Director of Quality and Performance Improvement

Prime Healthcare; Riverdale (GA); On-site; USD 120,000 - 180,000; Full time

Job summary

Southern Regional Medical Center in Riverdale, Georgia seeks a Director of Quality and Performance Improvement to lead a comprehensive PI program across the hospital, focusing on quality, safety, patient satisfaction and value.

The role requires developing scorecards, coordinating performance initiatives, and ensuring compliance with regulatory standards while guiding interdisciplinary teams and promoting evidence-based practice.

Qualifications

• Bachelor's degree in a healthcare-related field is required or preferred.
• Master's degree is preferred.
• RN licensure or license in healthcare field is preferred.
• 4-5 years healthcare experience with 1-4 years quality improvement experience.
• Strong communication and organizational skills; ability to manage multiple cases and directions.
• Experience coordinating with Medical Staff and ensuring compliance with regulatory standards.

Responsibilities

• Develops, manages and integrates a comprehensive Performance Improvement (PI) Program.
• Create and share best practices for improving quality, safety, perception of care, value and efficiency.
• Develop/maintain scorecards for all Service Lines with defined outcomes & benchmarks.
• Coordinate and manage hospital-wide PI activities including survey readiness.
• Oversee public quality initiatives (Core Measures, Patient Satisfaction).
• Collaborate with Administration and Leadership to communicate PI activities to staff and Board of Trustees.

Skills

Healthcare Leadership

Quality Improvement

Performance Metrics

Cross-functional Collaboration

Regulatory/Compliance

Data Analysis

Education

Bachelor's degree in healthcare-related field

Master's degree

Job description

Overview

Seated: Southern Regional Medical CenterLocation:Riverdale, Georgia

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.

Responsibilities

The Director of Quality and Performance Improvement 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 Quality and 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.

#LI-KH1

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