Quality Director-SKMC-Quality Management Office

Job Description

Responsible for planning, administrating and monitoring the consistent readiness of all quality management and quality improvement processes in partnership with the facility's leadership. Also responsible for overseeing and coordinating all facility efforts to monitor and maintain all regulatory and accreditation standards and providing leadership in the development and measurement of the facility’s approach to quality and performance improvement.

Responsibilities

Developing a quality improvement program for the facility Initiating and overseeing the development of a comprehensive quality improvement program in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards

Reviewing the quality improvement program regularly in light of changing organizational needs, changing law and changing policies and procedures of managerial and governmental bodies

Directing and coordinating in conjunction with facility leadership, the quality initiatives

for the organization

Overseeing processes and procedures for collection and analysis of relevant data

Developing and implementing systems, policies, and procedures for the identification, collection, and analysis of performance measurement data

Collecting and summarizing performance data, identifying opportunities for

improvement, and presenting findings quarterly to the committee and Board of Directors

Analyzing customer survey data to identify opportunities for improvement and presenting findings to appropriate departments

Leading the performance innovation department

Providing strategic oversight of proactive and reactive quality improvement activities

Providing overall direction necessary in to ensure that services are provided in accordance to the established standards

Overseeing the reporting of events as required by regulatory agencies

Providing input for the department budget related to quality (e.g., information systems)

Establishing relationships Establishing relationships with external agencies related to quality improvement programs, including but not limited to purchasers, government agencies, and other stakeholders

Educating and communicating

Educating and training the leadership, staff and business associates as to the quality improvement plan, and their respective responsibilities in carrying out the quality improvement program

Communicating performance innovation and medical safety activities on a regular basis to the medical staff and engaging medical staff in all quality and safety initiatives

Reviewing and evaluating services of the facility that are affected by quality/medical safety/regulatory issues, identifying problems, making recommendations for improvement, and monitoring services to ensure that safety/regulatory recommendations are implemented and the desired results are obtained

Managing the team

Leading, facilitating, and advising internal quality improvement teams

Planning and supervising the day to day activities of the section; streamlining processes wherever possible

Evaluating workload, conducting performance evaluation and initiating necessary disciplinary actions

Understanding the training requirements of the team and communicating the same for the benefit of the training department

Providing practical training and education across areas such as: conflict resolution, grievance handling, employment law, performance management and negotiation with staff associations

Providing on the job training and orientation for the team during course of work

Committee responsibilities Acting as an expert of quality and safety issues in all task forces/committees to establish performance innovation priorities

Qualifications

Qualification :-

Special Certificate:-

Required

8-10 years of relevant experience in a similar industry of which minimum 5 years progressive leadership responsibility in a large organization

Desired

Experience in a large healthcare facility