Job Summary
Director of Quality

Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Essential Functions:

• Provide leadership and oversight of the organization-wide CQPI program.

• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.

• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.

• Direct, facilitate, and report on all aspects of risk management and patient safety.

• Investigate factors contributing to adverse outcomes and drive process/system changes.

• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, and other committees.

• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.

• Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.

• Perform other duties as assigned.

Additional Information