Director of Quality Management | 2 Hospital System | East Texas
A great place to live, work, play, and raise a family. You'll find everything from the cultural advantages of urban life to the natural serenity and country landscapes and the small-town atmosphere of the surrounding communities. Situated between two major cities, this location allows its residents to experience small-town life while taking advantage of the attractions surrounding cities provide. With affordable housing, quality healthcare facilities, low cost of living, and exceptional schools, there is something for everyone. For those seeking an escape from rush hour traffic and overcrowded venues, a typical commute across town takes less than 30 minutes, and traffic is low.
• Department consists of 13 FTEs (Quality, Risk Management, Regulatory, Accreditation, Peer Review, Infection Prevention, and Guest Services)
•Two hospitals with an ADC of approximately 240 (main facility) and 16 (satellite hospital)
• Directs the overall development, implementation, and integration of various regulatory, quality, patient safety, and other hospital improvement programs, using a systematic approach to monitoring the effectiveness of the program including problem resolution strategies
• Engages associates at all levels as participants in a continual pursuit of improvement opportunities
• Collaborates with physician services, nursing, other allied health professionals, ancillary and support personnel, and operational leadership to promote the implementation of evidence-based quality and patient safety initiatives
• Establishes and maintains efficient and reliable mechanisms for monitoring, analysis and reporting of quality outcomes and process improvement initiatives, in alignment with regulatory standards and healthcare best practices for quality and patient safety
• Promotes and supports a comprehensive culture of quality throughout the organization, across all regions, campuses, and departments
• Encourage event reporting and transparency related to events, concerns, needs, and processes to identify precursor and safety events
• Manage quality data required for compliance with regulatory and accreditation standards
• Ensure compliance with all federal and state regulatory and licensing requirements, including aspects of Joint Commission readiness
• Bachelors degree required, Masters degree preferred
• RN license preferred but not required - other relevant clinical backgrounds considered
• CPHQ (Certified Professional in Healthcare Quality) or similar certification in quality preferred
• 5+ years Quality Management experience in an acute care setting
• Experience with managing organizational change, regulatory compliance, process improvement activities and quality management
• Knowledge of governmental and other regulatory standards, requirements, and guidelines
• Comprehensive knowledge of Nursing and health care practices and techniques
• Ability to establish and maintain effective working relationships with all levels of hospital staff
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