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Director of Quality-Marianjoy Rehabilitation Hospital Full-Time Days
3 months ago
Description
The
Quality Director
reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Quality Director is responsible for leading organizational quality efforts in support of NM and operating unitstrategic goals. Functional areas of responsibility include clinical quality and patient safety at the operating unit, and collaborative matrixed leadership of system functions at that operating unit, including infection prevention, risk management, accreditation/policy, and others as relevant. This role reports to the VP, Quality NMHC and matrixed to Chief Medical Officer at the local site. In collaboration with the operating unitChief Medical Officer and other leadership, this role is responsible for developing, implementing, monitoring, and achieving the annual NM and operating unitQuality Plan.
Responsibilities:
Lead, plan, and direct and coordinate the Quality and Patient Safety programs at designated operating unit(s)
Collaborate with operating unit CMO(s) and system leaders
Scope includes all patient care and the functions which support patient care
Scope includes all practitioners, clinicians and others participating in delivering or supporting patient care, including those privileged through the medical staff, trainees, students, employees, volunteers
In collaboration with operating unit leaders and others, develop, implement, manage and achieve annual Quality and Patient Safety Plan, Infection Prevention risk assessment and plan, and other supporting plans.
Collaborate in advancing the work of system functions at operating unit, including Risk Management, Infection Prevention, and Accreditation/Policy Management.
Support and interface with Health System Clinical Collaboratives to advance quality, patient safety and related goals and plans at the operating unit
As assigned, take leadership in advancing selected projects on a regional or system-wide level
Design, lead, implement, teach and monitor NM quality and safety practices, policies, protocols and methodologies.
Support Board accountability and reporting as assigned. Develop reports, materials, and support for Board of Directors related to the local site’s quality goals and progress and challenges.
Manage/oversee medical staff OPPE, FPPE, peer review program and assure consistent application across sites and disciplines.
As relevant and as agreed with operating unit / regional leadership, lead or collaborate in advancing the Patient Family Advisory Council and patient engagement initiatives.
Implement surveillance and reporting to identify areas of concern and strength. Monitor internal and external trends to identify priorities.
Set and achieve appropriate goals for quality, patient safety, and innovation.
Implement, facilitate and advance work of quality committees and quality plans.
Accountable for federal/state and other mandatory reporting in the Quality and Patient Safety program (e.g. Medicare measures, PSO reporting); other mandates in collaboration with system manager for Accreditation.
Assure and support appropriate public transparency and reporting of quality data.
Plan, lead and direct improvement initiatives, innovation and transformation activities.
Assure compliance with all relevant clinical accreditation, certification, and licensure standards.
Recruit and develop staff, teach/orient/train, manage financial and human resources efficiently and effectively.
Oversee effective use of budget and other resources as delegated.
Maintain high levels of staff engagement and performance.
Collaborate effectively across the system, including but not limited to directors and managers of quality / process improvement / analytics, chief medical officers, chief nursing executives, operations executives. Advance the standard of quality and safe patient care across NM through innovation, learning and shared deployment of best practices.
Contribute to national understanding of quality through publication and presentations.
AA/EOE.
Qualifications
Required :
Bachelor’s degree in relevant field (RN, RPh, health administration, public health, etc)
Master’s degree in relevant field (or, rarely, equivalent experience and demonstrated ability)
3+ years of experience leading clinical quality and patient safety in a large and/or complex environment, including evidence of effective improvement initiatives
Leadership, personnel management, and change management skills
Project management, facilitation, and analytical skills
Statistics, quantitative and analytic skills relevant to the role
High level of energy and enthusiasm; flexible/adaptable – ability to work with diverse group of healthcare professionals in a matrix environment
Effective problem solving, verbal and written communication skills
Ability to manage multiple large and demanding projects/functional areas in a well-organized manner, with successful outcomes and collaborative teamwork
Subject matter expertise: Knowledgeable and able to lead quality and/or patient safety (preferably both)
Preferred :
5+ years of relevant experience
Evidence of publishable work
CPHQ, CPPS, or similar certification or evidence of professional commitment
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
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