POSITION SUMMARY To be fully engaged in providing Quality / No Harm, Customer Experience, and Stewardship by planning, directing, implementing and coordinating the quality improvement process and goals. This role will work with Senior Leaders to promote a high reliability organization. The director will lead clinical quality initiatives utilizing quality concepts, tools and data. The director maintains continuous awareness of patient safety and compliance with regulatory bodies. The director has 24-hour responsibility as required for the job functions. The director supervises the associates utilizing Human Resources’ policies and processes.PRIMARY ACCOUNTABILITIESThe Director works closely and effectively with all members of the Quality and Outcomes Management team, as well as the Leadership team in order to enhance performance and ensure that improvements are sustained.Sponsors professional grow and development among direct reportsActs as a liaison between the hospital and Regulatory bodiesProvides direct guidance and support for the facility’s quality initiatives in line with Corporate strategies and external quality resources and national benchmark dataCollaborate with clinical operations leaders and clinical staff to engage in process improvementProvides resources, support and information to department directors and clinical leaders via timely responses to requests. Assesses and makes recommendations for improvement, as well as distributes information, plans of action and oversees the ongoing improvements.Facilitate the planning and implementation of strategies for the improvement of Patient SafetyResponsible for the implementation and annual review of the Performance Improvement PlanOverall coordination and integration with other departments that have a direct relationship to quality processes and strategiesGuides quality improvement in support of the strategic and financial objectives of the organizationFacilitate the planning and organizing of organizational approaches to new and revised measures ensuring compliance and implementation on schedule to avoid penalties and achieve the quality outcome goals.Plans and coordinates regulatory compliance initiatives with accrediting bodies as appropriateFacilitates the Joint Commission survey in coordination with senior leadershipManages the flow of information into the Patient Safety Evaluation System (PSES) in accordance with the Health First PSES.Facilitates FMEA process and reportingProvides direct guidance and support to the hospital based and medical staff quality committees, as neededSupports medical staff quality initiatives and guides performance improvement within the Peer Review guidelines set forth by Medical Staff Bylaws and the accreditation standardsMaintains specific understanding of clinical and quality applications and utilizes application methodology and reports for outcome measurement (MIDAS, Trendstar, HBOC, SCM)Remain on the forefront of emerging industry practicesOther duties as assigned by direct reportQualification:
QUALIFICATIONS REQUIREDCurrently licensed to practice in the state of Florida per related fieldBachelor’s degree in Business, Healthcare or other information related field requiredExperience in Quality Management, robust process design, high-reliability outcomes requiredExcellent leadership skills including developing vision and objectives, facilitating work plans, assembling team members with requisite skills and a proven track record for managing to desired outcomes in a timely manner.Experience with implementing programs, managing people and projects across multiple skills and departments in a highly matrixed environmentAbility to prioritize tasks with minimal supervisionDemonstrated strong interpersonal, business writing and presentation skillsComputer skills mandatory for software applications and clinical systems, databases and hospital based systems; formal training or certifications preferredUnderstanding of accreditation requirements and experience successfully guiding standards compliance within healthcare organizationsGlobal understanding of organizational requirements, development strategies and technological support for successful performance improvementDemonstrated ability to successfully guide team processPHYSICAL DEMANDSMust be able to stand, walk, bend and stoop for 50% of jobMust be able to sit for long periods working on computerMust be able to operate telephone, fax machine and copy machinesMust be able to speak and understand the English languageCorrected vision and hearing to normal rangeMust be able to drive to other facilities unassistedAbility to bend and reach under or around equipment in confined spaces.