Quality Director Heart & Vascular

Northeast Georgia Medical Center•Gainesville, GA

About The Position

The Director of Quality for Heart & Vascular will lead Georgia Heart Institute (GHI) and the Heart & Vascular Service Line in improving clinical quality by supporting clinicians in improving quality of clinical outcomes, processes and patient experience through providing awareness of quality metrics, promoting standard work and utilizing evidenced based practices directed by the data. Acts as a liaison between NGMC and GHI as it relates to safety and quality initiatives by collaborating with appropriate hospital departments, rapidly identifying risk and opportunities for improvement in the continuum of care between inpatient and outpatient settings and implementing risk and medical error reduction strategies to bridge defined quality and clinical gaps. Ensures required accreditations and regulatory requirements are met and maintained.

Requirements

Masters degree in Health Care Administration, Public Health, Business Administration required.
Must show proof of enrollment in an Accredited Masters Degree Program , and will have 18 months from the date of hire to obtain degree .
Five (5) years of Experience in Clinical, clinical quality management, including performing Root Cause Analysis and Failure Mode and Effects Analysis required.
Two (2) years of Management experience in a health care setting required.
High energy and ability to function effectively in a dynamic work environment
Superior organization and interpersonal skills
Excellent written and communication skills, enabling successful presentation to diverse audiences
Creativity; ability to create new programs and implement new concepts
Strong analytical, root cause analysis and process improvement skills
Demonstrated effectiveness as a team player
Data development and management skills
Demonstrates expertise in use of clinical databases

Nice To Haves

Experience in both physician group practice and large complex healthcare organization.

Responsibilities

Works collaboratively within the group and service line to monitor group performance in key quality measures tied to potential Pay for Performance initiatives and aids in developing corrective measures to ensure success in achieving optimal performance.
Develops and implement quality initiatives for the group and service line to comply with various government quality programs.
Researches benchmarks that would be utilized in comparing the group and service line to other groups and medical centers.
Facilitates process improvement, demonstrating expertise in leading teams or participating as a contributing member.
Designs and presents educational sessions on clinical, patient experience, error prevention and clinical quality improvement.
Supports the Chair of the Quality Council and manages relevant topics/discussions for improvement and approval of new services and/or technology.
Oversees the dissemination of accurate, user friendly clinical reports in a timely fashion to key stakeholders.
Participates in senior leadership forums, site level meetings and group peer review activities, identifying pertinent findings and events, corrective action plans and completion status.
Keeps current with emerging initiatives.
Identifies best practice recommendations for clinical quality and introduces them to the group. Examples include: Institute for Healthcare Improvement, NCQA, etc.
Must be able to proactively assess budgetary impact during design and planning phases of key projects.
Responsible for collaborating with Administrative Directors and Director of Operations on performance improvement, accreditation and regulatory requirements.
Responsible for identifying and communicating budgetary needs during financial planning cycles.
Monitors and supports process improvement projects in the areas of cg-chaps and outpatient patient experience.
Manages the abstraction of clinical data for cardiovascular registries such as National Cardiovascular Data Registry for Percutaneous Coronary Interventions, Society of Thoracic Surgeons registries for Cardiac and Thoracic Surgery, and American Heart Association Heart Failure Registry.
Prepares survey responses for payor quality programs such as BCBS distinction designation, Q-HIP and AETNA Institute of Quality designation and American Hospital Association Survey.