Occ Summary

Contribute to the achievement of the DUHS mission through the development and leadership of performance improvement activities in the operational and/or clinical arenas. Assure continual compliance with regulations and accreditation standards through monitoring activities and the design and implementation of strategies to enhance compliance.

Work Performed

Plan activities aimed at improving the hospital's performance in operationsor clinical quality. Identify opportunities for improved performance. Analyze data to identify adverse trends and/or undesirable performance. Utilize performance improvement techniques and methodologies. Serve as a project manager for interdisciplinary teams. Establish performance targets. Design and implement strategies for enhancing performance. Evaluate effectiveness of improvement strategy through sustained monitoring of performance. Contribute to the establishment of performance improvement priorities for departments, functional units and for the organization as a whole. Support organization's efforts to maintain compliance with regulations and accreditation standards. Monitor compliance through formal and informal processes. Recognize opportunitiesfor improving compliance. Design and implement strategies for enhancing compliance. Evaluate effectiveness of improvement strategy through sustained monitoring of performance. Increase organizational understanding of performance improvement methodologiesand principles and compliance through the support of and participation in formal and informal professional development activities. Serve as an expert resource on performance improvement and compliance as it relates to organizational role. Produce reportsand presentations on performance improvement and compliance. Develop, maintains and enhances knowledge through orientation, self- evaluation and professional development. Responsibilities may include varying levels of strategic planning and human and fiscal resource management. Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Effective written and verbal communication skills Ability to communicate with customers/staff with diverse educational backgrounds Analysis of data and processes for opportunities for improvement Ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use oftime, organization Knowledge of accreditation standards andregulations related to health care Attention to detail and accuracy Computer literacy

Level Characteristics

N/A

Minimum Qualifications

Education

Bachelors degree in a business or health-related field is required.

Experience

Minimum of 5 years work experience, including 3 years of experience with significant responsibility for performance/ process improvement. Experience leading work teams required. Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience.

Degrees, Licensures, Certifications