Director of Quality, Risk and Patient Safety

Insight • Chicago, IL

9h • Onsite

About The Position

The Director of Quality, Risk and Patient Safety is responsible for the design, development, implementation, evaluation, and continuous improvement of the hospital-wide quality and patient safety system, accreditation/regulatory readiness, and clinical informatics. This role involves overseeing patient safety programs, quality management, performance improvement, and ensuring continuous survey readiness. The Director also plays a key role in compliance, budget management, and staff supervision within the quality management department.

Requirements

• 5 years' experience in risk management, patient safety, or quality
• Bachelor’s degree or equivalent combination of education and work experience
• 10 years’ experience in healthcare environment
• Microsoft Office including excel, word PowerPoint, outlook
• Use EHR
• Proven ability to analyze, interpret, and display data
• Ability to communicate verbally
• Ability to compile complex reports and develop presentations
• Ability to compose letters and memorandums
• Ability to deal calmly and courteously with people
• Ability to deal with stressful situations
• Ability to finish tasks in a timely manner
• Ability to follow oral and written instructions and established procedures
• Ability to function independently and manage own time and work tasks
• Ability to lead work teams
• Ability to maintain accuracy and consistency
• Ability to maintain confidentiality
• Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings
• Ability to negotiate, persuade and establish direction
• Ability to organize workflow
• Ability to plan, coordinate and develop multiple projects
• Ability to work as an effective team member

Nice To Haves

• 5 years' analytics and regulatory reporting experience
• 1 - 2 years management/supervisory experience

Responsibilities

• Develops and oversees implementation and management of the patient safety program, including designing systems to improve the culture of safety and reduce patient harm.
• Oversees the implementation and management of patient safety event reporting, reviews events using root cause analysis, and collaborates on corrective actions.
• Monitors incidents to identify safety trends and facilitates improvements using quality improvement methodology.
• Designs and implements systems to communicate patient safety events and develops patient safety metrics.
• Leads hospital-wide efforts to educate staff and physicians on the Culture of Safety and maintains knowledge of national developments in patient safety.
• Develops and oversees implementation and management of the quality management/performance improvement program.
• Oversees the hospital Quality and Safety Committee and serves as a consultant to leadership, medical staff, and care providers on quality measures and improvement efforts.
• Develops, modifies, and maintains the hospital's quality and safety plan.
• Oversees the hospitals Stroke and Sepsis programs.
• Ensures value-based purchasing and other regulatory reporting of quality and safety measures.
• Participates in various hospital committees.
• Leads hospital-wide efforts to educate staff on quality improvement methodology.
• Leads the hospital in maintaining a constant state of continuous survey readiness, staying up-to-date on regulations and accreditation standards.
• Prepares staff, leaders, and physicians for accreditation surveys through education and rounding.
• Oversees the accreditation committee and assesses organizational compliance with regulatory requirements.
• Oversees compliance with meaningful use and other regulatory programs.
• Institutes and maintains effective communication regarding the compliance Hotline, Standards of Conduct, and compliance issues.
• Acts as an independent review and evaluation body for compliance issues, investigating and resolving concerns.
• Identifies potential areas of compliance vulnerability and risk, and develops/implements corrective action plans.
• Responds to alleged violations by evaluating or recommending investigative procedures and develops a system for uniform handling of violations.
• Develops the department operating budget and assures compliance with budget expectations.
• Provides supervisory responsibilities to staff in the quality management department.

Benefits

• Paid Sick Time - effective 90 days after employment
• Paid Vacation Time - effective 90 days after employment
• Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
• Short and long-term disability and basic life insurance - after 30 days of employment

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Associate degree