Executive Director, Quality Management (H)

About the role

The Executive Director, Quality Management collaborates in the strategic development and implementation of sustainable and effective clinical quality system management, programs, and initiatives in response to the changing needs of the University.

Responsibilities

• Implement improvement programs by using evidence based protocols and clinical care pathways that enhance safe, cost effective processes in the Hospital and/or Ambulatory Divisions.
• Contribute to areas that need to redesign processes and/or maintain processes in order to meet the continual changes of accrediting agencies, federal and state regulatory agencies and evidence-based practice.
• Lead assigned quality system management operations for the enterprise, and responsible for the assigned unit’s deliverables.
• Provide direction and expert advice in the development and maintenance of clinical quality systems, programs, and initiatives that adhere to all legal and regulatory requirements and standards.
• Facilitate development of division-wide knowledge and education of key quality indicators, metrics, benchmark data, and reporting systems and tools.
• In collaboration with facilities, ensure development and implementation of appropriate accountability and reporting and processes within facilities.
• Contribute to the attainment of business goals by positively impacting continuous quality improvement outcomes.
• Optimize use of resources, equipment and services, ensuring a high level of services.
• Actively seek ways to contain costs and reduce unwarranted variation in care without compromising patient safety, quality of care, or the services delivered.
• Lead and make decisions for effective implementation of division-wise strategies, programs, and initiatives related to clinical quality improvement to promote continuous readiness by assisting healthcare and medical staff on performance improvement on national, state, and locally reported measures, as well as compliance with quality national programs.
• Perform supervisory responsibilities in accordance with the University’s policies and applicable law. Responsible for interviewing, hiring, training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing and resolving problems.

Qualifications

• CORE QUALIFICATIONS
• Education: Bachelor’s Degree in relevant field
• Certification and Licensing: Not Applicable
• Required Experience: Minimum 7 years of relevant experience. Clinical experience is required. Experienced with JCAHO and ACHA standards is required.
• Knowledge, Skills and Behaviors: Ability to maintain effective interpersonal relationships; Ability to communicate effectively in both oral and written form; Skill in collecting, organizing and analyzing data; Proficiency in computer software (i.e., Microsoft Office); Knowledge of business and management principles; Ability to effectively plan, delegate and/or supervise the work of others; Ability to lead, motivate, develop and train others.