Director of Quality, Operations (Full-Time, Days)

Responsibilities

• Develop and implement a comprehensive clinical quality and safety strategy that aligns with the organization's overall quality goals and objectives.
• Aligns resources to drive performance improvement of required measures.
• Provides leadership, support and mentorship to clinical Quality professionals.
• Provides technical support for quality improvement activities of clinical departments and units, specifically providing improvement teams with the necessary tools and approaches to improve measures of quality and safety.
• Participates in the development and management of budgets to support the Clinical Quality Program and in prioritization of resource allocation.
• Responsible for coordination and standardization of all aspects of clinical quality, performance improvement, and process redesign across aligned business areas.
• Collaborates with stakeholders across the organization to develop an infrastructure and implement plans that focus on improving patient outcomes and ensuring clinical best practices.
• Participate in coordination and management of hospital board quality meeting agenda planning, meeting prep and facilitation.
• Establishes and monitors key performance indicators (KPIs) related to clinical quality.
• Coordinate with business leadership on development of annual QAPSPI goals.
• Care for data abstraction, extraction, analysis, and intervention for clinical quality measures.
• Use data-driven insights to recommend improvements.
• Prepare and present regular reports on clinical quality metrics to leadership.
• Tracks performance improvement initiatives to ensure that objectives are met and recommended actions are fully implemented.
• Oversees, and monitors metrics for externally reported quality programs.
• Coordinates with business leadership for opportunities for improvement (Leapfrog, CMS Stars, CMS P4P, Excellus HPIP, QAPSPI goals, etc.).
• Lead and facilitate standardization of program compliance and implementation for aligned business area quality improvement programs.
• Coverage of regulatory compliance.
• Coordinate with Quality Specialists and Office of Clinical Regulatory Compliance to ensure preparation and participation for accreditation visits.
• Provide support and guidance for unanticipated regulatory visits related to quality matters.
• Liaise with system regulatory and other relevant areas on ensuring appropriate internal audit planning and completion.
• Foster the use of performance improvement techniques to achieve optimum results.
• Offer guidance, education, and feedback to staff regarding quality improvement efforts, processes, and techniques.
• Provide ongoing education to healthcare professionals on best practices and quality standards.
• Stays updated on advancements, trends, and leading practices in healthcare quality and performance improvement.

Qualifications

• Master's degree in healthcare administration, nursing, or a related field required.
• Minimum of 5 years of experience in healthcare quality and patient safety (or other relevant experience), with at least 2 years in a leadership role (or other relevant experience) required.
• Certification in quality improvement, safety, clinical risk management or equivalent (e.g., Certified Professional in Healthcare Quality – CPHQ, Lean, Certified Professional in Patient Safety - CPPS) required or must be obtained within three years of hire.
• For those with a BSN; valid NYS Registered Nurse License is required.