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CommonSpirit Health · 1 month ago

Director Quality - Patient Safety

Sugar Land, TX

Full-time

Onsite

Lead/Staff, Director/Executive

$51.03/hr - $75.90/hr

5+ years exp

CommonSpirit Health is dedicated to improving patient care and safety. The Director of Quality - Patient Safety is responsible for leading the organization's Performance Improvement and Patient Safety plans, ensuring effective implementation and evaluation of quality initiatives to enhance patient outcomes.

Health CareMedicalNon Profit

Responsibilities

Responsible for the design, coordination, implementation and management of the Organization's Performance Improvement (PI) and Patient Safety plans

Identifies opportunities for improved patient care and outcomes and reductions in harm, with the implementation of evidence-based practices

Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization's operations and strategic direction

Establishes performance improvement goals annually with relevant stakeholders

Ensures the Performance Improvement Plan and the hospital-focused projects for the year are implemented and their effectiveness is evaluated annually

Develops and implements processes and formats which support data collection, aggregation, analysis, and action planning

Assures data is managed appropriately and disseminated to appropriate leadership staff

Provides leadership in developing quality improvement and patient safety training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles

Implements and oversees the organization-wide patient safety program and manages the reporting, data analysis and evaluation as outlined in the Patient Safety Plan

Oversees the events reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and coordination of legal documents related to hospital liability)

Participates in system office initiatives and programs to mitigate risks in the facility which have been identified at other hospitals, resulting in reduced costs, adverse patient outcomes and ultimately safer patient practices and care

Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation

Provides leadership and is responsible for accreditation and regulatory survey readiness

Oversees mock survey tracers to assess survey readiness

Provides education to staff and providers on regulatory compliance

Organizes required staff to develop responses to survey deficiencies and submits responses to the appropriate accreditation or regulatory agency

Has overall accountability for assigned work group relative to operational goals, personnel requirements, and budgetary constraints

Qualification

Quality Improvement ProgramPatient Safety ProgramRoot Cause AnalysisHealthcare Quality CertificationClinical ExperienceData AnalysisRegulatory ComplianceEvent ReportingProcess ImprovementLeadership

Required

Bachelor's degree in healthcare or five (5) years of related job or industry experience in lieu of a degree

Minimum of five (5) years of progressive management responsibility in a health care setting

Two (2) of which is related to managing an acute care organization's Quality Improvement Program

Minimum of two (2) years of clinical, patient care experience or equivalent

Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale

Experience with the event reporting process, root cause analyses, and event investigation/review

Experience with patient complaint/grievance investigations and prompt resolution

Five (5) years' experience in Quality Management can be used in lieu of state license

State License in a clinical field

Certification required in one of the following (or within 24 months of hire): Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality Mgmt (HCQM), Cert Prof Healthcare Qual (CPQPS)

Company

CommonSpirit Health

Glassdoor3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10001+ employees