E&O Quality Specialist

Occupational Summary: 

Plan, analyze, and implement strategies to ensure quality assurance and regulatory compliance for construction, renovation and maintenance programs for Duke Health facilities served by Engineering and Operations (includes Duke University Hospital, clinics, School of Medicine, Ambulatory Services, and Duke Regional Hospital). Contributes to the achievement of the organization’s mission through the development and leadership of performance improvement activities in the operational and/or clinical areas. Assures continual compliance with regulations and accreditation standards through monitoring activities and the design and implementation of strategies to enhance compliance.

Work Performed

• Plan activities aimed at improving the organization’s performance in operations or clinical quality.
• Develop business plans, including market analysis, SWOT analyses, and financial pro forms.
• Identify opportunities for improved performance.
• Analyze data to identify adverse trends and/or undesirable performance.
• Utilize performance improvement techniques and methodologies.
• Serve as a project manager for interdisciplinary teams.
• Establish performance targets.
• Design and implement strategies for enhancing performance.
• Evaluate effectiveness of improvement strategy through sustained monitoring of performance.
• Contribute to the establishment of performance improvement priorities for departments, functional units and for the organization.
• Support organizations efforts to maintain compliance with regulations and accreditation standards.
• Monitor compliance through formal and informal processes.
• Recognize opportunities for improving compliance.
• Design and implement strategies for enhancing compliance.
• Evaluate effectiveness of improvement strategy through sustained monitoring of performance.
• Increase organizational understanding of performance improvement methodologies and principles and compliance through the support of and participation in formal and informal professional development activities.
• Serve as an expert resource on performance improvement and compliance as it relates to organizational role.
• Produce reports and presentations on performance improvement and compliance.
• Develop, maintain, and enhance knowledge through orientation, self-evaluation and professional development.
• Responsibilities may include varying levels of strategic planning and human and fiscal resource management.

Perform other related duties incidental to the work described herein.

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

Required Qualifications at this Level

Education/Training

Work requires a bachelor’s degree.

Experience

Work requires a minimum of five years of related business/administration experience.

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Work Performed (supporting DUH, Clinics, SOM, Ambulatory, DRH):

• Duke Quality Management System
  • Facilitate Root Cause Analyses, A3s, and Process Improvement Projects.
  • Conduct Facilities Risk Assessment to identify and develop required capital projects.
  • Conduct a SWOT analysis when necessary.
  • Attend, participate, and lead huddle discussions.
• CMMS (Computerized Maintenance Management System)
  • Conduct horizontal and vertical audits of specific topics to determine trends and provide a report.
  • Develop Key Performance Indicators (KPIs) and Performance Metrics.
  • Analyze trends and develop reports for business decisions on resources.
  • Implement a new CMMS and help conduct asset validation and updates.
• Knowledge Management
  • Maintain related E&O policies through collaboration within and outside the department.
  • Maintain Tier-1 huddle board and associated applications.
  • Create a database for the retention of policies and reports.
• Facility Services Working Group
  • Review construction projects for proper risk assessment and infection prevention and monitor for trends.

Work requires a Bachelor's degree

Work requires a minimum of five years of related business/administration OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE experience.

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.