Dir, Quality

UF Health•Leesburg, FL

About The Position

UF Health Leesburg Hospital is seeking a Director of Quality to lead the Quality Management and Infection Control Departments. The role coordinates campus-wide quality performance improvement activities to achieve performance goals, monitors quality outcomes, and provides reporting to the Executive Team as needed. The Director collaborates with Directors of Quality across the UF Health Enterprise to coordinate organizational standards and processes, and works with the Manager of Accreditation and Patient Safety to maintain survey readiness. The position also manages the Infection Control team, its monitoring activities, and adherence to campus infection-control standards.

Requirements

  • Graduate degree, or a bachelor's degree with willingness to obtain a master's degree within two years of hire.
  • Clinical healthcare experience.
  • Ability to read, write, speak, and understand English.
  • Proficiency with computers, Excel, quality metrics, and statistics.
  • Knowledge of The Joint Commission (TJC) surveys, AHCA complaints and surveys, QualityNet, team facilitation, data presentation and explanation, and NDNQI.
  • Knowledge of Leapfrog and CMS rating requirements and best practices for achieving top ratings.
  • Five or more years of quality assurance experience in a leadership role within a healthcare setting.

Nice To Haves

  • Lean Six Sigma Black Belt.
  • Certified Professional in Healthcare Quality (CPHQ).
  • Acute care experience.

Responsibilities

  • Coordinate quality performance improvement activities across the campus to achieve performance goals.
  • Monitor campus quality outcomes and provide necessary reporting to the Executive Team.
  • Collaborate with Directors of Quality across the UF Health Enterprise to coordinate organizational standards and processes.
  • Attend and participate in selected Department/Division Meetings, Quality Committees, Medical Staff meetings, and MCE.
  • Collaborate with the Manager of Accreditation and Patient Safety to ensure and maintain survey readiness.
  • Attend the Physician Peer Review process as needed.
  • Manage the Infection Control team and monitoring, and ensure adherence to infection-control standards for the campus.
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