Director of System Quality and Performance Improvement

Ochsner HealthJefferson, LA
Onsite

About The Position

This job is responsible for developing, managing, and integrating a comprehensive, system quality and performance improvement program. Collaborates with executive system quality leaders, service line leaders, and division quality leaders to identify, analyze, and trend key performance indicators to implement successful solutions. Additionally, manages system documentation effectiveness program that engages HIM, IS, quality, and physician leaders in improvement strategies associated with accurate clinical documentation. Assures accurate data, timely analysis, and addresses the application of reported data to support performance improvement and project management activities. The Director independently makes decisions that could seriously affect overall and strategic results. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Requirements

  • Bachelor’s degree in Nursing, Public Health, Business Administration, or related fields.
  • 10 years’ experience in healthcare leadership
  • Experience with healthcare quality, relational databases, and systems analysis
  • Experience with robust process improvement
  • Experience with documentation effectiveness tools (Crimson, Truven, 3M, Tableau, Vizient CDB) and analysis of ICD-10-CM data relating to externally reported quality methodologies including AHRQ PSI and CMS HAC.
  • Effective verbal and written communication skills and the ability to present information clearly and professionally.
  • Strong interpersonal and conflict resolution skills.
  • Proficiency in using computers, software, and web-based applications.
  • Analytical skills and ability to use a logical process to formulate practical solutions.
  • Strong decision-making, delegation, and leadership skills and the ability to demonstrate good judgement.
  • Excellent time management skills and self-direction.
  • Maintains and enhances professional competency.

Nice To Haves

  • Master’s degree in Nursing, Public Health, Business Administration, or related fields.
  • Active Certified Professional in Healthcare Quality (CPHQ) certification.

Responsibilities

  • Develops, manages, and integrates a comprehensive, system quality and performance improvement program that supports system quality strategic initiatives.
  • Manages and continuously evaluates improvement of key performance indicators.
  • Monitors progress on strategic plans and recommends updates to senior executive quality leaders.
  • Serves as a system quality and performance improvement partner to service line leaders and division quality leaders.
  • Manages documentation effectiveness program that engages HIM, IS, quality, and physician leaders in improvement strategies associated with clinical documentation.
  • Develops personnel and workforce.
  • Participates in long strategic planning that supports the company mission.
  • Performs other related duties as assigned.
  • Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
  • This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

Benefits

  • Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
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