Director Quality

Overview

UnityPoint-St Luke's Hospital

Full-Time

Days

The Director of Quality is responsible for the development, direction, and effective implementation of a comprehensive hospital-wide Quality Management System (ISO 9001), Peer Review program, Outcomes Management, Clinical Analytics, Accreditation Compliance, external reporting and Patient Safety programs in collaboration with the Quality Dyad Physician.

Why UnityPoint Health?

• Culture - At UnityPoint Health, you matter . Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits - Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you're in.
• Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development - We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
• Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.

Hear more from our team members about why UnityPoint Health is a great place to work at https : / / dayinthelife.unitypoint.org.

Responsibilities

Quality Improvement

• Development and execution of the organization's Annual Performance Improvement Plan.
• Perform an annual review of the Quality Management System.
• Support hospital leadership's clinical process improvement efforts through data analysis, risk / resource prioritization and unit-level coaching / education in basic process improvement methodologies (A3, PDSA, 5S).
• Develop and sustain organizational expertise in data / information analysis, benchmarking and presentation. Serves as a knowledge expert for evidence-based practice, performance improvement, patient safety and clinical quality activities and results.
• Facilitate and manage the Medical Staff Peer Review process as specified in the Medical Staff Bylaws.
• Oversee and facilitate house-wide compliance with regulatory agency and accrediting body requirements and corporate and hospital policies and procedures.
• Designated by Senior Leadership to serve as the Management Representative with the responsibility and authority for ensuring that the requirements of the Quality Management System are implemented and maintained with quality oversight to ensure corrective and preventative actions are carried out and measured for effectiveness.
• Provide oversight for clinical registries and support departmental quality resources as entity content expert and partner.
• Collaborate with system quality leaders and join system-level groups to gain knowledge and understanding of organization wide initiatives and competency in the use of system-level resources and tools.
• Provide organizational leadership, change management, and culture development as key components of all Quality and Safety Improvement, Performance Improvement, Patient Safety and Infection Prevention duties and deliverables.
• Staffs and provides support for the Quality Management Council, Patient Quality and Safety Committee, the Nursing Quality Committee and the Operations Quality Committee and Quality Advancement Teams.
• Demonstrates the components of FOCUS values statement.
• Facilitate and manage the organizations' Wound Care Program.

Management Duties

• Plans, budgets, and organizes department to accomplish operational and strategic objectives and stays within budget.
• Strategic planning : Sets priorities and goals in consultation with Senior Management.
• Customer Care : Sets, directs, delegates and oversees work efforts as appropriate to insure the best possible delivery of service to customers.
• Leadership : Promotes a satisfied and competent employee work environment through establishing a climate for growth and change, doing timely performance appraisals providing development and mentoring of staff.

Basic UPH Performance Criteria

• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
• Demonstrates ability to meet business needs of department with regular, reliable attendance.
• Employee maintains current licenses and / or certifications required for the position.
• Practices and reflects knowledge of HIPAA, DNV, OSHA, CoP's and other federal / state regulatory agencies guiding healthcare.
• Completes all annual education and competency requirements within the calendar year.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.

Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

Qualifications

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education :

Degree in Nursing, Business, or Healthcare Administration.

Master's Degree preferred.

Experience :

5 years hospital experience

License(s) / Certification(s) :

Valid driver's license when driving any vehicle for work-related reasons.

Certification in Quality Improvement in a health related field

Knowledge / Skills / Abilities :

• Director must have knowledge and experience of continuous quality improvement concepts including data sources / analytics.
• Transformational leadership skills, project management experience, and strong team building characteristics are essential.
• Strong verbal communication skills, writing skills, and knowledgeable about state and federal regulatory bodies. Motivational self-starter, transparency minded, and collaborative
• Knowledge of human resource management; program development; and fiscal management skill.

Other :

Use of usual and customary equipment used to perform essential functions of the position.

• Area of Interest : Management;
• FTE / Hours per pay period : 1.0;
• Department : Quality Improvement- SLRMC;
• Shift : Varied / Exempt;
• Job ID : 156291;
8 hours ago