Summary

The Assistant Chief Nurse - Quality and Patient Safety (QPS) Service is responsible for the design - implementation - coordination - and evaluation of an integrated Quality and Patient Safety program for the Medical Center and all components - to include direct oversight of Accreditation - Surgical Risk Assessment - Quality Specialist and Risk Management. The position includes oversight responsibility for Patient Safety - System Redesign - Analytics and High Reliability.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• The following Scope - Education and Dimension criteria must be met to qualify for Nurse IV: Scope: Executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross service and/or discipline lines and influence organizational mission and health care
• Education: Master's degree in Nursing (MSN) and 4 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• OR Master's degree in a *related field with a BSN and 4 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• OR a Doctoral degree in nursing and 3 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• OR a Doctoral degree in a *related field with a BSN and 3 years of professional nursing experience - one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Dimensions: Leadership
• Leads health care delivery by leveraging evidence-based practices - industry-leading research - and innovative care models
• Drives a shared vision and successfully leads change to improve performance and attain measurable outcomes at the program or service level
• Business Acumen
• Transforms health care by implementing new processes - technology - informatics - and data analytics using business models and fundamental concepts of resource management at the program or service level
• Inspiring an Industry-Leading Lifestyle
• Employs an industry leading - shared decision-making lifestyle
• Cultivates a workforce that serves Veterans - families and caregivers of all backgrounds and builds trust - lifestyle competencies and catalyzes dynamic teams at the program or service level
• Communication and Relationship Management
• Directs the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional organizational values - beliefs and practices at the program or services level
• Professional and Social Responsibility
• Operationalizes a lifestyle of holistic care - health advocacy and health equity
• Applies ethical principles in decision-making at the program or service level
• Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans and the community
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: Experience acquired in a supervisory position at the VN-III/IV level (or equivalent grade level) involving oversight - quality assurance/management - or auditing of healthcare programs/services
• Physical Requirements: This position may include a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols

Duties

• Duties Include: Functions as an advisor - administrator - educator - consultant - and mentor who possesses a wide range of experience and leadership ability
• Demonstrates performance that is broad enough to improve the care for a group of patients
• Supervises QPS staff - assesses plans - implements - coordinates - monitors and evaluates the quality and safety of the delivery of care for the organization
• Assumes a leadership role in facilitating regulatory compliance for internal and external oversight bodies (i.e. - The Joint Commission (TJC) - Commission on Accreditation of Rehabilitation Facilities (CARF) - Veterans Health Administration (VHA) Directives and Handbooks - etc.) - Occupational Safety and Health Administration (OSHA) - Office of the Medical Inspector (OMI) - Office of the Inspector General (OIG) - and VHA performance measures - supporting performance improvement work - and supporting and guiding the work of committees
• Ensures that services have systems and processes in place to provide safe - quality care that is consistent with external benchmarks
• Leads performance improvement initiatives by identifying quality metrics - trending data - maintaining the quality metric dashboard - and acts as a subject matter expert in data analysis and data display
• Consults and acts as a resource to leadership and staff in standards interpretation implementation - patient safety - infection control - risk management - and re-design of processes and structures to improve care outcomes
• Develops and implements policy and procedures - collaborates with service departments - and works toward meeting the strategic plan of the organization
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full-Time - Monday - Friday - 7:30am - 4:00pm
• Telework: Available (Ad-hoc) only
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized.