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NYC Health + Hospitals · 6 hours ago

Associate Director, Quality Assurance

New York, NY

Full-time

Onsite

Mid, Senior Level, Lead/Staff

4+ years exp

NYC Health + Hospitals/Metropolitan is a community hospital that prioritizes culturally-sensitive care and high-quality health services. The Associate Director of Quality Assurance will support the implementation of the hospital's Quality and Patient Safety Program, manage quality improvement projects, and ensure compliance with regulatory standards.

Health CareHome Health CareHospitalMedicalNursing and Residential Care

Responsibilities

Coordinate and manage specific quality and safety improvement projects from start to finish, including planning, execution, and delivery of project outcomes and supporting sustainability

Develop and implement operational processes, templates, and procedures that support project activities related to quality and safety initiatives

Ensure that project objectives and development are aligned with the hospital's strategic goals and quality priorities

Manage the gathering of data and preparation of key reports, including the Quality Assurance Performance Improvement (QAPI) report to the Board of Governors (Board Report), providing updates on project progress and outcomes

Manage the preparation and organization of hospital-wide quality meetings (HWQAPI), coordinating agendas, materials, and data relevant to quality and safety initiatives

Utilize project management methodologies to ensure that specific quality and safety projects are organized, planned, and executed efficiently

Develop contingency plans for addressing potential delays or obstacles to ensure project success

Work proactively to anticipate challenges and ensure smooth project delivery

Monitor the day-to-day activities of PI and quality projects, ensuring timely completion of deliverables and resolving issues as they arise

Maintain regular communication with stakeholders to keep them informed of project progress, milestones, and challenges

Work with departmental leaders, clinical and non-clinical teams, and other key stakeholders to define and refine project objectives, timelines, and resource allocation for each quality and safety project

Coordinate project tasks across various teams to ensure that each department is aligned with the project’s goals and timelines

Facilitate communication between internal teams and external partners to ensure projects are delivered smoothly and successfully

Focus on delivering targeted improvements within specific areas of quality and safety, such as clinical processes, patient safety, and workflow efficiencies

Develop and implement processes for tracking project progress, ensuring that milestones are met and deliverables are on schedule

Work with teams to identify bottlenecks and inefficiencies, proposing solutions for continuous improvement within the scope of each project

Provide support for training programs and educational sessions related to the implementation of quality and safety projects, ensuring that staff understand and can execute new processes

Assist in the rollout of new tools, systems, or protocols as part of quality improvement initiatives, ensuring proper adoption and integration across departments

Establish and track performance metrics for each project to ensure that objectives are being met

Regularly report on the status of projects to leadership, highlighting progress, risks, and potential delays

Contribute to the preparation and presentation of the QAPI Board Report and hospital-wide quality meetings, ensuring that performance data is accurately reported and presented

Works collaboratively with hospital departments to ensure quality and safety data are collected, validated, analyzed and shared

Oversee the budget administration for quality and safety projects, including the Quality Academy, ensuring that allocated funds are utilized appropriately and that spending aligns with project goals

Collaborate with hospital finance teams to create and track project budgets, ensuring accurate financial reporting and adherence to budget constraints

Monitor project expenditures, identify potential budget discrepancies, and work to resolve any issues that may impact project funding

Provide regular updates on the financial status of quality and safety projects to the CQO office, ensuring transparency and accountability in the use of hospital resources

Identify and resolve issues or risks that arise during the execution of quality and safety projects, minimizing disruptions to the hospital’s daily operations

Develop contingency plans for addressing potential delays or obstacles to ensure project success and adhering to deadlines

Ensure that quality and safety improvement projects comply with hospital policies, regulations, and accreditation standards

Support the preparation of documentation needed for regulatory and accreditation reviews, ensuring that projects are in alignment with required standards

Works collaboratively with regulatory to identify problem areas that need improvement, identify gaps and help with improvement projects related to compliance with The Joint Commission, Department of Health, and other regulatory agencies

Engage in ongoing process analysis to identify areas for improvement in the implementation of quality and safety projects

Make recommendations for future project modifications or improvements based on evaluation and feedback

Perform other tasks related to the execution and support of quality and safety improvement projects as directed by the CQO office or hospital leadership

Assists the Chief Quality Officer in coordination and submission of the quarterly report to the Board of Directors and the semi-annual and annual Governing Body Reports

Assists the Chief Quality Officer in the Hospital-wide Quality Assessment and Performance Improvement (HWQAPI) activities:1. Development and finalization of the yearly QAPI Plan 2. Completion of the Annual QAPI evaluation 3. Prepares the minutes, agenda and presentations for the HWQAPI Committee meeting. 4. Provides guidance and assistance to the clinical and non-clinical departments with their QAPI activities

Works closely with nursing quality to in improving compliance with quality indicators

Works with Department Heads/leaders and other stakeholders to improve compliance to standards and improve the quality of care provided

Develops and implements a comprehensive strategy to electronically organize, securely store, and share Quality and Safety Key indicators

Ongoing readiness for Quality Academy schedules and sessions. Serves as a liaison in the Quality Academy capacity building program

Performs other related duties as assigned by the Chief Quality Officer

Qualification

Quality AssurancePerformance ImprovementProject ManagementRegulatory ComplianceData AnalysisCommunication SkillsTeam CollaborationProblem-Solving

Required

A Baccalaureate Degree in Public Administration, Public Health or Health Care Specialization; and, Five years or four years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services; or, A Masters Degree in Public Administration, Public Health or Health Care Specialization; and, Four years or three years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services