Director Quality & Outcomes

People

Directs, develops and implements strategic and operational/high-level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.

Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service and cost-effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees.

Maintains a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.

Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed.

Service

Oversees department operations, designated projects, schedules and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.

Serves and actively participates on various entity committees as a voice for the department.

Leads entity-wide effort to educate organization regarding performance improvement philosophy, methodology, tools, techniques and emerging trends. Provides organizational leadership in clinical process improvement. Supports departmental quality resources as entity expert and partner along with supporting system-wide strategic plan.

Collaborates with senior management to develop and analyze meaningful outcomes reporting to improve and innovate care delivery. Utilizes benchmarking data and best practices to partner in the delivery of high-quality and cost-effective patient care which is in concert with the philosophy of the organization.

Quality/Safety

Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/licensing agency and/or department guidelines as applicable.

Employs a proactive approach in the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety.

Responsible for employee compliance to policies and procedures and performs associated actions upon non-compliance (i.e., licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).

Develops and continuously oversees the entity-wide performance improvement/patient safety program to optimize program effectiveness, goal achievements, contemporary state-of-the-art practices, and regulatory compliance.

Drives leadership of RCA, FMEA, and other complex problem-solving groups and with monitoring the follow-up and action plans.

Collaborates across the organization to develop strategic plan and overall direction for safety, quality and service for assigned entity and systemwide. This includes implementation and cascading of system-wide best practices.

Collaborates system wide in the development and implementation of safety, quality and risk initiatives. This includes but is not limited to Vizient , DNV, Leapfrog, CMS Five Star, US News World Report.

Growth/Innovation

Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/system-directed activities. Proactively leads task forces and committees. May represent HM at assigned community or professional organization meetings.

Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. Partners effectively with stakeholders as appropriate.

Ensures own career discussions occur with appropriate management. Completes and updates Individual Development Plan on an ongoing basis. Conducts conversations with staff on their development.

PARTNERING WITH INFORMATION TECHNOLOGY (IT) STAFF, QUALITY AND RESEARCH, AND MEDICAL STAFF MEMBERS TO DEVELOP IT STRATEGIES THAT WILL SUPPORT PATIENT CARE QUALITY AND QUALITY RESEARCH. SUPPORTS THE IMPLEMENTATION OF INFORMATION TECHNOLOGY TO DELIVER ADDITIONAL VALUE, AND ASSURE THAT IMPLEMENTATION IS ACCOMPLISHED FOR PATIENT SAFETY, EXCELLENT OUTCOMES, AND FOR ACCEPTANCE BY BOTH PROFESSIONAL AND SUPPORT STAFF.