Market Director of Quality

Overview

Find out more about this role by reading the information below, then apply to be considered.

Hillcrest HealthCare System (HHS) is a comprehensive health system providing quality healthcare in northeastern Oklahoma, with the system's flagship hospital, Hillcrest Medical Center, located in Tulsa.

Additionally, HHS is comprised of Bailey Medical Center, Hillcrest Hospital Claremore, Hillcrest Hospital Cushing, Hillcrest Hospital Henryetta, Hillcrest Hospital Pryor, Hillcrest Hospital South, Tulsa Spine & Specialty Hospital, Oklahoma Heart Institute and Utica Park Clinic.

HHS has 1,180 licensed beds and an expansive network of clinics.

POSITION SUMMARY

A seasoned professional reporting to the Chief Medical Officer you will be part of the senior management team and will participate in strategic initiatives to include a high emphasis and focus on quality, resource alignment, process improvement, and performance improvement methodology to accomplish initiatives and goals.

A primary focus will be collaboration with all leadership of the organization to improve quality, safety, and workflows using Quadruple Aim philosophy to develop a framework for cost reduction, potential population health, and enhanced patient and staff experience through activities based on facility strategic goals and objectives.

In addition, this position will provide leadership for planning, implementation, integration and coordination of the Quality Department in support of goals across the Division.

Responsibilities

• Directs development of specific short and long range programs and project plans to obtain facility objectives. Oversees the prioritization of projects and directs resources to ensure the attainment of facility goals.
• Create a culture of accountability for clinical quality, service quality, and safety for all levels of the organization
• Responsible for planning and coordination of the Quality Department and Medical Staff Services operational efficiency and effectiveness as well as major impact on all other hospital areas.

Participates and facilitates Performance Improvement activities using insert hospital's performance improvement methodology, i.e. PDSA

Responsible for ensuring the department meets and adheres to all applicable federal, state, and Joint Commission DNV and local regulatory agency requirements and for ensuring the department and facilities success in any regulatory survey.

Coordinates training and process for Survey Readiness including tracers, identification, identification of deficiencies and oversight of action plans for improvement.

• Directs and / or participates in regular discussions and reviews on a variety of diverse / complex issues including financial and administrative matters, which have hospital wide impact.
• Participates in various committees and other task forces as may be established by management to plan, organize and drive the facility.
• Responsible for special projects as assigned by the Administrative Team and / or Division leadership. Meets all objectives as set forth in the individual evaluation and displays a good work attitude towards job responsibilities.
• Utilize and strengthen data and information capabilities of the organization and champion a data- driven environment to anchor quality and safety activities
• Ensure risk reductions occur for hospital acquired / adverse events by working with physician leadership, clinical leaders, infection control and risk management as findings / outcomes indicate.
• Effectively interviews and selects qualified personnel as required to meet the department objectives. Ensure hiring practices conform to appropriate Affirmative Action / EEO practices and regulations.
• Provides direction to the staff of the Quality Department and Medical Staff Office . Reviews performance of the department's staff and approves staff evaluations.

Responsible for appropriate staff

• Participate in hospital board education of HCAHPS, patient safety survey analytics, quality and safety performance to highlight key performance indicators in driving untoward events within the hospital to a level of "zero"
• Articulate and demonstrate an expectation for understanding the respective stakeholders and collaborate with existing leadership to bring effective quality and performance improvement policies and procedures.

Qualifications

Education & Experience

• Minimum of Bachelor's Degree, Master's preferred, with formal training in quality and performance improvement management skills
• More than 5 years in a leadership role
• Licensure : BLS, RN preferred

Knowledge, Skills & Abilities

• Strong understanding of all aspects of healthcare, including the ability to develop and evaluate budgets, pro forma, programs, and service trends
• Expertise in understanding performance improvement philosophy and quality management motifs
• Knowledge of current national healthcare trends impacting efforts of quality, safety, and service enhancement
• Excellent analytical and problem-solving skills
• High level of self-esteem and professionalism
• Organizational skills that provide oversite of multiple priorities, tasks, and reports

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