Director of Quality Transformation & System Improvement

Hackensack Meridian Health; Hackensack (NJ); On-site; USD 150,000 - 210,000; Full time

Job summary

Hackensack Meridian Health seeks a Director of Quality Initiatives and System Improvement to lead hospital-based quality activities, guide improvement cycles, and drive performance toward best clinical and patient outcomes.

You will oversee data analysis, implement evidence-based practices, mentor teams, ensure regulatory readiness (JCAHO/Joint Commission), and align performance improvement with the organization’s magnet and safety priorities across the system.

Responsibilities

• Provides leadership to all quality improvement activities at a hospital including committee meetings, event management, follow up of ONELink event reports, and specific improvement cycles.
• Provides leadership to local HRO transformation. Engages all levels of leadership, caregivers and staff in advancing patient safety through HRO training, morning safety huddles, and integration of principles of high reliability.
• Develops and oversees organizational quality initiatives and the monitoring of quality priorities.
• Presents quality data results with analysis and recommendation to a variety of organizational committees and councils including Department of Patient Care to enhance achievement of HMH quality goals.
• Oversees all quality improvement staff and their work in quality councils, teams and committees. Cultivates and promotes continuous learning inside and outside of the network.
• Ensures compliance with all federal and state regulatory and licensing requirements, including aspects of Joint Commission readiness.
• Guide continuous learning and transparency related to quality initiatives. Incorporate continuous learning throughout the network including evidence based best practices and scalable system improvements.
• Guides hospital work in achieving HMH annual and strategic quality goals.
• Ensures use of appropriate methodologies and relevant tools to achieve rapid cycle improvement (i.e. PDSA, FMEA, reliability science, bundle science, process flows).
• Collaborates with the Patient Safety and Quality Department as well as with the VP, Chief Quality/Safety to ensure that organizational wide quality initiatives are implemented effectively
• Ensures effective analysis of performance data with comparison over time and comparisons to internal and external benchmarks to identify improvement opportunities.
• Oversees and facilitates regularly scheduled updates and educational sessions for physician and nursing leaders, managers, and team members throughout the organization so that they are able to use the monthly quality scorecard information and participate in achieving the HMH quality goals.
• Ensures trend analysis is completed and appropriate response to unfavorable trends are developed and deployed.
• Develops and implements action plans based on analysis of data results.
• Supervises the education of staff in regards to relevant performance improvement theories and tools to staff & managers.
• Ensure plans and designs are consistent with internal and external expectations for accreditation, regulatory compliance and public reporting.
• Aligns performance improvement to the Magnet philosophy.
• Responsible for interviewing and hiring Quality staff and managing performance evaluations.
• Assuring all quality staff act in accordance with the Medical Center Code of Conduct.
• Member of the Patient Safety Committee, Performance Improvement Coordinating Committee, Nurse Executive Council, Nursing Operational Committee
• Maintains professional growth and development

Job description

Hackensack Meridian Health seeks a Director of Quality Initiatives and System Improvement to lead hospital-based quality activities, guide improvement cycles, and drive performance toward best clinical and patient outcomes.

You will oversee data analysis, implement evidence-based practices, mentor teams, ensure regulatory readiness (JCAHO/Joint Commission), and align performance improvement with the organization’s magnet and safety priorities across the system.