Quality Director

About the role

The Quality Director is responsible for planning and implementing the hospital’s Quality Program to meet organizational needs under the direction of the Corporate Quality Director and approval of the Hospital Governance Committee. The Quality Director provides education to leadership, medical staff, hospital staff, and the Governing Body. This role facilitates performance improvement activities and Continuous Quality Improvement (CQI) activities through the QAPI plan and serves as a resource person to the administrative team, department managers, and medical staff.

Responsibilities

• Implement the Quality Assessment Performance Improvement (QAPI) plan to meet hospital needs
• Provide education to medical staff, hospital staff, and Governing Body on quality initiatives
• Facilitate performance improvement and CQI activities throughout the hospital
• Maintain oversight responsibility for all performance improvement activities
• Drive and manage the Risk Management and Utilization Plan within the QAPI plan
• Ensure readiness for all regulatory body surveys and compliance with standards
• Risk Management: Identify clinical risks, evaluate situations, and coordinate corrective actions
• Provide interventions and education to promote safe work practices and quality care
• Coordinate risk programs across hospital departments, administration, and legal counsel
• Report real and potential risk situations to the Governing Body, medical staff, administration, and appropriate committees
• Establish and monitor methods to avoid, eliminate, or reduce risk situations in patient care and services

Qualifications

• Preferred Qualifications: Current clinical licensure in the State of Practice, two (2) years’ experience in a clinical healthcare or medical industry setting, previous experience in quality or performance improvement activities

Skills & Abilities

• Effective verbal communication, organizational, and interpersonal skills
• Strong analytical problem-solving skills
• Ability to read and comprehend written instructions and follow verbal instructions
• Proficiency in PC computers, tablets, and smartphones
• Ability to acclimate easily to changing schedules
• Comfortable using mobile tools and applications
• Demonstrates commitment to exceeding minimum standards and achieving excellence