DIRECTOR OF QUALITY
Company: Air Combat Effectiveness Consulting Group, LLC
Location: Alhambra
Posted on: August 1, 2022
|
|
Job Description:
The Director of Quality collaborates with the Patient Experience
Officer, each hospital leadership team and staff to provide
strategic improvement plans with a focus on improved operations for
ancillary areas. The Director of Quality is responsible for
providing expertise, leadership, modeling and support in accordance
with AHMC initiatives designed to improve performance and achieve
sustainable high quality outcomes and results for ancillary areas.
Nature and Scope (Essential Functions) Leads and directs all
quality management activities including patient care, The Joint
Commission compliance, risk management, safety, performance
improvement and infection control. Must be current with all pay for
performance programs, government regulations, and key health care
systems initiatives regarding medical records documentation and
plan of care. Performs medical record abstraction for the purpose
of quality improvement or reporting. Reviews and analyzes
healthcare data and records, validating accuracy and quality
documentation to ensure compliance with program requirements. In
collaboration with Patient Experience Officers, Quality Improvement
Directors, and hospital leadership, creates and promotes a culture
of quality through a cohesive, collaborative, and effective
interdisciplinary leadership team to support strategies and quality
initiatives. Provides strategic and technical direction in the
assessment and development of opportunities related to data
management strategies, data storage, information management tools
and includes the development and monitoring of reports. Develops
strategic plans and policies for improved quality throughout AHMC.
Works with top management to ensure compliance with regulatory
agencies. Directs and supports Quality Improvement programs for
hospital operations. Assures quality imperatives are met including
the development of policy and criteria and determines thresholds
for action plans when needed. Directs processes and overall quality
improvement activities that results in improvement in patient care
and operations that are more efficient. Provides education to
leadership team and healthcare providers on best practice patient
care as well as documentation, interpretation and compliance.
Collaborates with quality initiative teams and process innovation
to improve care delivery and documentation. Manages and coordinates
closely with the committee chairpersons, Quality, and Patient
Experience Officers to assure peer review activities are timely and
demonstrate ongoing monitoring of important measures. Communicates
routinely with the Chairman of the Board and partners with the
Quality and Patient Experience Officers and requests assistance as
appropriate. Develops and facilitates Performance Improvement teams
in designated areas to accomplish measurable goals in a timely
manner and which demonstrates sustained improvement, enhanced work
environment and increased productivity. Assumes a sponsorship role
for Quality Improvement initiatives in partnership with CEO's,
CMO's, and CNO's, aligned with standardized best practice measured
by key performance indicators. Leads a visible and transparent
project prioritization process to align resources with initiatives
and to ensure interdisciplinary efforts are in support of
organizational strategic priorities. Consistently communicates and
collaborates with Patient Experience Officers and Quality
Improvement Directors across all AHMC's hospitals and affiliated
offices to ensure established goals are met. Presents Quality
Improvement standards and practices to the Executive Team,
Compliance Officer and others in a timely basis to ensure
continuous compliance and vigilance with quality improvement,
patient care and patient safety. Monitors and presents results of
improvement efforts and ongoing measures of clinical processes to
the leadership team. Consistently strives to understand, anticipate
and meet the needs, expectations and satisfaction levels of all
customers. Errors, inefficiencies and inaccuracies are addressed
and resolved timely. Develops and implements long-term strategies
for the organization leveraging emerging healthcare, digital and
business trends and collaborates with administrative and clinical
leaders to deliver strategic business value. Possesses and
maintains a working knowledge of The Joint Commission standards,
state of California laws and statutes (e.g. Title XXII), Medical
Staff bylaws, policies and procedures and community standards.
Organizes compiles, and reports data for designated areas to
identify trends, establish priorities, and recommend improvement
activities. Performs comprehensive retrospective reviews
(concurrent, if applicable) in a timely manner utilizing criteria
developed and approved by the medical staff and hospital where
applicable. Manages and provides leadership of important measures
and where opportunities are identified, result are sustained, and
ensures continued measureable improvement. Develops and maintains
effective screening for clinically and financially appropriate
admissions, transfers and discharges. Participates in community
education projects. Abides by the hospital's Code of Conduct,
Policy and procedures and HIPAA compliance. Performs other duties
as assigned. Qualifications Minimum of 5 years of Utilization
Management plus 3 years' experience in a management position
required. Experience in leading multidisciplinary teams for
ancillary areas. In depth knowledge of all components of
Performance Improvement including: Patient Safety, Medical Staff,
The Joint Commission, Title XXII, monitoring and evaluation
methodologies and statistical data management. Working knowledge of
contracts and payor/patient mixes. Knowledge of HIPAA and privacy
regulations. Possesses excellent communication and negotiation
skills. Ability to communicate effectively with internal and
external resources. Strong organizational skills with the ability
to multi-task and prioritize workload. Previous experience in a
hospital environment as a Director of Quality or as highest-ranking
leader for Quality Improvement. Significant experience in a health
care setting is mandatory. Education: Requires a bachelor's degree
in Nursing or Business Administration or Master's degree preferred.
BSN preferred. RN in state of California preferred. Certified
Professional in Healthcare Quality (CPHQ) preferred. Outstanding
communication skills, both written and verbal. Conducting root
cause analysis. Budget preparation and monitoring. Planning and
organizing. Management and leadership. Demonstrated ability to:
Relate to all levels of the user community. Be a team player who is
knowledgeable, motivates and educates other team members. Plan,
implement and support systems in a complex health care environment.
Set and manage priorities. Comprehend complex, technical subjects
and the ability to articulate to all members of the team. Translate
technical language to lay audiences. Link and apply complex
technologies to business strategies. Dimensions AHMC consists of a
corporate office and seven acute care hospitals, and one skilled
nursing facility, AHMC Anaheim Regional Medical Center 228 beds,
Garfield Medical Center with 211 beds, Greater El Monte Community
Hospital with 115 beds, Monterey Park Hospital with 102 beds, San
Gabriel Valley Medical Center with 273 beds, Seton Medical Center
with 357 beds, Seton Medical Center Coastside a 116-bed skilled
nursing facility, and Whittier Hospital Medical Center with 172
beds. The facilities are Medicare and MediCal certified and
accredited by the Joint Commission on Accreditation of Healthcare
Organizations. The hospitals provide healthcare services reimbursed
by Medicare, MediCal, traditional insurance plans, PPO, HMO and
under capitated arrangements.
Keywords: Air Combat Effectiveness Consulting Group, LLC, Alhambra , DIRECTOR OF QUALITY, Executive , Alhambra, California
Click
here to apply!
|