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Director of Quality

3 months ago


Plano, United States Medical City Plano Full time

Description This position is incentive eligible. IntroductionWe are seeking a Director of Quality with Medical City Plano to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with usBenefitsMedical City Plano, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location. We are seeking a Director of Quality for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with usJob Summary and QualificationsThe Director of Quality Improvement is responsible for the coordination, implementation and oversight of the organization’s quality program. Establishes quality as the guiding principle when exploring organizational efforts to control healthcare costs. Responsible for the production and data analysis of the organization-wide balanced scorecard with cascading metrics. Demonstrates strong knowledge of tools and concepts of performance improvement such as FOCUS-PDSA; and guides performance improvement initiatives throughout the organization.The Director of Quality provides leadership and consultative services to departments and services within the organization in achieving regulatory, accreditation, and organizational compliance in quality and in performance management and improvement activities. Seeks management involvement in the development of a planning approach that supports healthcare quality and patient safety.The Director of Quality will work in collaboration with IT to facilitate the full implementation of the Meaningful Use Program. The Director of Quality also oversees the department of Infection Prevention and directs the activities of surveillance of nosocomial infections, monitoring trends; initiating problem solving, analyzing outcomes, and compiling statistics.Coordinates effective process of organization-wide approach to designing, measuring, assessing and improving performance.Uses statistical process tools to analyze quality processes and outcomes, manages internal and external data bases.Manages TJC CORE Measure and CMS Data Initiatives, coordinating improvement initiatives as indicated by data and outcomes and ensures quality data validity and reliability.Provides leadership and strategic direction for the Meaningful Use Program.Develops, implements and facilitates hospital-wide performance improvement project teams.Teaches quality management and performance improvement process and data management tools and to hospital staff. Provides for the orientation, training and continuing education of staff.Integrates clinical performance improvement initiatives with medical staff performance improvement and quality.Primary liaison with the Joint Commission, updating and monitoring organizational information impacting Joint Commission accreditation. Provide primary reporting on all Joint Commission related activities including planned/unplanned surveys and Annual Periodic Performance Review.Review monitoring of data submission and reports from the Joint Commission, communicating all information from the Joint Commission to the appropriate stakeholders in a timely manner.Provides overall direction necessary to ensure that clinical services are provided in accordance with standards established through state and federal regulations and TJC accreditation. standards, including the National Patient Safety Goals, and that are evidence-based.Responsible for assuring that MCP meets Infection Prevention and Control Standards applied by external agencies such as the CDC, CMS, DOH, TJC, OSHA and others. Assures that the Infection Prevention and Control Program provides a safe environment for patients, visitors and staff through prevention and risk reduction interventions. What qualifications you will need:Education: Bachelor’s Degree in Nursing/related field or in pursuit thereof; Master’s Degree in Nursing/related field preferred.Licensure/certification/registration: RN preferred, CPHQ required within 1 year of service.Experience: 2 years clinical experience; 3-4 years quality/performance.Improvement experience with progressive responsibility. Medical City Plano opened in 1975 and provides Plano and Collin County with advanced health care. Medical City Plano is a 600+ bed acute care hospital. We have more than 2,000 employees and over 1,400 physicians on staff. Our main campus in Plano has a cancer treatment center and cardiovascular programs. We have The Bariatric Surgery Institute, a Wound Care Center and inpatient rehabilitation. We also offer complete women's and children's services. This includes a high-risk antepartum unit and a Level 3 neonatal intensive-care unit. We were the first hospital in Dallas, Collin or Denton counties to be named a Comprehensive Stroke Center by the Texas Department of State Health Services. Medical City Plano was the first Level I Trauma Center in Collin County and The Burn & Reconstructive Center of Texas was the first burn center in Collin County. As a part of the Medical City network of hospitals and specialists, patients are ensured access to leading medical experts and advanced healthcare innovations."There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.