Employee Training - Baystate Health

Req#: R18419
Category(s): Education, Employee Training
Full Time / Part Time: Full-Time


Under the general direction of the ED Director, the ED Prog. Director of Professional Practice and Outcomes Improvement practices within the Baystate Health Professional Model, MA State Nurse Practice Acts, and ANA Standards of Practice and Code of Ethics.

The Prog. Dir. leverages the ANPD model of Nursing Professional Development and Components of Magnet, with a focus on supporting Professional Practice, Research/EBP/QI, in collaboration with the Director, to coordinate all aspects of Clinical Practice and Nursing Outcomes Improvement in the Emergency Department. This work includes financial management, human resource supervision, setting of program objectives, outcomes, and long-range strategic planning. In addition, this expert consultant leads and manages a team of educators providing similar expert consultation related to improving nursing practice outcomes and professional development activities.

The Program Director of Nursing Outcomes & Improvement reports directly to the Emergency Department Director and collaborates with the ED Manager and the Senior Director of Professional Practice in defining goals that support major short and long-term divisional and organizational initiatives. Through this collaboration, he/she supports the implementation of the BH model of patient care and the BH Strategic Plan and acts as an expert consultant and leads on matters related to quality and performance improvement of nursing practice.

He/she enhances the quality of nursing practice and patient care by functioning as a consultant, researcher, and educator throughout the Division of Nursing and across BH departments. In addition, he/She supports the development of the Nursing Strategic plan and partners with nursing and physician Directors and Chiefs to lead interdisciplinary teamwork to support the plan.

The ED Program Director provides supervision and education to all direct reports and serves as a resource and content expert to all colleagues; he/she monitors changes ED specific regulatory practice, National Database of Nursing Quality Indicators, research new standards, regulations, nursing quality indicators, and trends, synthesizes findings, makes recommendations, and drives integration. Maintains a current level of knowledge of contemporary nursing practice, staff development, quality improvement, change management methodologies, and management/leadership skills which will enable them to serve in a Project Manager/Lead capacity, as needed, for all work related to the Nursing clinical quality outcomes improvement department.

Adheres to system and department compliance policies, and all applicable laws and regulations. Performs other duties as assigned.

Job Requirements:

1) Provide strategic leadership for the annual Nursing Quality Report and develop goals for improvement.  As needed, prepare, and deliver reports to PICC and direct messages to Hospital Quality Council.

2) Ensure that education developed as part of clinical quality improvement initiatives is reflected in the annual education plan, promotes psychological safety, and provides an environment conducive to learning.     

3) Provide nursing leadership and operational oversight for improvement and education initiatives related to nurse-sensitive indicators. Monitor and regularly report critical metrics that track the performance of programs for which the program manager has direct or indirect oversight.

4) Monitors Nurse Sensitive Indicators submitted via NDNQI, PatientCareLink, and other reporting sources as they pertain to the ED.  Escalates concerning increases/decreases in rates of key metrics to nursing leadership and hospital quality, as appropriate.

5) Develops, coordinates, and evaluates programs to advance a culture of excellence, including special events, community outreach, and various communication strategies. Applies Magnet standards to the work environment and clinical practice.

6) Leads the development and oversight of various BH system-wide improvement projects and educational programs related to quality, safety, value, and improvement; delegates as appropriate.

7) Act as a Magnet, nursing quality, and education consultant to Nurse Leaders, multidisciplinary teams, and departments in defining strategies for rapid-cycle quality improvement and innovation, change management, and ongoing performance improvement, including related educational initiatives.

8) Assumes responsibility for 24/7 coverage of nursing quality and safety education needs via leading the clinical education coordinator team.  Develops a system for tracking metrics congruent with the organization's outcome goals and provides a strategy for the growth of the ED-specific program.

9) As requested, acts as an AD HOC member of the BH Nursing Executive Leadership team to facilitate input and feedback on clinical quality improvement and outcomes.

10) Acts as a content expert to develop, enhance and deliver curriculum related to clinical practice, EBP/QI, and related initiatives, including support of student projects conducted at Baystate.

11) Serves as knowledge expert and resource interpreting the Magnet standards. In addition, manages the overall plan for Magnet designation and re-designation.

12) Has as direct reports all Nurse, Nurse Residents, LPNs, and Student Nurses (SNAPS) while on orientation. Oversees onboarding process and orientation/precepting period for these staff cohorts.

13) Oversees the PNRP Clinical Ladder Program in collaboration with department managers, assistant nurse managers, and team of educators. Encourages, coaches, mentors, and inspires professional growth and development through practice, research, and innovation. 

Minimally Required Experienced:

MA licensed RN with demonstrated clinical expertise and demonstrated knowledge of group process and adult learning.  A minimum of 3 years accumulated clinical experience in nursing practice, a minimum of 2 years of nurse educator experience in a clinical setting, and two years of progressive leadership experience, which may be concurrent with other experience.

Preferred Experience:

Experience with data management and data visualization preferred. Experience with process improvement or change management methodologies and tools preferred.


BLS and specialty certification.  Must have demonstrated skill and effectiveness in project management and/or successful leadership of improvement initiatives. Strong interpersonal skills; ability to establish supportive, collegial relationships. Strong computer skills including Microsoft Office platform. Ability to learn and effectively use computer software, such as project management and data entry tools.

List Units/Depts. Managed:

Adult Emergency Department of Education with Collaborates with Pediatric Adult ED

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.



Doctor of Nursing Practice, Master of Nursing (Required)


Basic Life Support – Other, Certified Nurse Specialist – Other, Registered Nurse – Other

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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