Director of Quality - Inpatient Services

Lifepoint Health • Austin, TX

3d

About The Position

The Director of Quality leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program at Central Texas Rehabilitation Hospital. The role uses data collection, analysis, and trending to assess performance, improve processes and systems, direct risk management and patient safety activities, investigate adverse outcomes, coordinate regulatory and accreditation readiness, and educate staff on CQPI and related quality programs.

The Director develops and delivers hospital-wide CQPI education and training, prepares quality and patient safety reports and dashboards for leaders and committees, and partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Requirements

• BSN or BS/BA required.
• Clinical license required.

Nice To Haves

• Current state Registered Nurse licensure is highly preferred.

Responsibilities

• Provide leadership and oversight of the organization-wide CQPI program.
• Collect, analyze, and trend data to measure and assess performance and identify opportunities for improvement.
• Improve processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on risk management and patient safety activities.
• Investigate factors contributing to adverse outcomes and drive process and system changes.
• Direct hospital-wide CQPI operations, including reviewing records for quality indicators and reporting findings to leadership, the Medical Executive Committee, and other committees.
• Annually review hospital-wide Infection Control and CQPI plans and establish goals and objectives for the coming year.
• Serve as liaison to local health officials and coordinate inspections and accreditation reviews with state and other regulatory agencies.
• Develop and deliver hospital-wide CQPI education and training.
• Prepare quality and patient safety reports and dashboards for leaders and committees.
• Partner with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.
• Perform other duties as assigned.

Benefits

• Health benefits, including medical, dental, and vision, for full-time employees.
• 401(k) benefits for full-time employees.
• Competitive paid time off.
• Employee Assistance Program providing mental, physical, and financial wellness assistance.
• Tuition reimbursement or assistance for qualified applicants.

What This Job Offers

• Job Type: Full-time
• Career Level: Director