Director of Quality Standards

8 - 10 years experience  •  Patient Care

Salary depends on experience
Posted on 08/09/17
Nashville, TN
8 - 10 years experience
Patient Care
Salary depends on experience
Posted on 08/09/17

To provide consultation and education to HCA facilities regarding clinical performance improvement and foundational standards of operational compliance including the Joint Commission/AAAHC, Centers for Medicare and Medicaid Services (CMS), and other health care standard setting and enforcement entities. Manager is a role of knowledge building towards responsibility for surveys for HCA Quality Review System as a Director, Quality Standards.

Travel to provide onsite expert consultation and survey for HCA Quality Review System to HCA hospital and ASC Administrator/Chief Executive Officers, Chief Nursing Officers and other hospital/ASC, Board of Trustee and medical staff leaders regarding clinical performance improvement and foundational operational standards requiring facility compliance. Role is critical to HCA strategy of Quality and Patient Safety as a differentiator of hospital and ambulatory surgery center operational performance. Role complements and provides guidance to Division Vice President, Quality or Director, Quality and Risk Management.

Individual serves as the expert consultant to hospital and ASC clinical performance improvement. Position requires expertise to guide hospital/ASC quality and risk directors in their position requirements and to counsel CEO/Administrator, CNO, COO, medical staff and board leaders in continuous patient care improvement in a foundationally compliant manner. With increasing HCA Clinical Improvement patient quality agenda, this position is critical to HCA mission and strategies.

Position requires competencies for performance with with senior department member for training and assurance of knowledge acceptable a level of director. Incumbent travels and provides consultation but always with a Senior Director or AVP until expert knowledge is demonstrated.

To design and present educational programs for HCA hospital/ASC and medical staff leaders regarding requirements of clinical performance improvement for operational compliance to public reporting including the hospital quality alliance, external quality agencies including the Joint Commission/AAAHC, CMS, State Survey agencies, etc.

To conduct onsite assessments of focused topics within HCA hospitals/ASCs including credentialing, utilization management, peer review, medical staff and board bylaws, etc.

Position demands a total command of clinical performance improvement, Clinical Excellence, HCA Clinical Agenda, TJC and AAAHC standards,healthcare licensure regulations and CMS conditions of participation/coverage. Position is critical to advancement of HCA facility delivery of safe, effective, efficient, compassionate and satisfyingpatient careas defined by the HCA Clinical Improvement Strategies.


7 plus years of related experience.  College DegreeRequired.  Registered Nurse, Registered Pharmacist, Registered or Accredited Health Information Administrator, Healthcare Administrator or otherhealthcare professional. Consulting and educational program delivery skills and expertise. Computer knowledge and competency for presentation design and report delivery. Expert speaking and presentation skills and competency. Must be a team participant focused toward HCA clinical improvement strategies. Long term position commitment required.

Job Code: 10201-20609

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