Director of Quality and Process & Performance

Appalachian Regional Healthcare (ARH); Beckley (WV); On-site; USD 100,000 - 160,000; Full time

Job summary

Appalachian Regional Healthcare (ARH) is seeking a Director of Process and Performance to lead the hospital-wide Process Improvement program, aligning efforts with senior leadership and the PI Steering Committee.

The role emphasizes building systematic processes for monitoring, evaluating and improving patient care, with oversight of risk management and performance metrics across departments.

Qualifications

• Bachelor's Degree required.
• Master's Degree preferred.
• 4–6 years of experience in process improvement or related field.
• Minimum 2 years of managerial experience in a clinical setting.

Responsibilities

• Directs ongoing operations of the Process Improvement program to integrate the plan into organizational objectives under supervision of the Administrator and PI Steering Committee.
• Ensures hospital departments have a planned, systematic process for monitoring and improving the quality and appropriateness of care.
• Maintains a written Plan for Process Improvement describing objectives, scope and oversight mechanisms.
• Reviews consultant pre-survey reports and accreditation findings; develops action plans and contingency responses for focus surveys.
• Disseminates risk management information and trending reports to medical staff, committees, managers and board as appropriate.
• Participates in PI/risk management education for new employees and ongoing staff development.
• Facilitates hospital PI teams and prepares monthly/quarterly reports for the PI Steering Committee.
• Ensures departments understand and utilize the PI model daily.
• Directs the loss prevention and risk management function.

Skills

Execution & delivery

Business intelligence

Collaboration

Digital literacy

Problem solving

Growth mindset

PI methodologies

Joint Commission standards

Leadership

Communication

Analytical thinking

Education

Bachelor's Degree

Master's Degree preferred

Job description

Overview

The Director of Process and Performance provides a planned, systematic, organization-wide approach to designing, measuring, assessing and improving its performance. Coordinates with hospital administration, department directors, and managers to assure compliance.

Responsibilities

• Directs the ongoing operations of the Process Improvement program to integrate the plan into the primary objectives of the organization, under the guidance of the Administrator and the Performance Improvement Steering Committee.
• Assures that the hospital departments have a planned and systematic process for monitoring, evaluating and improving the quality and appropriateness of care provided to the patients.
• Assures that there is a written plan for Process Improvement Program that describes the objectives, organization, scope and mechanisms for overseeing the effectiveness of monitoring, evaluations, and problem solving activities.
• Reviews consultant pre-survey reports and all previous accreditation reports, develops and manages action plan to address findings. Assist in preparation of contingency responses and focus surveys.
• Responsible for the appropriate dissemination of risk management information including trending reports to all levels of the organization as appropriate, i.e. medical staff, hospital committees, department managers and governing board.
• Participates in performance improvement/risk management education for new employees and in continuing education for all employees.
• Facilitates hospital performance improvement teams, ensuring team completeness in a timely manner. Collects all team report cards and prepares monthly and quarterly reports to be sent to Performance Improvement Steering Committee.
• Ensures that all departments understand the P.I. model and utilize it on a daily basis.
• Directs the loss prevention and risk management function.

Qualifications

Education

• Bachelor's Degree required.
• Master's Degree preferred.

Experience

• Four (4) to six (6) years of experience required.
• Minimum of two (2) years of experience in a managerial position in a clinical setting required.

Required Skills, Knowledge & Abilities

• Adept at execution and delivery skills, including planning, delivering, and supporting initiatives.
• Adept at business intelligence.
• Adept at collaboration and teamwork.
• Adept at digital literacy skills.
• Mastery of problem solving and decision making skills.
• Mastery of growth mindset skills, including agility and developing yourself and others.
• Knowledge of Performance Improvement methodologies.
• Knowledge of Joint Commission (JCAHO) standards and regulatory requirements.
• Strong leadership, organizational, and communication skills.
• Ability to analyze operational data and implement process improvements.
• Ability to lead teams and drive performance outcomes in a clinical environment.