Job Description
SUMMARY:
Develops, coordinates, and directs the implementation of the Quality Performance Program. Leads the Quality Performance Indicator (QPI) program and communicates QPI activities throughout the organization. Is responsible for the design, implementation, and on-going maintenance of quality programs.
ESSENTIAL FUNCTIONS:
Participates in organizational quality planning and takes ownership of implementation of strategic activities that fall within quality domains.
Ensures organizational alignment with TMC’s quality standards.
Active in developing a culture to improve the patient care experience, regulatory goals, and all operational metrics such as: patient safety, quality, productivity and patient, physician, and employee satisfaction.
Provides expert guidance and support to the organization by working with the quality team to identify opportunities for competency development and performance improvement and achieves improvement results.
Areas of responsibility include quality, abstractors, quality analysts, and accreditation.
Responsible for all accreditation activities for the organization.
Effectively manages staff; interviews, hires and trains; evaluates employee performance; addresses performance problems as appropriate; delegates work assignments effectively.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards. Performs related duties as assigned.
MINIMUM QUALIFICATIONS
EDUCATION: Bachelor’s degree from an accredited institution in a related field; Master’s
degree preferred, or an equivalent combination of relevant education and experience.
EXPERIENCE: Seven (7) to ten (10) years of quality experience or demonstrated clinical/quality improvement results.
LICENSURE OR CERTIFICATION: Certified Professional in Healthcare Quality (CPHQ) required.
KNOWLEDGE, SKILLS AND ABILITIES:
- Must possess a comprehensive knowledge of health care operations, recognizing the uniqueness of the healthcare environment.
- Must possess advance knowledge in Quality including Joint Commission and CMS regulatory requirements, HCAHPS and pay for performance requirements, knowledge of quality tools such as Root Cause Analysis and Kaizen and knowledge of reporting requirements and systems.
- Must have the ability to develop, coordinate, implement and evaluate the effectiveness of quality programs and process excellence for the health care system.
- Must possess well-developed project management, process redesign, and analytical skills. Leadership experience overseeing progressively complex projects and interfacing with executive leaders.
- Demonstrated proficiency to identify and articulate quality and process improvement opportunities and provide consultation to leadership.
- Must possess excellent communication skills to interact with physicians, patients/ family, community health care system staff and external reviewers. Ability to motivate others to drive change and ability to communicate respectfully and collaboratively around improvement opportunities.
Must be comfortable operating in a collaborative, shared leadership environment. Demonstrated ability to effectively establish and maintain working relationships with peers at all levels of the organization.