Quality Director

Riverside Hospital   •  

Tappahannock, VA

Industry: Hospitals & Medical Centers

  •  

5 - 7 years

Posted 55 days ago

The Quality Director serves as a highly visible, energetic leader and champion for quality, safety, accreditation and infection prevention and control throughout the organization, and is responsible for operational oversight and implementation of these programs. The Director promotes high reliability for recommended evidence based care for every patient, everywhere, every time assuring a focus on people, process and technology to improve performance. The Director assures accurate and timely submission of all required data and information for required and voluntary quality reporting programs. The Director creates a continuous learning environment focused on patient and team member safety where just culture principles are applied and evident throughout the organization. The Director oversees the safety program that includes the safety culture survey and action planning and the safety event reporting system that includes all components of the safety event feedback loop.


The Director ensures compliance with accreditation and regulatory requirements at the national, state and local levels, and develops and maintains procedures necessary to meet regulatory requirements and achieve sustainable, organization-wide readiness. The Director ensures that hospital departments comply with established policies, procedures, quality assurance and quality control measures. The Director provides oversight and direction for data management functions and processes for required quality reporting and pay for performance measures insuring data is accurate, obtained, submitted to external agencies as required, and internally reported in a timely manner and presented in a format appropriate and actionable for the audience and the improvement project. The director oversees measurement and analysis of quality, safety, infection prevention and control and accreditation related measures.


The Director directs and supervises personnel, includes hiring, orientation, performance evaluation and management, providing direction, guidance and leadership for effective teamwork and motivation. The Director works closely and collaboratively with medical, nursing and clinical leadership to implement improvement strategies to continually improve quality and safety; and establishes an annual quality and safety plan and provides a year end summary report of progress toward goals and related achievements.


Riverside Tappahannock Hospital is a 67-bed facility caring for citizens in the Tappahannock, Essex, King and Queen, King William counties and the Northern Neck counties of Richmond, Westmoreland, Northumberland, and Lancaster. Riverside Tappahannock Hospital was recently awarded 2nd place in the Best Hospital category in Best of Virginia 2017 by Virginia Living Magazine. Tappahannock is a wonderful and small town located on the banks of the Rappahannock River. There is a relaxing, laid-back feel to the town and its close proximity to water means that leisure activities are usually centered around the river. There are marinas and public launch sites for boating and fishing as well as public parks to enjoy the water. Downtown Tappahannock also offers local shops and restaurants with a feel that is unique to this region. We strive every day to earn the trust of patients and family members with the state-of-the-art medical care, compassionate professionals and concern for the communities we serve. We offer a wide variety of services available, ranging from traditional hospital care to intensive care, including sophisticated diagnostics, home care and physician specialists in most fields.

Qualifications

Education: Master's Degree in healthcare, behavioral science or related field strongly preferred and required within five years.


Experience:

  • Five to seven years of relevant experience in hospital health care, with experience in quality, accreditation, safety and/or risk management preferred.
  • Three to five years of supervisory or management experience preferred.
  • Experience in project development, project management and strong analytical skills, including data management and data analysis required.
  • Knowledge of clinical quality, patient safety and/or patient satisfaction performance measures and indicators, data definitions and sources and relevant national databases and benchmarks; knowledge of healthcare quality, safety and satisfaction data design, collection, aggregation and summarization; and expert knowledge of performance improvement models, methods and systems required.
  • Demonstrated leadership on projects providing subject matter expertise and technical direction to other project team members.

  • Certifications:
  • Certified Professional in Healthcare Quality (CPHQ) preferred, required within 6 months of hire.
  • Certified Professional in Patient Safety (CPPS); Certified Professional in Healthcare Risk Management (CPHRM); Healthcare Accreditation Certified Professional (HACP); and/or Certified Joint Commission Professional (CJCP) preferred.
  • Lean and/or Six Sigma certification and experience preferred