Director of Quality Management

6 days ago


Corbin, United States ContinueCare Hospital at Baptist Health Full time
Job DescriptionJob Description

Develops implements and maintains an effective, ongoing, organization wide, data driven Quality Assessment Performance Improvement (QAPI) Program.

Establishes a planned systematic and interdisciplinary approach to improving care treatment and services with hospital leaders.

Gathers data and prepares and delivers reports as requested by legal and regulatory bodies, hospital administration, and the CHC Corporate offices. Participates in CHC requested meetings and provides input as requested.

Creates a culture that shifts primary focus from the performance of individuals to the performance of the hospital’s systems and processes.

Serves as the Infection Control Practitioner and Employee Health Nurse for the hospital.

Coordinates orientation of new employees and inservice training programs related to infection prevention and control annually as needed.

Monitors and records infections on patients within the hospital.

Monitors patient admissions and placement to ensure optimum control of infection.

Serves an Administrator on Call

Ensure survey readiness.

Manage and coordinate survey preparation and ongoing compliance.

Ensures accurate and timely reporting of CMS and NHSN quality data and any other required reporting.

In the absence of the CNO, takes responsibility for nursing services.



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