on strong and sustainable action items to drive patient safety. Review all submitted variances to ensure appropriate classification and severity level assignment. Follow up with facility leaders to educate and support corrections. Provide guidance for state reportability and confirm completion where applicable. Assist as needed with compiling/analyzing safety event data. Consider events requiring potential safety event alerts/broader notification across system. Develop content for safety alerts. Ongoing Quality and Performance Improvement Educate facility CLT on Insight Clinical Dashboards, PRA reports, clinical outcomes, CQI, etc. Provide reminders and periodic checks. Ensure facility CLT knowledge of yearly requirement for PI projects – provide education when applicable. Provide review and consult on facility Quality/PI/IC plans Provide guidance and education on setting up Quality Program/IC Program with access to clinical toolkits Assist with access to resources (successfully completed PI projects, educational material on ten-step process, etc.) and provide educational series as applicable Partner with Regional Quality Leaders to drive regional clinical quality engagement CEO and Clinical Leadership Support Partnered/leveraged in the interview process for new clinical leaders and CEOs Provide support to DON/new Clinical Leader post-FLO with regular cadence of follow-ups and review of outstanding items Partner with facility leadership to address culture of safety opportunities and help identify action plans where needed to drive sustainable change Provide onsite support to help facility CLT navigate process improvement and drive teammate buy in. Field questions around building performance improvement plans for clinical teammates.