Job Description
Responsible for planning, administering, and monitoring the consistent readiness of all quality management and quality improvement processes in partnership with the facility's leadership. Also responsible for overseeing and coordinating all facility efforts to monitor and maintain all regulatory and accreditation standards, providing leadership in the development and measurement of the facility’s approach to quality and performance improvement.
Responsibilities
- Developing a quality improvement program for the facility.
- Initiating and overseeing the development of a comprehensive quality improvement program in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
- Reviewing the quality improvement program regularly in light of changing organizational needs, laws, policies, and procedures.
- Directing and coordinating quality initiatives in conjunction with facility leadership.
- Overseeing processes for data collection and analysis.
- Developing and implementing systems for performance measurement data collection and analysis.
- Collecting, summarizing performance data, identifying opportunities for improvement, and presenting findings quarterly to the committee and Board of Directors.
- Analyzing customer survey data to identify improvement opportunities and presenting findings to relevant departments.
- Leading the performance innovation department.
- Providing strategic oversight of proactive and reactive quality improvement activities.
- Ensuring services are provided in accordance with established standards.
- Overseeing regulatory event reporting.
- Contributing to the department budget related to quality, such as information systems.
- Establishing relationships with external agencies involved in quality improvement, including purchasers, government agencies, and stakeholders.
- Educating and training leadership, staff, and business associates on the quality improvement plan and responsibilities.
- Engaging medical staff in quality and safety initiatives and communicating activities regularly.
- Reviewing and evaluating services impacted by quality, safety, and regulatory issues, recommending improvements, and monitoring implementation.
- Leading, facilitating, and advising internal quality improvement teams.
- Planning and supervising daily activities, streamlining processes, and evaluating workloads.
- Providing training on conflict resolution, grievance handling, employment law, performance management, and negotiation.
- Offering on-the-job training and orientation.
- Serving as an expert on quality and safety issues in task forces and committees to establish priorities.
Qualifications
Required: 8-10 years of relevant experience in a similar industry, including a minimum of 5 years in progressive leadership roles within a large organization.
Desired: Experience in a large healthcare facility.