Director Quality SJMC-SCH

VMFH Division Support Services • Tacoma, WA

1d

About The Position

This position is responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identifies opportunities for improved patient care, incorporate evidence-based practices, and improved patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.

Requirements

• Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of a degree.
• Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program.
• Minimum of two (2) years of clinical, patient care experience or equivalent.
• Current State License in a clinical field.
• Five (5) years’ experience in Quality Management can be used in lieu of state license.
• Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.

Responsibilities

• Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually. Facilitates a multidisciplinary approach to performance improvement and fosters participation in all performance improvement initiatives to share and learn best practices. Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.
• Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
• Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.
• Ensures compliance and provides leadership and oversight for accreditation, licensure and regulatory survey readiness. This includes mock survey tracers to assess survey readiness, education to staff and providers on regulatory compliance and identification for areas of opportunities and the corresponding actions for compliance at the facility level. Organizes required staff to develop responses to survey deficiencies and oversees response submissions to the appropriate accreditation or regulatory agency.
• Has overall accountability for assigned work group relative to operational goals, personnel requirements, and budgetary constraints.

What This Job Offers

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