Apply on Employer Site

SCH · 21 hours ago

DIRECTOR OF QUALITY AND QIPP PROGRAMS- FULL TIME

Sweeny, TX 77480

Full-time

Onsite

Lead/Staff, Director/Executive

2+ years exp

Sweeny Community Hospital is seeking a Director of Quality and QIPP Programs who will be responsible for coordinating and integrating hospital-wide quality assurance and performance improvement activities. The role involves collecting data, preparing reports, and assisting various departments with planning and implementing corrective action plans.

Health CareHospital

Responsibilities

Develops and implements systems and policies and procedures for the identification, collection and analysis of quality and performance measurement data

Educates and trains staff in the quality improvement plan and performance improvement program and their responsibilities

Coordinates Quality Management Committee meetings, assist QI assistant in recording minutes

Assists the medical, nursing and other professional staff in the developing of Quality Assurance programs, monitors indicators of care and reviews criteria. Reviews quality assurance data and refers information to the appropriate committee, department, service or individual for information, use or action as indicated and prepares reports for Administration

Collects and summarizes performance data, identifies opportunities for improvement, and presents findings quarterly to the Quality Management Committee and Board of Directors, Healthcare integration (HDI), CMS, Texas Safety Network (TSN) and other reporting entity

Analyzes Press Ganey customer survey data to identify opportunities for improvement and presents findings to appropriate departments and Administration

Participates on hospital committees as required or needed and assist in reporting in the Safety committee

Manages the Rural Community Healthcare Network (RCHI) program and submits patient charts for review. Coordinates monthly with Medical Staff for Teleconference Peer Review

Works with appropriate departments for submitting relevant data

Works with Nursing Service and Medical Records to submit quality data to TMF, HDI and other data bases as required

Assist in initiating, training and set up of new systems as needed

Performs root cause analysis as needed for near misses and adverse events

Attends monthly QAPI meetings at area Skilled Nursing Facilities and oversees their Quality Improvement initiatives