Responsibilities:
This position provides for effective operation of Quality Management department functions for Medical Center. This position manages significant clinical event investigations, peer review, decision support, coordination of regulatory and accreditation compliance and surveys (JCAHO, DHS, CMS, HSAG), patient safety process improvement, and all other required quality related activities.
Analyzes incidents, sentinel events, and risk outcomes with administrators, physicians, clinical leaders, and staff to identify improvement opportunities utilizing quantitative techniques and knowledge of health care operations and systems thinking. Obtains and uses literature, best practices, and benchmark data whenever possible.
Manages significant clinical event and root cause analysis, including peer review, process improvement, tracking and reporting of processes, and policies and procedures. Eliminates sources of error: identifies causes of variation, develops and implements systems and processes to facilitate effective clinical practices and error reduction.
Assists in development, implementation, and migration of best practices for safe clinical practice and outcomes at the facility.
Serves as a content expert for designing and providing formal and informal training for physicians, clinical leaders, staff, and other constituencies related to healthcare quality and patient safety. Provides advice and counsel for leadership at all levels of the organization.
Oversees and provides direction to the facility’s infection prevention program.
Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations.
Ensures state-of-the-art data systems and accurate and reliable data acquisition, including analysis and inter-rater reliability of data to support clinical and administrative decision making.
Develops and oversees the department budget in conjunction with corporate goals and objectives. This position is accountable for meeting annual budgetary goals.
Coordinates activities to assure compliance with federal and state regulatory programs and accreditation requirements, as well as established organizational policies and procedures.
Qualifications:
REQUIRED QUALIFICATIONS
Requires a Master’s degree in healthcare related field or experience consistent with a Master’s degree.
Must have a proficiency level typically attained with at least five years experience in quality management/patient safety, preferably in a hospital/healthcare setting.
Requires at least two years management experience.
Must possess demonstrated flexibility in responding to the needs of multiple constituencies with a service-oriented philosophy.
Demonstrated ability to lead and facilitate interdisciplinary teams is required.
Must possess demonstrated skills in problem analysis, project management, conflict resolution and oral/written presentations.
Requires the ability to balance and manage multiple projects.
PREFERRED QUALIFICATIONS
Healthcare quality management experience preferred.
Healthcare quality management leadership experience preferred
Please APPLY at: http://www.hcnhealth.com/apply_now.aspx or email a copy of your resume Directly to the Hiring Administrator at jobs@hospitalresume.com for review and consideration.
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