Director of Quality Management

3 weeks ago

midland, United States Midland Memorial Hospital Full time

Reporting to the VP Quality Management, will develop and implement a comprehensive quality and patient safety system. The goal is to foster clinical excellence, promote innovation and ensure patient safety by participating in clinical initiatives that promote evidence-based practices. The Director of Quality Management will provide leadership and direction for quality improvement, patient safety, hospital accreditation, and cultural diversity departments.

The Director of Quality Management will support the implementation and monitoring of programs and activities designed to ensure that the hospital incorporates methods to improve the safe administration of care while promoting a culture that promotes patient safety to be of upmost importance.

Responsible for ensuring that the quality management and patient safety system conforms to DNV/ISO standards by serving as the Management Representative.

SHIFT AND SCHEDULE

Full Time: 8:00 AM – 5:00 PM

ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS

Performance and Process Improvement/Data Analytics

  • Establish governance structures and processes to ensure adherence to workflows and policy.
  • Engage clinical leadership in determining relevant performance measures and benchmarks.
  • Develop quality metrics for ongoing professional practice evaluations (OPPE).
  • Design solutions to address opportunities based on benchmarking, goal comparison, data analysis and corrective actions.
  • Incorporate evidence-based practice into proposed interventions.
  • Implement strategies to address barriers across the organization.
  • Evaluate the effectiveness of the organization’s quality improvement initiatives and make adjustments as required for ongoing success and sustained results.
  • Develop dashboards and scorecards incorporating metrics (national or payor benchmarks) tailored to strategic or operational goals.
  • Communicate the impact of quality initiatives on federal/state payment/reimbursement programs (Inpatient Quality Reporting (IQR) program, Outpatient Quality Reporting (OQR) program, HAC Reduction program, VBP, Hospital Readmission Reduction (HRR) program, eCQM submission, RAC requirements and state cancer registry).
  • Evaluate voluntary external standards to advise the organization on whether these advance or impede the achievement of strategic goals. Examples include service line awards/certifications, Leapfrog and clinical registries). Current clinical registries include National Surgical Quality Improvement Project (NSQIP), Vascular Quality Improvement (VQI), American Joint Replacement Registry (AJRR) hips and knees, American Academy of Orthopedic Surgeons Registry (AAOS) shoulder and spine, and Society of Thoracic Surgeons Registry (STS).

Patient Safety

  • Conduct a biennial culture of patient safety survey.
  • Ensure that processes are created to address gaps identified in the survey findings.
  • Apply root cause analysis (RCA), FMEA, surveillance activities and risk assessments to identify and evaluate patient safety risks.
  • Utilize findings from RCA, gap analysis, surveys and audits to design appropriate interventions.
  • Assist in reviewing medical record documentation for appropriateness of care and advise leadership accordingly.
  • Work with Risk Management department to track and trend patient safety issues, develop plans for improvement and ensure appropriate reporting to state and federal agencies.

Regulatory and Accreditation

  • Provide leadership and guidance in the development and implementation of the Quality Management/Patient Safety System that involves all department and services, focuses on indicators related to improved health outcomes and reduction of medical errors.
  • Intervene when necessary, involving senior leadership, to hold owners accountable for actions and established deadlines.
  • Provide analysis and interpretive guidance of federal and state regulations/standards.
  • Establish a continuous accreditation survey readiness process that incorporates accountability and participation by all levels of staff.
  • Provide oversight for presurvey, onsite survey, and post-survey accreditation activities.
  • Oversee the coordination, submission and monitoring of corrective action plans associated with accreditation and/or certification of service lines.
  • Ensure that an electronic document management system is maintained.
  • Assess policies to ensure that they reflect applicable regulations/standards.

Patient Satisfaction

  • Create a culture of passion and commitment for exemplary patient experience, working closely with Patient Experience Director to ensure patient perception of quality initiatives are aligned.
  • Collaborate with Midland Health leaders to achieve goals exceeding national benchmarks including CMS and LeapFrog

EDUCATION AND EXPERIENCE

  • A master’s degree in a healthcare field (nursing preferred).
  • 5-10 years of experience in a senior leadership position with a strong foundation in quality and patient safety.
  • Moderate proficiency in Microsoft Office applications.
  • Cerner experience is a plus.

PHYSICAL REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to:

  • Stand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device or get another individual(s) to assist with the lift that is over these maximum limits.

  • Director of Quality Management

    4 weeks ago

    Midland, United States Midland Memorial Hospital Full time

    Midland Memorial Hospital has exclusively retained Kirby Bates Associates to lead a national search for a Director of Quality Management. Midland Memorial Hospital (MMH) offers a Level 3 Trauma Center, Heart Institute, Total Joint Center, Women’s and Children’s services, including a NICU, and various Rehabilitation programs. MMH believes the health of...

  • Director of Quality Management

    4 days ago

    Midland, Texas, United States Midland Memorial Hospital Full time

    Director of Quality ManagementMidland Memorial Hospital seeks a seasoned professional to lead our Quality Management department. As Director of Quality Management, you will be responsible for developing and implementing a comprehensive quality and patient safety system that fosters clinical excellence and promotes innovation.Key Responsibilities:Develop and...

  • Director of Quality Management

    1 month ago

    Midland, United States Midland Memorial Hospital Full time

    Reporting to the VP Quality Management, will develop and implement a comprehensive quality and patient safety system. The goal is to foster clinical excellence, promote innovation and ensure patient safety by participating in clinical initiatives that promote evidence-based practices. The Director of Quality Management will provide leadership and direction...

  • Director of Quality Management

    3 months ago

    Midland, United States Midland Memorial Hospital Full time

    Reporting to the VP Quality Management, will develop and implement a comprehensive quality and patient safety system. The goal is to foster clinical excellence, promote innovation and ensure patient safety by participating in clinical initiatives that promote evidence-based practices. The Director of Quality Management will provide leadership and direction...

  • Director of Quality Management and Patient Safety

    2 weeks ago

    Midland, Texas, United States Midland Memorial Hospital Full time

    Job SummaryMidland Memorial Hospital is seeking a highly skilled and experienced Director of Quality Management and Patient Safety to lead our quality and patient safety initiatives. The successful candidate will be responsible for developing and implementing a comprehensive quality and patient safety system that fosters clinical excellence, promotes...

  • Maintenance Director

    2 weeks ago

    Midland, Michigan, United States Ciena Healthcare Management, Inc. Full time

    About the RoleWe are seeking a highly skilled and experienced Maintenance Director to join our team at Ciena Healthcare Management, Inc.Key ResponsibilitiesMaintain the Physical Plant: Ensure the maintenance of the physical plant and essential mechanical, electrical, and SNF resident care equipment in safe operating condition.Supervise and Coordinate:...

  • Director of Quality and Patient Safety

    2 weeks ago

    Midland, Texas, United States Midland Memorial Hospital Full time

    Job Summary:The Director of Quality and Patient Safety will lead the development and implementation of a comprehensive quality and patient safety system at Midland Memorial Hospital. This system will foster clinical excellence, promote innovation, and ensure patient safety through evidence-based practices.Key Responsibilities:Develop and implement a quality...

  • Facilities Management Assistant Director

    7 days ago

    Midland, Texas, United States Korn Ferry Executive Search Full time

    Job Title: Assistant Facilities DirectorKorn Ferry Executive Search is partnering with a leading Continuing Care Retirement Community in Midland, TX to find an experienced Assistant Facilities Director. This is a unique opportunity to join a dynamic team and contribute to the delivery of exceptional services to senior adult residents.Job Summary:The...

  • Director of Facilities

    7 days ago

    midland, United States midland country club Full time

    Company DescriptionPrivate ClubRole DescriptionThis is a full-time on-site role for a Director of Facilities at Midland Country Club in Midland, TX. The Director of Facilities will be responsible for managing the Building Maintenance team and Housekeeping/Laundry teams to maintain the quality of all Club facilities (excluding the Golf Course and Tennis...

  • Director of Facilities

    7 days ago

    Midland, United States midland country club Full time

    Company DescriptionPrivate ClubRole DescriptionThis is a full-time on-site role for a Director of Facilities at Midland Country Club in Midland, TX. The Director of Facilities will be responsible for managing the Building Maintenance team and Housekeeping/Laundry teams to maintain the quality of all Club facilities (excluding the Golf Course and Tennis...

  • Body Shop Operations Manager

    7 days ago

    Midland, Texas, United States Toyota of Midland Full time

    Job Title: Body Shop Operations ManagerToyota of Midland is seeking an experienced Body Shop Operations Manager to lead our collision repair team.Key Responsibilities:Team Leadership: Lead a strong technical team to operate in an effective manner while maintaining high standards of quality and workmanship.Customer Service: Ensure that every employee is...

  • Quality Control Manager

    7 days ago

    Midland, Texas, United States Summit Materials Full time

    Quality Control ManagerSummit Materials is seeking a highly skilled Quality Control Manager to join our team. As a Quality Control Manager, you will be responsible for managing and implementing quality control systems and procedures for ready-mix concrete production.Key Responsibilities:Design and perform concrete mixes to ensure compliance with industry...

  • Medical Director

    5 days ago

    Midland, Texas, United States Physician Empire Full time

    Site Medical Director OpportunityPhysician Empire is seeking a highly skilled and experienced Site Medical Director to lead our pediatric clinical site in Texas.Key Responsibilities:Manage clinical practice and administration of providers across all primary care service linesCollaborate with operational and nursing leadership to optimize schedule, provider...

  • Director of Procurement

    3 days ago

    Midland, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are currently looking for a highly motivated, detail-oriented and experienced Procurement Director to lead our procurement team. The ideal Procurement Director candidate should have demonstrated high industry knowledge, excellent financial acumen, and superior leadership skills. This Procurement Director role is hybrid with...

  • Facilities Director

    5 days ago

    Midland, Texas, United States midland country club Full time

    About Midland Country ClubWe are seeking a highly skilled and experienced Facilities Director to join our team at Midland Country Club in Midland, TX.Job SummaryThe Facilities Director will be responsible for overseeing the day-to-day operations of our building maintenance and housekeeping/laundry teams. This is a full-time on-site role that requires strong...

  • Director of Laboratory Services

    4 days ago

    Midland, Texas, United States Modern Healthcare Solutions Full time

    Director of Laboratory ServicesThis position is responsible for leading the planning, implementation, and operation of laboratory departments to meet the needs of Modern Healthcare Solutions. The Director will provide leadership and expertise in the management of the department, overseeing human resource management, financial management, and quality...

  • Facilities Management Leader

    2 weeks ago

    Midland, Michigan, United States Ciena Healthcare Management, Inc. Full time

    About the RoleWe are seeking a highly skilled and experienced Maintenance Director to join our team at Ciena Healthcare Management, Inc. As a key member of our operations team, you will be responsible for maintaining the physical plant and essential mechanical, electrical, and patient care equipment in safe operating condition.Key ResponsibilitiesMaintain...

  • Facilities Operations Manager

    7 days ago

    Midland, Michigan, United States Ciena Healthcare Management, Inc. Full time

    About the Role:Ciena Healthcare Management, Inc. is seeking a highly skilled and experienced Maintenance Director to join our team. As a key member of our operations team, you will be responsible for maintaining the physical plant and essential mechanical, electrical, and patient care equipment in safe operating condition.Key Responsibilities:Maintain all...

  • Patient Care Manager

    5 days ago

    Midland, Michigan, United States Heartland of Perrysburg Full time

    About the RoleWe are seeking a highly skilled and compassionate Patient Care Manager to join our team at Heartland Hospice. As a key member of our leadership team, you will be responsible for the day-to-day operations of our hospice site, ensuring the provision of high-quality care to our patients and their families.Key ResponsibilitiesManage the site in the...

  • Deputy Canvass Director

    3 months ago

    Midland, United States Action for the Climate Emergency Full time

    Job DescriptionJob DescriptionDeputy Canvass DirectorLocation: Charlotte area FULL-TIME, TEMPORARY, NON-EXEMPT, POSITION THROUGH ELECTION DAY ABOUT YOUGreat candidates will have some of the skills and experience listed below: You LOVE talking to people: A massive portion of this job is focused on starting conversations about voter registration with...