Lucile Packard Children's Hospital Stanford Director of Patient Safety and Professional Practice Evaluation (1.0 FTE, Days) in Palo Alto, California


1.0 FTE, 8 Hour Day Shifts

Lucile Packard Children's Hospital Stanford is the heart and soul of Stanford Children’s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.

Lucile Packard Children’s Hospital at Stanford University (LPCH) is a world-class, non-profit hospital devoted entirely to the care of babies, children, adolescents and expectant mothers. The Director of Patient Safety & Professional Practice Programs will serve as a leader and member of the Center for Quality & Clinical Effectiveness (CQCE) leadership team.

The Director of Patient Safety and Infection Professional Practice Programs, working in partnership with hospital administrative, CQCE, clinical and medical staff leadership, provides leadership, direction and strategic administrative oversight for the development and implementation of a comprehensive program to maintain and improve patient safety and achieve clinical excellence through applying continuous learning and improvement to safety and peer review processes.

The Director works to build cross-functional, interdisciplinary teams that improve safety and professional practice across the enterprise.

In overseeing the Patient Safety program, the Director provides strategic leadership to inform safety practices.

  • Set annual strategic plan for patient safety in collaboration with the Chief Patient Safety Officer and the Executive Director of CQCE, and other senior leaders

  • Assure the daily standard work for iCare incident reporting system, including assuring information is communicated in a timely manner to support the safety of the organization

  • Facilitate the cause analysis program including Root, Common and Apparent cause analysis and associated Patient Safety Organization (PSO) Reporting

  • Communicate safety risks and proactive risk reduction strategies to senior leadership

  • Facilitate safety committees including but not limited to Patient Safety Oversight Committee, Patient Safety Committee, Patient Safety Champions Committee, Safe Medication Practices Committee

  • Inform external regulatory reporting in collaboration with the Department of Accreditation and Regulatory Compliance (ARC)

  • Collaborate with operational leaders to achieve organizational compliance with safe practice standards and Hospital Acquired Condition (HAC) reduction including National Patient Safety Goals, The Joint Commission Standards, Standards set forth by CMS, CDPH

  • Oversee the Mission Zero Program including Mission Zero Heroes, Mission Zero Newsletter, and associated communications and training

  • Conduct and analyze the annual Culture of Safety Survey

  • Collaborate on Leapfrog and U.S. News and World Report surveys for elements related to patient safety

In overseeing the Professional Evaluation Practice Program, the Director provides strategic leadership to inform Physician Professional Practice oversight. The Director collaborates with Medical Staff and CQCE Leadership to

  • Oversee the work of the Professional Practice Evaluation Program Managers and Coordinator

  • Set the annual strategy for the Professional Practice Evaluation Program

  • Support Professional Practice Evaluation Committees and associated case analysis, documentation maintenance and organizational reporting

  • Collaborate on identification and resolution of practice concerns that may impact the quality and safety of care provided

  • Support oversight of PPEC through the Care Improvement Committee (CIC)

  • Support the Ongoing Professional Practice Evaluation Program (OPPE)

  • Collaborate with associated departments including, but not limited to, School of Medicine and Medical Staff Office, Patient Safety, Patient Experience (Grievance process), Quality Improvement, Patient Care Services, Risk Management

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 Service Standards of the Hospital(s).

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: Master's degree in a work-related discipline/field from an accredited college or university.

Experience: Five (5) years of progressively responsible and directly related work experience including one (1) year supervisory experience.

Knowledge, Skills, and Abilities

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 communicate effectively, both orally and in writing

  • Ability to make effective oral presentations and prepare concise written reports to a variety of audiences

  • Ability to plan, organize, prioritize, work independently and meet deadlines

  • Ability to provide leadership and influence others

  • Ability to supervise, coach, mentor, train, and evaluate work results

  • Ability to work effectively with individuals at all levels of the organization

  • Knowledge of computer systems and software used in functional area

  • Knowledge of principles and practices of organization, administration, fiscal and personnel management

  • Knowledge of principles and practices of strategic planning, patient safety, infection prevention & control, quality improvement, program evaluation, hospital administration and health care financial management

  • Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation

Lucile Packard Children’s Hospital Stanford 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, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, 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.indlpch