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Phoebe Putney Health System · 20 hours ago

Director of Quality PPMH

Albany, GA

Full-time

Onsite

Lead/Staff, Director/Executive

3+ years exp

Phoebe Putney Health System is seeking a Director of Quality who will report to the System Chief Quality Officer. This role is responsible for developing and implementing hospital-wide quality improvement initiatives, infection prevention, and patient safety programs to enhance healthcare outcomes and foster a culture of reliability within the organization.

Emergency MedicineHealth CareHospitalMedicalNon ProfitOncology

Responsibilities

Oversees operations related to budgeting and position/staff management in assigned cost center

Recruits and retains qualified team members; engages, develops, and mentors team members

Establishes, maintains, and develops effective collaborative working relationships with all levels of leadership across the system, direct and indirect reports, and physicians/APPs to foster open communication and ensure the achievement of organizational and departmental goals

Actively seeks opportunities to expand knowledge base through professional development

Serves as a leader and resource for quality program knowledge and education across all disciplines and the community

Leads implementation of the annual Quality Assessment and Performance Improvement (QAPI) plan ensuring the allocation of resources to achieve success

Develops comprehensive, strategic and tactical plans to achieve hospital level progress in goal achievement; revises strategic plans accordingly

Utilizes and fosters use of evidence-based medicine to reduce unnecessary variation to standardize care and reduce costs

Inspires and guides team members through change while maximizing efficiency and effectiveness

Fosters a culture of flexibility, innovation, and continuous learning

Develops, participates in, and/or leads quality improvement teams/committees; drives the implementation of evidenced based prevention strategies and monitors process and outcome measures toward success

Collaborates with others across Phoebe Health System to inspire a system approach where appropriate

Stay current on industry trends and best practices to ensure the organization remains at the forefront of quality and safety initiatives

Partners with system and hospital leadership to ensure compliance with Federal and state standards and achieves a continual state of readiness

Keeps abreast of all pertinent federal, state and hospital regulations, laws, and policies

Manages regulatory compliance activities including preparation for survey, survey and follow-up documentation, corrective action planning/completion etc

Develops and maintains relationships with regulatory agencies and accrediting bodies

Partners with system and hospital leadership to lead a highly reliable organization and to achieve a goal of zero harm

Engages in and fosters a culture of trust and transparency with the aim to reduce errors using just culture principles

Conducts and/or leads others in root cause analyses, common cause analysis, failure mode effects analysis (FMEA), proactive risk analysis

Ensures compliance with organization’s incident reporting system in a timely and accurate manner

Develops comprehensive, strategic and tactical plans to achieve hospital level progress in goal achievement; revises strategic plans accordingly

Supervises and coordinates hospital infection control surveillance to identify actual nosocomial infections, clustering and outbreaks of infection and infection potentials

Plans and provides education and guidance in infection control and prevention measures

Ensures compliance with regulatory, accreditation and licensure requirements pertaining to infection control

Stay current on industry trends and best practices to ensure the organization remains at the forefront of infection prevention and control initiatives

Establishes and monitors key performance indicators across the organization

Oversees the collection, analysis, assimilation, and reporting of quality data to drive improvement

Provides scheduled reports and data to leadership, committees, and external agencies

Partners in advancing analytical and technological solutions to improve data integrity and accuracy; standardizes quality reporting across the system where applicable

Qualification

Healthcare Quality ImprovementRegulatory ComplianceData AnalyticsCertified Professionals in Healthcare QualityLEAN ManagementPatient SafetyInfection ControlTeam Leadership