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The Director of Quality Management assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DQM will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement. He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes. He/she will assure ongoing monitoring of performance to ensure that improvements are sustained. The DQM will direct compliance following federal and state regulations and accreditation standards and assist with compliance investigations as requested by the corporate compliance department.
Job Responsibility:
Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program
Measures and assesses performance through collection, analyses, and trending of data
Focuses on processes and systems to improve performance
Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety
Investigates factors contributing to adverse outcomes in order to improve processes and systems
Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation
Fosters environment to reduce unanticipated adverse events and/or outcomes
Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training
Directs the functions and operation of the hospital-wide continuous quality improvement program including review of records for indicators of quality, reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate
Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff
Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year
Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies
Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care
Other duties as assigned
Requirements:
Registered Nurse with current state licensure highly preferred
Clinical license required
Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality)
BSN or BS/BA required
Two years of experience in an acute hospital or rehabilitation setting required
Previous supervisory experience preferred
Current Basic Life Support/CPR Card
Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required
Working knowledge of staff development and the educational process, quality improvement, infection control/employee health, and safety/risk management standards
Effective oral and written communication skills, in English with additional languages preferred
proficiency in basic computer skills required
What we offer:
Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts
Competitive paid time off and extended illness bank package for full-time employees
Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
Tuition reimbursement, loan assistance, and 401(k) matching
Employee assistance program including mental, physical, and financial wellness
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