Dir-Quality & Reliability

Prisma Health•Greenville, SC

About The Position

Responsible for ensuring effective quality and regulatory operations at the facility level in partnership with safety, infection prevention, data analytics, patient advocacy, and patient experience partners and leaders. Ensures patient-centered outcome domains are understood and improved to achieve excellence through use of Prisma’s Clinical Operating System. Serves as part of the local administrative team, with a dotted line to the CEO, and as a central point of contact and coordinator for campus Clinical Care Experience activities. Builds strong partnerships with clinical and operational leaders to achieve clinical excellence through a patient-centered approach. Conducts risk assessments, gap analyses, and current-state assessments to identify improvement opportunities. Supports assigned system work and collaborates with similar roles across the enterprise to standardize work. Provides relational guidance, coaching, and feedback to local quality, safety, infection prevention, patient advocacy, and patient experience partners and, as needed, their direct leaders. Coordinates and elevates work required for clinical excellence, including regulatory and licensing activities needed to retain CMS deeming status. Where applicable, supports the facility’s scope of services, including NICU and Trauma. The role directs, supports, coaches, and advises local teams on accreditation and survey readiness, quality, safety, infection prevention, process improvement, patient experience, and patient advocacy. It partners with clinical and operational leaders and medical staff to support positive patient outcomes, facilitates local meetings and forums, and mentors Clinical Care Experience team members. The Site Director monitors quality metrics, establishes and supports execution of improvement plans, and promotes use of the Clinical Operating System to connect care practices with metrics requiring improvement. The position manages multiple improvement projects and coaches others in performance-improvement methodologies. The role has direct and/or indirect supervisory responsibilities and direct reports.

Requirements

Master’s degree in Healthcare Administration, Nursing, Business Administration, or a related field; a clinical degree is preferred.
Five years of experience managing quality, safety, infection prevention, or patient experience performance.
Certification related to quality, safety, infection prevention, or process improvement, or obtain one within 12 months of hire; examples include CPHQ, CPPS, SSGB, or CIC.
Expertise in building internal and external relationships and a demonstrated history of successful work across diverse disciplines and teams.
Ability to think strategically and collaboratively develop short- and long-term visions for improving patient-care opportunities.
Skill in helping individuals, teams, and facilities implement changes successfully.
Knowledge of healthcare trends, regulatory guidelines, improvement methodologies, payer programs, and the changing healthcare landscape, with ability to remain current.
Ability to lead through influence, implement just culture, and create psychological safety.
Ability to oversee and monitor performance and develop improvement action plans for quality metrics; execute performance-improvement methodologies and tools; manage multiple improvement projects; and coach others.
Basic computer skills and proficiency with word processing, spreadsheets, Visio, PowerPoint, Excel, and databases.
Bachelor’s degree in Healthcare Administration, Nursing, Business Administration, or a related field plus five additional years of experience may be considered in lieu of a master’s degree.

Nice To Haves

Experience in continuous and project management improvement in complex hospital or patient-care delivery systems.
Experience leading large-scale project design and implementation.
Six Sigma Green Belt or Black Belt certification.
Project Management Professional (PMP) certification.
Clinical degree.

Responsibilities

Direct, support, coach, and provide consultative guidance to local teams on accreditation and survey readiness, quality, safety, infection prevention, process improvement, patient experience, and patient advocacy.
Partner with clinical and operational leaders and medical staff to support positive patient outcomes.
Lead, facilitate, and support local meetings and forums as a local subject-matter expert.
Guide and mentor local Clinical Care Experience team members, demonstrating teamwork and collaboration.
Collaborate with other facility Site Directors of Quality to develop standardized, evidence-based best practices that are efficient, patient-centered, and compliant with regulatory requirements for safe care.
Keep senior leaders updated on current performance and coordinated work efforts of the local Clinical Care Experience team.
Assess facility quality outcomes and establish and execute improvement plans to achieve strong performance across measures.
Coordinate with safety, quality, infection prevention, patient advocacy, and patient experience partners to improve outcomes.
Ensure the Clinical Operating System is used to support best care practices and link utilization to metrics requiring improvement, where applicable.
Oversee and monitor quality metrics and develop improvement action plans.
Execute performance-improvement methodologies and tools, manage multiple improvement projects, and coach others.
Conduct risk assessments, gap analyses, and current-state assessments to identify improvement areas and methods.
Coordinate facility clinical excellence work, including regulatory and licensing activities required to retain CMS deeming status.
Provide feedback and coaching to local partners and, as needed, their direct leaders.
Support assigned system work and collaborate across the enterprise to standardize work.
Support the facility’s scope of services, including NICU and Trauma, where applicable.
Perform other duties as assigned.