Safety Quality Patient Experience Specialist II

Serving the needs of Garfield Heights and the Southeast communities of Cuyahoga County, Marymount Hospital is an acute care, faith-based hospital. Here, caregivers are guided by the Christian values of service, compassion, dignity and respect and live by the mission of providing world-class healthcare.  As a part of our team, you will build a rewarding, lifelong career in a diverse and welcoming environment.

As a SQPE Specialist II, you will lead safety, quality and experience efforts by focusing on tracking and trending SERS data, coordinating patient safety committees and addressing unit concerns. Using your report writing, presentation and data analysis skills, you will identify and procure ways to enhance policies and reduce safety events. While with the Cleveland Clinic enterprise, you can also explore the comprehensive benefits offered, including education and professional development resources and employee wellness programs. Come join a culture that emphasizes mutual collaboration, leadership and innovation. 

A caregiver in this role serves as a Stroke Coordinator—ensuring compliance with stroke certification standards and promoting continuous improvement—and supports quality initiatives across all medical-surgical units. Responsibilities include conducting mortality reviews, monitoring safety indicators, performing chart audits and preparing presentations. The SQPE Specialist will collaborate closely with emergency and neurology teams, engage staff in meeting regulatory standards and work directly with surveyors to maintain accreditation readiness.

A caregiver in this position works Monday through Friday from 8:00AM – 5:00pm. Some flexibility might be required for potential nights or early shifts.

A caregiver who excels in this role will:  

• Understand and implement elements of performance as outlined by regulations, bylaws, and rules and regulations established by the medical staff, as well as ensuring compliance with stroke certification standards.  
• Act as the primary resource for staff to facilitate overall operations of programs. 
• Develop meaningful quality assurance activities with clinical leadership to establish when a deviation in standard practice has occurred. 
• Analyze performance data and participate in improvement strategy development. 
• Act as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. 
• Support medical staff quality assurance activities such as peer review, ongoing professional practice evaluation, and focused professional practice evaluation. 
• Develop and assure processes to monitor performance and identify where intervention is needed. 
• Incorporate regulatory and accreditation standards into improvement activities around SQPE. 
• Collaborate on development of required plans such as the performance improvement plan, safety plan, infection control plan, and others as required by governance. 
• Incorporate enterprise priorities and regulatory requirements and benchmarks ensuring alignment to one standard of care across locations. 
• Drive continuous improvement activity around quality, safety and patient experience priorities and coordinates improvement projects. 
• Facilitate dashboard reviews, data analysis and decision-making from data. Identify and address root causes to lead to sustainable improvement. 
• Act as a champion for continuous improvement utilizing the Cleveland Clinic Improvement Model. 
• Manage stakeholder relationships, project risks and project changes. 
• Lead projects leveraging advanced continuous improvement and project management tools. 
• Research best practices within and outside the organization. 
• Build relationships with project teams, middle management, and senior sponsors, as well as collaborate closely with emergency and neurology teams. 
• Coach smaller improvement teams to success with their quality improvement projects at the local level. 
• Participate in committees and meetings necessary to drive performance in the assigned scope of the role. 
• Report on medical errors and near misses and corrective actions taken.  
• Oversee the management and use of medical error information. 

Minimum qualifications for the ideal future caregiver include:  

• Bachelor’s Degree in Nursing, Healthcare Administration, Business, Engineering or a related field 
• Certified Patient Safety Professional (CPPS), Certified Patient Experience Professional (CPXP) or Certified Professional in Healthcare Quality (CPHQ) within one year of hire 
• Seven years of related SQPE, Performance Improvement Program or related healthcare experience OR four years of clinical experience 
• Previous experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid 
• In-depth knowledge of patient safety best practices, joint commission standards and conditions of participation 

Preferred qualifications for the ideal future caregiver include:  

• Master’s Degree. 
• Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP)    
• Process Improvement Certification preferred [e.g., Lean, Six Sigma, etc.   
• Certified in Infection Control (CIC)] 
• Clinical experience preferred and will offset three (3) years of experience requirement in SQPE.

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/        

Physical Requirements:

• Ability to communicate and exchange accurate information.
• Ability to perform work in a stationary position for extended periods.
• Ability to work with physical records or operate a computer or other office equipment.
• In some locations, ability to travel throughout the hospital system.
• In some locations the ability to move up to 25 lbs.

Personal Protective Equipment:

• Follow standard precautions using personal protective equipment as required.