Director, Quality & Patient Safety Institute
JOB SUMMARY
This position is responsible for oversight of quality measurement and improvement activities, and assuming a lead role in facilitating compliance with accreditation standards and licensing regulations, through assessment and monitoring of Nursing practices, processes and systems.
Reports Directly to Institute Chair, QPSI
PRIMARY JOB DUTIES AND RESPONSIBILITIES
- Evaluates, develops and coordinates implementation of core standards of care, policies and procedures
- Collaborates with Nursing, Allied Health and physician leadership in strategic and operational planning programs
- Establishes Nursing’s annual performance measurement and improvement plan in collaboration with Nursing Leadership
- Develops and implements quality monitoring and performance improvement activities
- Monitors and publishes metrics to reflect patient care quality efforts
- Analyzes data to identify trends and opportunities for improvement
- Ensures that nursing and clinical practice is in accordance with the philosophy, standards and objectives of CCAD and reflective of current best practices
- Participates in activities related to JCI accreditation, HAAD licensure, Magnet designation and other external bodies
- Serves as a resource within CCAD for Patient Safety issues
- Assumes a leadership role for Nursing in operating models, supply, equipment and process standardization
- Organizes and facilitates performance improvement teams
- Analyzes patient satisfaction results and develops strategies for quality improvement. Obtains quality benchmarks through various sources including, but not limited to national quality associations, disease associations, specialty associations, and Cleveland Clinic institutes
- Performs other duties as assigned.
QUALIFICATION & EXPERIENCE REQUIREMENTS
- Bachelor’s degree in Nursing, or equivalent qualifications (minimum three (3) year curriculum) from an accredited program, is required
- Master’s degree in Nursing / Healthcare / Management / Administration field is required
- Doctorate degree in Nursing or Health Services Management is preferred
- Overall experience of fifteen (15) plus years with a minimum of ten (10) years clinical experience post qualification is required
- Minimum of five (5) years previous managerial experience is required with demonstrated knowledge and skills in nursing management
- International accreditation experience is preferred
- Valid and current national license is required
- Strong technical capability or understanding of clinical data analytics and reporting
- Knowledge of health care systems, health regulator standards, analysis and evaluation techniques related to quality data measurement
- Previous experience collaborating with JCI, Department of Health and clinical reporting registries (i.e. STS, ACC, NSQIP)
- Critical thinking skills and decisive judgment with an orientation to developing solutions
- Excellent communication skills both written and verbal, and polished presentation skills with the ability to present to a variety of levels
- Demonstrated leadership and collaboration skills
- Proficient in the use of PCs and spreadsheets