Director of Quality

  • Company: CARTI
  • Updated: 3/4/2019
Description:

JOB SUMMARY: CARTI seeks a Director of Quality to join our organization.

The Director will have primary oversight of the organization’s quality and patient safety program. This leadership role will direct others within all CARTI facilities in clinical robust process improvement supporting evidence based practices, the reduction of medical/health care errors and other factors that contribute to unintended adverse outcomes. The Director will provide leadership for robust process improvement ensuring high reliability methods, quality measures monitoring and ongoing regulatory compliance and readiness. The Director will educate leadership, physicians, and staff on high reliability methodologies including system-based causes for medical error. The Director will coordinate robust process improvement initiatives and projects within the organization. The Director is responsible and accountable for optimizing quality and patient safety outcomes. The Director will work closely with all location’s leadership to optimize strategic goals and objectives. The director oversees the collection, analysis and reporting of quality and patient safety data in relation to cost containment, performance improvement and outcomes. The Director is accountable for facilitating, validating and reporting all improvement activities addressed at different levels including Monthly Operating Reviews and Quality Committees. The Director promotes interdisciplinary collaboration; fosters team work and champions service excellence throughout. The Director serves as a resource and subject matter expert to proactively address quality and patient safety issues. This individual has oversight and responsibility over all quality, risk management and patient safety related activities within the organization. Directs the efforts of all the performance improvement initiatives to ensure overall compliance with all regulatory standards including national, state, CMS, TJC and other agencies. He/She works with clinicians and administrators to improve overall patient safety and systems-level outcomes. Responsible for the facilities quality, patient safety and risk management programs with an emphasis on patient safety, and harm reduction. Supports, promotes and encourages a culture of safety throughout the organization.

EDUCATION, CERTIFICATION, LICENSURE, REGISTRATION:

Bachelor’s degree (Masters preferred) in nursing, pharmacy, or related clinical area required.
EXPERIENCE, KNOWLEDGE, SKILLS and ABILITIES:

Five (5) years’ experience in hospital based nursing or clinical area.
Five (5) years’ leadership or supervisory experience preferred.
Five (5) years’ experience in quality and/or patient safety activities including regulatory compliance (TJC, CMS, and TDSHS).
Two (2) years’ experience in robust process improvement methodologies or complete MHHS approved robust process improvement training within twelve months of employment.
Experience in statistical analysis or quantitative analysis.
Self-motivated, proven communication skills, assertive.
Background in business planning and targeted outcomes preferred.
Effective working relationships with Executives, Physicians, Directors, and staff.
Ability to serve as liaison to external regulatory and sanctioned reporting agencies. Excellent written and verbal and presentation skills.
Knowledge of evidence based practice guidelines for clinical care and quality, and patient safety.
Ability to work collaboratively with Healthcare professionals at all levels to achieve established goals and improve quality outcomes.
Knowledge of CMS and TJC standards and regulations.
Skill in organizing and prioritizing workloads to meet deadlines.
Ability to develop policies and procedures.
Ability to teach and evaluate clinical performance.
Knowledge of system process analysis, quality/process improvement techniques, design, and integration, at a level of complexity associated with integrating processes across multiple departments of an organization.
Possess a level of analytical ability to problem-solve, evaluate, plan, and direct process improvement projects and benchmarking activities for all clinical and non-clinical departments.
Ability to compile, code and categorize, or verify information/data
Strong organizational and interpersonal skills
Ability to determine appropriate course of action in more complex situations
Ability to work independently, exercise creativity, and maintain a positive attitude
Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work
Ability to maintain confidentiality of all medical, financial, and legal information
Ability to complete work assignments accurately and in a timely manner
Ability to communicate effectively, with excellent verbal and written communication skills

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