Director, Quality

Lifepoint Health•Oklahoma City, OK

About The Position

Mercy Rehabilitation Hospital Oklahoma City South is operated jointly with Lifepoint Health and Mercy. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As Director of Quality joining our team, you’re embracing our promise to provide superior patient care that exceeds industry standards as well as patient expectations. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. Our rehabilitation programs at our Oklahoma City South Hospital provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, intense rehabilitation tailored to the individual needs of those recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury. Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Requirements

Registered Nurse with current state licensure highly preferred; clinical license required.
BSN or BS/BA required.
Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.
Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).
Data analysis and reporting
CQPI methodologies (e.g., RCA, FMEA, PDSA)
Risk management and patient safety facilitation
Regulatory/accreditation readiness
Effective teaching, communication, and collaboration.

Responsibilities

Provide leadership and oversight of the organization-wide CQPI program.
Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
Direct, facilitate, and report on all aspects of risk management and patient safety.
Investigate factors contributing to adverse outcomes and drive process/system changes.
Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
Serve as liaison to local health officials, coordinate inspections and accreditation reviews with state and other regulatory agencies.
Develops and delivers hospital-wide CQPI education and training.
Prepares quality/patient safety reports and dashboards for leaders and committees.
Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.
Perform other duties as assigned.