Quality Director

Choctaw Nation of Oklahoma•Talihina, OK

10d

About The Position

The Director of Quality Management is responsible for quality, risk management, and patient safety activities across the health organization. The role directs performance-improvement initiatives to support compliance with regulatory standards and promote a culture of safety throughout the organization. The Director reports to the Executive Director. The position maintains the system-wide Quality program, including collecting, aggregating, and analyzing data; maintaining policies and procedures; and reporting to Administration, Medical Staff, and the Board. It works with clinical and non-clinical teams to improve patient safety, system-level outcomes, and key performance indicators, and to design processes for new initiatives, services, and other leadership-identified targets. The Director also advises Administration, physicians, and staff on regulatory matters, process improvement, performance monitoring, and statistical analysis. The role coordinates and reports Core Measures, MACRA, meaningful-use measures, and other quality metrics; collects and reports facility HCAHPS data; organizes Quality Management meetings and maintains minutes; makes recommendations based on best practices and current regulatory standards; and conducts internal audits and risk analyses as determined by the Quality Management Committee. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., and may vary due to business needs. Compensation is salaried, Paygrade 17, dependent upon experience. Weekly earned wage access is available as an option.

Requirements

Bachelor’s degree in a health- or business-related field.
Certified Professional Healthcare Quality (CPHQ) certification, or willingness to obtain it.
Knowledge of state and national patient-safety initiatives and evidence-based guidelines of care.
Knowledge of current scoring trends regarding Joint Commission accreditation and CMS validation surveys.
Experience with data analysis and identifying trends.
Experience with process-improvement methods such as PDCA and Six Sigma.
Six years of experience in quality management and data analysis.

Responsibilities

Align improvement initiatives with the organization’s strategic plan and direct day-to-day execution of strategies and tactics to improve organizational outcomes and results.
Maintain the system-wide Quality program, including data collection, aggregation and analysis, policy and procedure maintenance, and reporting to Administration, Medical Staff, and the Board.
Collaborate with clinical and non-clinical teams to improve patient safety, system-level outcomes, and key performance indicators, and design processes for new initiatives, services, and leadership-identified targets.
Serve as an internal consultant to Administration, physicians, and staff on regulatory matters, process improvement, performance monitoring, and statistical analysis.
Improve healthcare value and quality, including clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.
Coordinate, manage, and report Core Measures, MACRA and meaningful-use measures, and other assigned quality metrics.
Collect and report facility HCAHPS data.
Organize Quality Management meetings, maintain minutes, and make recommendations based on best practices and current regulatory standards.
Conduct internal audits and risk analyses as determined by the Quality Management Committee.
Perform other assigned responsibilities.