Director of Quality Management

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is part of NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

About the Role

The Director of Quality Management serves as an integral part of the multidisciplinary team overseeing the department’s activities across the health care setting, directing and managing the daily operations of the department. The director formulates and institutes effective strategies and policies that focus on the delivery of quality, cost-effective health care services. Ensures optimal utilization of resources and compliance with the operating standards of various health care governing and accrediting bodies, resulting in an improved patient experience.

Responsibilities

• Directs the overall day-to-day operations of the Quality Management Department’s activities following evidence-based guidelines and regulatory requirements; accountable for operational excellence and quality delivery of service across the health care setting.
• Designs, develops, and implements effective strategies and programs focused on improving quality, patient experience, population health outcomes, and reducing the cost of patient care.
• Partners with key stakeholders to define the strategic direction for the Quality Management Department’s initiatives, ensuring alignment with the System’s mission, values, and business goals.
• Monitors the effectiveness of the department’s activities and all quality management programs; facilitates evaluation of health care quality standards in line with governance provided by external regulatory agencies.
• Coordinates the collection and analysis of all data related to quality indicators; utilizes findings to drive improvements, mitigate risks, and increase the level of care within the System.
• Recommends organizational objectives related to strategic plans; establishes service goals and identifies problems affecting the quality of service.
• Implements service and process improvement initiatives using cost-effective solutions and service delivery enhancements.
• Serves as principal advisor and key resource to senior leadership, clinical staff, and other parties on matters pertaining to quality management techniques and systems; presents findings of assessments, analyses, and safety incidents.
• Advises on upcoming regulatory changes and required actions to meet or exceed new industry standards and achieve improved outcomes.
• Deploys department resources strategically to achieve excellence in service delivery.
• Provides ongoing quality management training, guidance, and developmental opportunities to staff who impact the delivery of care.
• Routinely assesses staff learning needs; implements a competency assessment program to identify gaps and evaluates program effectiveness; makes necessary changes to maximize productivity and efficiency.
• Oversees all processes necessary to meet regulatory standards from governing bodies and accrediting agencies; maintains readiness for unannounced agency visits and participates in regulatory surveys.
• Serves as regulatory liaison, specifically relating to departmental performance and the creation of action plans to assist leadership in adopting new approaches for medical excellence.
• Investigates incidents involving patient care and safety; reports to appropriate public health and regulatory agencies; presents findings and incorporates them into procedural tools or programs.
• Makes recommendations to prevent incidents and determine quality control measures to foster a culture of safety for patients, staff, and visitors.
• Prepares and participates in the development of the quality management fiscal year budget and allocation of funds; ensures operations run within budgetary guidelines.
• Reviews budget requests for quality management initiatives; identifies and meets staffing needs to support continuity of care.
• Performs other related duties as directed.

Requirements

• Master’s degree from an accredited college or university in Quality Management, Hospital Administration, Health Care Administration, or a related health care specialization; and five (5) years of experience in the development of organizational strategies, regulatory survey preparation and compliance, and performance improvement or continuous quality improvement (CQI) initiatives in a hospital or health care setting, three (3) years of which must have been in a responsible administrative, managerial, or supervisory capacity.
• OR Bachelor’s degree in the disciplines above; and seven (7) years of related experience, five (5) years of which must have been in a responsible administrative, managerial, or supervisory capacity.
• OR Bachelor’s degree in the disciplines above; and two (2) years of clinical, patient care, or equivalent experience in a hospital or health care setting, plus three (3) years of related experience, one (1) year of which must have been in a responsible administrative, managerial, or supervisory capacity.
• OR A satisfactory equivalent of education, training, and/or experience.
• Certified Professional in Healthcare Quality (CPHQ) may be substituted for one (1) year of experience, but all incumbents must have at least a bachelor’s degree and one (1) year of responsible administrative, managerial, or supervisory experience.