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Executive Director, Quality- Howard County General Hospital
2 months ago
JOB SUMMARY:
The Executive Director of Quality is an administrative position with responsibility for providing oversight and service support of performance improvement and has direct responsibility for quality, infection control and prevention, and patient safety. The Executive Director shall be responsible for carrying out the specific duties listed below under the direction of the Vice President of Medical Affairs. The job duties affect direct patient care through the completion of tasks, which allow others to provide direct care. Work requires internal contacts outside the work group in situations requiring resolution of conflict, persuasion or negotiation. The job is responsible for monitoring relations to ensure quality of service provided to internal contacts. Contact with external contacts involves providing service to resolve serious complaints, maintain key relationships, make significant adjustments, and handle high profile meetings, communication with various agencies, or deal with similar sensitive relations.
MAJOR JOB RESPONSIBILITIES:
- Responsible for the development of departmental and administrative policies and procedures and for obtaining appropriate signatures.
- Develops budget for performance improvement, infection control and prevention, patient safety, and quality and monitors compliance to the same.
- Assesses and monitors employee performance and communicates areas of performance requiring improvement, employee selection/termination and salary decisions.
- Coordinates and provides leadership of the patient safety, quality, performance improvement, and infection control prevention programs.
- Works with the Executive Leadership Team, department heads and nurse managers in the development of processes (to include the development of indicators and criteria) to systematically monitor and evaluate the quality of care/service rendered in accordance with accepted standards.
- Serves as the administrative staff of the Quality, Safety and Service Committee of the Professional staff and Board of Trustees.
- Collaborates closely with medical staff office leadership and members of the Professional staff, including its leadership, to effectively implement patient safety, quality/performance improvement, infection control and prevention programs.
- Supports the Professional staff in the implementation of its peer review and quality review activities.
- Responsible for the Patient Safety Plan and the hospital's Performance Improvement Plan.
- Oversees the hospital's event reporting system.
EDUCATION & EXPERIENCE:
- Advanced Degree (MBA, MHA, MSN, PhD or equivalent) required. Clinical background preferred.
- Ten (10) years of hospital experience is required, of which at least three (3) years experience in process management, performance improvement, and infection control and prevention.
- Strong and effective communication skills. Lean Sigma preferred.
- Management and leadership credentials should include demonstrated accomplishments and achievements in a hospital, such as holding positions of increasing responsibility, developing and implementing new programs, etc.
- Extensive experience working with quality/performance improvement, and infection control data to improve/influence performance
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