DIRECTOR OF QUALITY

Company: Air Combat Effectiveness Consulting Group, LLC
Location: Alhambra
Posted on: January 19, 2023

Job Description:

Posted Date 2 years ago (11/24/2020 5:35 PM) Requisition ID req9404 Facility Corporate Office # of Openings 1 Shift Days Category Quality Management Position Type Regular Full-Time Overview Primary Function 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. Responsibilities 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 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. Hospital Description 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. Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.

Keywords: Air Combat Effectiveness Consulting Group, LLC, Alhambra , DIRECTOR OF QUALITY, Executive , Alhambra, California