Director of Performance Improvement Director (Quality)

Southern Regional Medical Center; Riverdale (GA); On-site; USD 90,000 - 150,000; Full time

Job summary

Southern Regional Medical Center in Georgia seeks a Performance Improvement Director to lead the PI program, driving quality, safety, patient satisfaction and value hospital-wide.

The role oversees best-practice sharing, scorecard development, and clinical assessment to support service line performance and ongoing regulatory compliance in a complex, high-stakes environment.

Qualifications

• Bachelor's degree required in a healthcare-related field.
• Master's degree preferred.
• RN licensure or healthcare license preferred.

Responsibilities

• Develop and manage a comprehensive PI program to improve quality, safety, satisfaction and value.
• Create and maintain scorecards for service lines with defined outcomes and benchmarks.

Skills

Performance Improvement

Leadership

Data Analysis

Regulatory Compliance

Healthcare Quality

Communication

Education

Bachelor's in Healthcare

Master's in Healthcare

RN License

Job description

Overview

Shifts Available: Days

Employment Type: Full Time

Hours: 8 hour – 8:00am to 5:00pm

Location: Southern Regional Medical Center

Southern Regional Medical Center is a non-profit, 331-bed full-service hospital serving the residents of Clayton County and southern crescent metro Atlanta communities. The hospital offers a complete line of services including Senior Care and Senior Behavioral Health Services; Emergency Services; Heart and Vascular; Advanced Imaging; Laboratory; Neuroscience Services; Rehabilitation; Sleep Diagnostic Center; Surgery/Robotic Surgery; Wound Care; and Women’s Health Services, including a Level III NICU. The hospital is certified accredited as a Chest Pain Center and Primary Stroke Center. Learn more at southernregional.org .

Responsibilities

• The Performance Improvement Director develops, manages and integrates a comprehensive Performance Improvement (PI) Program to achieve unprecedented results in quality, efficiency, safety, satisfaction and value with transparency.
• The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency; to develop/ maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value; to complete Clinical Assessment, Diagnosis and Treatment for the Service Lines.
• Responsible for coordinating and managing hospital wide performance improvement activities including continued survey readiness.
• Responsible for oversight of on going publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc.
• Work collaboratively with Administration and Leadership.
• Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees.
• The scope of activities in managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating & sustaining a participatory environment; guiding the group to appropriate & useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care.

Qualifications

• Bachelors Degree required, preferably in a healthcare related field
• Masters Degree preferred.
• State RN licensure or a License in healthcare field preferred.
• 4 - 5 years healthcare experience. 1-4 years quality improvement experience.
• Good computer skills.
• Experience in reviewing charts for quality care issues. Detail oriented organizational skills. Must be able to handle multiple cases, directions and follow-through.
• Good communication skills both verbally and written.
• Experience with Medical Staff communication.
• Coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards.
• Certified professional in healthcare quality preferred.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf