Director, Quality

UF Health•The Villages, FL

About The Position

The Director, Quality serves as Director for the Quality Management and Infection Control Departments at UF Health Spanish Plaines Hospital. The role coordinates campus-wide quality performance improvement activities to achieve performance goals, monitors campus quality outcomes, and provides reporting to the Executive Team as needed. The Director collaborates with Quality Directors 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 and monitors campus adherence to 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.
  • Five or more years of quality assurance experience in a leadership role within a healthcare setting.
  • 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.

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 reporting to the Executive Team as needed.
  • Collaborate with Quality Directors across the UF Health Enterprise to coordinate organizational standards and processes.
  • Attend and participate in selected department and 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 monitor adherence to infection-control standards across the campus.
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