National Patient Safety Quality Management Director

This Position is Contingent on Contract Award. The National Patient Safety Quality Management Director (NPSQMD) provides director level management, expertise and oversight of a comprehensive quality, health, safety, and risk management program for the medical services contract and medical units for the U.S. Customs and Border Protection (CBP), U.S. Border Patrol Station Medical Units, and Office of Field Operations Ports of Entry Medical Units. The National Patient Safety Quality Management Director is responsible for ensuring successful completion of administrative and program management tasks in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the delivery of healthcare services to persons in custody. This position will provide strategic level management to the effort, ensuring that all the program goals and objectives are achieved in an accurate, efficient, and effective manner.  Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females. MISSION  CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004). This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners) and support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed. Duties and ResponsibilitiesResponsible for the creation and management of a comprehensive quality, health, safety, and risk management program. Ensures the medical units’ obligations under prevailing state and federal guidelines pertaining to quality, health, and safety are met. Creates and manages a proactive standardized Risk Management Plan that fully addresses risk and incident management across all medical units, and adheres to DHS, CBP, federal, and state (if applicable) policies and guidelines. Supervises and manages the duties and activities of the Patient Safety Risk Manager (PSRM) at each sector/region. Creates, implements, and executes a Quality Assurance and Performance Improvement Plan to include process and outcome initiatives, training, monitoring, evaluation, and quarterly summary reports to promote a safe work environment, and quality patient care. Collaboratively oversees and manages the identification and review of all incidents, to include Medical Sentinel Events. Works collaboratively with the National Medical Director on the completion of Root Cause Analyses of all medical sentinel events, to include tracking, trending, and managing any implementation plans resulting from the Root Cause Analysis and addressing any improvements recommended. Develops and maintains a tracking system for all incidents, noting trending, and any significant findings in a quarterly summary as part of the Medical Quality Management. Creates and implements Standard Operating Procedures and Policies for the medical units, to include but not limited to guidance on patient care, procedures for performing diagnostic testing, documentation, and medical quality. Collaboratively leads the National Medical Quality Management meetings, and oversees the completion of minutes, attendance, and follow through on any items discussed or identified. Initiates and maintains compliance with DHS and CBP policies and any overriding standards that may apply. Monitors staff compliance with policies and procedures, creates a monthly training schedule for staff to maintain currency with policies and procedures. Oversees compliance with Clinical Laboratory Improvement Amendments (CLIA). Oversees or is responsible for all support staff competency testing, training completion, and electronic medical record training completion. Oversees that all OSHA required training and testing is completed for all staff, and makes recommendations to leadership for any needed supplies, equipment, or processes that need implementation. Oversees the management of the Safety Data Sheets manual in each medical unit, and training on it use. Performs annual inspection of each medical unit; works with the Patient Safety Risk Managers to always maintain medical units “inspection ready”; Performs ad hoc on-site visits as needed or required by CBP or OCMO; Reports all findings in a written format report to National Medical Director and National Program. Manager for follow through, recommendations, and oversees completion of any corrections needed  Coordinates and/or develops on-going quality assurance activities for medical services to monitor compliance with standards and regulatory requirements through rounds, interviews, and record reviews. Helps the National Program Director prepare staff for inspection surveys, instructing staff on matters of conduct and disclosure, being interviewed by inspectors, immediate corrections of problems noted by surveyors, etc. Reviews and reinforces important standards previously cited. Works within licensure/certification and position description. Maintains compliance with standard operating procedures and protocols. Maintains patient confidentiality and privacy of medical records. Performs record keeping functions in accordance with program policies and the system of records management. Ability to use the electronic medical record and must maintain an “active status” for use and complete all required trainings. Utilizes the electronic medical records system for any patient documentation, to include, but not limited to direct patient care, monitoring, medication administration/observation documentation, and input of any paper records as applicable. Maintains non-involvement in the security aspect of patient care and custody. Attends national meetings, local staff meetings during site visits, and collaboratively leads medical quality management initiatives and reviews. Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis as needed. Completes all annual training as directed. May be required to travel to CBP headquarters for meetings or as needed. May be required to serve at various medical units within sector/region as requested by CBP or OCMO. Will effectively create spreadsheets, diagrams, presentations, and other forms of training or reporting. Creates other ad hoc reports and summaries, as needed, or requested by CBP, COR, or OCMO. Works with OCMO to review and clarify any reporting requirements, address any auditing concerns or findings as needed. This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above