Director Quality and Patient Safety

Primary Position Responsibilities

• Affirms responsibility for clinical outcomes across the health system
• Implements a physician quality improvement evaluation system with supporting structures including but not limited to FPPE, OPPE, and peer review
• Assesses and articulates vulnerabilities of operations to prevent errors
• Collaborates with key stakeholders (clinical staff, supporting departments, leadership, etc.) to advance quality and patient safety; assists clinical teams and supporting departments with performance improvement projects
• Participates in key quality and safety committees including Quality Council; leads patient safety rounds
• Leads comprehensive root cause analyses and oversees incident reporting processes to identify systemic issues, drive corrective actions, and improve patient safety outcomes
• Assures conformance to practice standards inclusive of those from regulatory and accrediting bodies including, but not limited to, CMS, Joint Commission, CDC, OSHA, NJDOH
• Oversees mandatory and voluntary quality and safety reporting including, but not limited to, CMS, NJDOH, CDC, Leapfrog, etc.
• Develops and leads system-wide programs to assess departmental and organizational safety culture and coach improvement of same including performance improvement related to Joint Commission Sentinel Event Alerts and Patient Safety Systems Chapter elements, National Performance Goals, etc.
• Oversees organizational efforts to provide education on the topics of clinical quality and patient safety (e.g. National Performance Goals)
• Actively participates in regulatory and accreditation visits

Qualifications

• Minimum Education: Required: Bachelor’s Degree in nursing or healthcare related field; Preferred: Master’s Degree in nursing or healthcare related field
• Minimum Years of Experience (Amount, Type and Variation): Minimum of 3 years nursing or healthcare related clinical experience; Minimum 5 years experience in leadership in a hospital or healthcare system
• Experience working with regulatory agencies: Preferred
• License, Registry or Certification: Registered Nurse (RN)
• Knowledge, Skills and/or Abilities: Highly visible and comfortable assessing and articulating vulnerabilities of operations to prevent error; Excellent data analytics and reasoning skills; Attentive to detail with a high level of accuracy; Exercise sound judgment and strong organizational and project management skills; Ability to present and report information to all levels of the organization; Strong leadership skills that emphasize collaboration and positive relationships; Excellent verbal and written communication skills, including excellent listening skills and presentation skills to communicate clearly, concisely and effectively across a wide range of audiences; Resourceful, diplomatic, and professional; delivers outstanding customer service while managing relationships; a solution-focused perspective and work style that supports teamwork; Adaptable; be able to shift priorities and focus as departmental and/or business demands change; High level of knowledge of regulatory agencies and activities; Proven workforce management skills; Proficient in all MS Office and Google applications

Benefits

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.