Quality Management Director

Choctaw Nation of Oklahoma•Talihina, OK

1d•Onsite

About The Position

The Director of Quality Management is responsible for all quality, risk management, and patient safety related activities within our health organization. You will direct the efforts of all PI initiatives to ensure compliance with regulatory standards. You will support and promote a culture of safety throughout the organization. You will report to the Executive Director.

Requirements

Bachelor’s degree in health or business-related field
Certified Professional Healthcare Quality (CPHQ), or willingness to obtain
Knowledge of state and national initiatives related to patient safety and evidenced based guidelines of care
Knowledge of current trends in scoring regarding JC accreditation and CMS validation surveys
Experience with data analysis and identification of trends
Experience in process improvement modalities such as PDCA and Six Sigma
Six [6] years of experience in quality management and data analysis

Responsibilities

Facilitate alignment between improvement initiatives and the organization’s strategic plan; directs the day-to-day execution of the strategies and tactics necessary to successfully improve the outcomes and results of the organization.
Maintain the facilities system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures and reporting to Administration, Medial Staff, and the Board.
Work closely with Clinical and Non-Clinical teams for improvement on overall patient safety, systems-level outcomes, key performance indicators, designs processes for new initiatives, services and other targets identified by Choctaw Nation Health Services Authority leadership.
Serves as an internal consultant to Administration, physicians, and staff in the areas of regulatory, process improvement, performance monitoring, and statistical analysis.
Focus on better healthcare value and quality, including the improvement of 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 quality metrics as assigned.
Collect and report HCAHPS data for the facility.
Organize all Quality Management meetings, maintain minutes and make recommendations to the committee based on best practice and current regulatory standards.
Conduct internal audits and risk analysis as determined by the Quality Management Committee.
Perform other responsibilities as may be assigned.