Director of Quality Improvement

The Director of Quality Improvement, under the general direction of the Chief Quality Officer, will be responsible for facilitating organizational QI at Upland Hills Health (UHH) and leading the movement towards High Reliability. This position leads the quality improvement efforts that include analyzing and communicating quality data in understandable and workable formats, identifying trends/improvements to patient care/safety, implementing best practice and safety research, and reporting of quality processes and outcomes to UHH Leadership, Medical Staff, and the Board of Trustees.

The Director of Quality Improvement provides QI education to the organization promoting a patient-centric, systems approach to quality that utilizes the established QI model and LEAN methodologies to improve care while gaining efficiencies. Analyzes and interprets customer service data in support of Patient Care Council and disseminates the data throughout the organization. Performs routine chart reviews.

This position serves as the designated liaison to outside quality and regulatory agencies. Works in collaboration with the Quality Department staff to analyze reported quality and safety concerns facilitate Root Cause Analysis (RCA) and Failure Mode and Effects Analysis (FMEA) and other similar methodology to ensure patient safety.

The Director of Quality is a Co-Leader of the Quality Council and serves as a representative on designated organizational councils and committees. He or she serves as a resource to organizational leaders and the medical staff in prioritizing quality objectives.

**Qualifications for this position include the following**:
A. Previous experience in quality improvement and high reliability.
B. Clinical experience required, RN preferred.
C. Knowledgeable of State, Federal and The Joint Commission standards as they relate to all organized Departments and Quality Improvement activities.
D. Demonstrates excellent knowledge of current evidenced-based medicine standards and practices.
E. Ability to organize and analyze statistics/data.
F. Ability to diplomatically communicate to physicians, healthcare professionals and the public.
G. An working knowledge of computers and software with ability to learn and adapt to new systems.
H. An ability to listen to detailed instructions and organize work accordingly.
I. Ability to effectively communicate verbally and in writing.
J. Organizes work and manages time effectively and efficiently.