Patient Safety / Quality Director | Critical Access Hospital | Majestic North Carolina Mountains
We are conducting a national search for an experienced Patient Safety & Quality Director, for a high-profile position based in the Southeastern, United States. While our client is a multi-site healthcare system that includes a level one trauma center and academic teaching hospital, the career opportunity is with one of their newly acquired facilities in the beautiful Appalachian Mountains of North Carolina.
Southern charm, rich history, a spectacular natural setting, and mouth-watering dining are just a few of the delights waiting for you in this amazing location! The natural landscape provides a wealth of recreational activities, a great cost of living, temperate weather, and friendly locals makes this location ideal for long-term living, working, and playing!
The downtown district has tree lined streets, and many of the historic buildings are now fully restored to their original state. Recreational activities are virtually unlimited from mountain biking to trout fishing. There are also antique stores, local wineries, gem mines, and magnificent national parks. All within a few hours’ drive to destinations like Atlanta, Asheville, Nashville, and Knoxville.
Provides oversight for Quality, Infection Control, Regulatory and Compliance functions, such as Joint Commission, OSHA, Process Improvement, Patient Experience, Service Excellence, and Culture of Safety. Leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Manages departmental finances and business goals including budgeting, control of salary, non-salary and capital investment expenses, as applicable. Maintains effective and responsive relationships with patients, attending medical staff, and other departments. Oversees the above departmental committees and directs the surveillance of targeted patient populations in accordance with each operating unit's risk assessment plan. Works in collaboration with others on enterprise wide initiatives.
Key Responsibilities and Duties:
• Collaborates with all stakeholders to maximize system integration of improving performance, accreditation, safety, and outcomes activities
• Supports strategies and initiatives to insure the Facility remains in a constant state of readiness for accreditation activities
• Serves as facility link to external regulatory bodies; ensures compliance with mandatory survey activities
• Continuously assesses, monitors, and evaluates improving performance, accreditation, safety, and outcomes services
• Develops and implements strategies and training to improve performance
• Applies Lean/PI principles and is savvy with Root and Apparent Cause Analysis (RCA/ACA) methodologies
• Represents and supports the System patient safety and quality strategy; Facilitates safety teams
• Oversees the development and implementation of error prevention techniques
• Coordinates the provision of data collection, analysis, and report production for key quality, clinical effectiveness, and safety initiatives
• Insures compliance with mandatory reporting requirements
• Responsible for the development of communication strategies to report on improving performance, accreditation, safety, and outcome information to key constituents and partners
• Makes recommendations for strategic initiatives to improve performance, as part of the overall Enterprise performance
• Oversees the Infection Control activities and coordinates the surveillance of targeted patient populations in accordance with each operating unit’s risk assessment plan
• Provides education on new methodologies, standards, and evidence based best practices pertaining to patient safety, quality, infection prevention, or performance improvement
• Works with Infection Control Practitioners to ensure a safe and effective prevention model for all Patient areas
• Certified Professional in Healthcare Quality (CPHQ)
• Certification in Process Improvement or LEAN preferred
• Member of the American College of Healthcare Executives preferred
• Minimum 3 years of progressive healthcare management experience in an integrated healthcare system
• Proven experience and success with development and implementation of performance improvement, accreditation, safety, and outcome programs
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