Director - Clinical Quality
Company: CHRISTUS Health
Location: Texarkana
Posted on: August 2, 2022
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Job Description:
Description
Summary:
Directs development and implementation of quality management
strategies, programs and regulatory compliance. Actively
collaborates with physician services, nursing, other allied health
professionals, ancillary and support personnel, and operational
leadership to promote implementation of evidence-based quality and
patient safety initiatives, and to engage Associates at all levels
as participants in a continual pursuit of improvement
opportunities. Establishes and maintains efficient and reliable
mechanisms for monitoring, analysis and reporting of quality
outcomes and process improvement initiatives, in alignment with
regulatory standards and healthcare best practices for quality and
patient safety. Promotes and vigorously supports a comprehensive
culture of quality throughout the organization, across all regions,
campuses, and departments.
CHRISTUS COMPETENCIES FOR MANAGERS AND DIRECTORS
Drives results- Consistently achieving results, even under tough
circumstances.
Manages conflict- Handling conflict situations effectively, with a
minimum of noise.
Communicates effectively- Developing and delivering multi-mode
communications that convey a clear understanding of the unique
needs of different audiences.
Directs work- Providing direction, delegating, and removing
obstacles to get work done.
Builds effective teams- Building strong-identity teams that apply
their diverse skills and perspectives to achieve common goals.
Business insight- Applying knowledge of business and the
marketplace to advance the organization's goals.
Ensures accountability- Holding self and others accountable to meet
commitments.
MAJOR RESPONSIBILITIES
- Directs the overall development, implementation, and integration
of various regulatory, quality, patient safety, and other hospital
improvement programs, using a systematic approach to monitoring the
effectiveness of the program including problem resolution
strategies
- Responsible for coordinating the overall development,
implementation, and integration of the Quality Management System
with other improvement programs within the organization
- Identifies and ensures compliance with all regulatory standards
related to accurate and timely aggregation and reporting of quality
outcome measures to appropriate internal and external stakeholders
and agencies
- Directs department staff to promote an organization-wide focus on
achieving optimum clinical and operational outcomes by utilizing an
organized, structured approach to continuous improvement using risk
based corrective action plans
- Promotes high reliability organization fundamentals to reduce
errors.
- Develops, facilitates and coaches leadership on policy and
procedure to direct processes within the organization
POSITION SPECIFIC COMPETENCIES
- Directs the activities of the quality management teams,
administers process improvement initiatives, and directs the
evaluation, interpretation and documentation of the
improvements.
- Must have knowledge of all clinical quality and testing
procedures as well as ensure that the clinical quality department
budget is met.
- Involvement with processes for measuring, reporting and improving
various quality programs such as Patient Satisfaction and Patient
Safety, Medical Staff privileging and peer review, accreditation
and TJC assessments and collaboration with groups responsible for
outcomes across the continuum of care
Requirements:
Education/Skills
- Bachelors in Healthcare Administration, Nursing or a relevant
clinical discipline required, with evidence of additional training
in PI and Quality
- Master's degree preferred
- CPHQ ( Certified Professional in Healthcare Quality) or similar
certification in quality, preferred
Experience
- Minimum of five (5) years clinical experience in a hospital
setting, including progressive management responsibilities
- Two (2) to three (3) years Quality Improvement experience in
acute care hospital
- Experience with managing organizational change, regulatory
compliance, process improvement activities and quality
management
- Comprehensive knowledge of Nursing and health care practices and
techniques.
Licenses, Registrations, or Certifications
- RN license in good standing in state of employment or a compact
state, if applicable
- CHRISTUS Health System approved Basic Life Support
certification
- Current Certified Professional in Healthcare Quality (CPHQ), or
similar quality certification. If not current, then obtained within
2 years
Work Type:
Full Time
Keywords: CHRISTUS Health, Longview , Director - Clinical Quality, Executive , Texarkana, Texas
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