Job Details

Description

Summary:

In collaboration with other clinical leaders in the Regional Group, is responsible for ensuring that patient care is delivered within the framework of evidence-based practice throughout the health system continuum and for understanding existing and emerging requirements in healthcare quality, safety, service/experience, and operational improvements.

Responsible for researching and recommending the annual quality management objectives. Facilitates medical staff and other committee meetings that are conducting quality and peer review activities. Directs the daily activities of the Quality Management Department and its staff responsible for the region. The Quality Management Department consists of quality, infection prevention, regulatory, risk management, and patient safety. Designs the measurement techniques, audits, and data reports that evaluate the attainment of the quality objectives of the hospital, region, and system. Educates the hospital and medical staff on matters related to quality. The Regional Director of Quality Management oversees and coordinates the process of regulatory accreditation including preparing and monitoring the hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety. In collaboration with CHRISTUS Health & CHRISTUS Hospital Senior leaders, facility leaders, physicians, and the Board of Directors, he/she collaborates with other leaders to develop the strategic direction for the overall delivery of high-quality patient care across the continuum of health care service specifically related to improving organizational performance. This Job is responsible for the design, implementation, tracking, and reporting of clinical quality of care and patient safety efforts in alignment with the corporate strategies for performance improvement.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Regional leaders are responsible for effectively collaborating with local leadership teams to meet accountability measures including, but not limited to, labor productivity standards, quality metrics, associate engagement, and retention efforts, as well as service level agreements to the consumer.
• Provides expertise in quality management for inpatient and hospital outpatient department delivery settings.
• Works collaboratively with the Chief Medical Officer and Chief Nursing Officer on quality management initiatives.
• Provides leadership and expertise for integrating CHRISTUS multidisciplinary activities into quality management processes that include the utilization of national benchmarks, internal goals, and local targets.
• Works collaboratively in a team environment to promote patient quality of care and safety.
• Oversees continual compliance readiness with regional leadership in providing Joint Commission and other accrediting or licensing body reviews and education.
• Provides oversight for the facilitation of the Quality Council, Infection Control Council, and the Patient Safety Council.
• Provides quality management reports to the Quality Management Committee, a sub-committee of the Regional Board of Directors.
• Language Ability: Excellent communication skills. Ability to write reports, business correspondence, and policy and procedure manuals. Ability to effectively present information to Associates, Executive Leadership, Committees, and the Board.
• Reasoning Ability: Ability to use critical thinking.
• Computer Skills: Must be proficient in the use of Microsoft Excel, Word, PowerPoint, and the Internet.

Job Requirements:

Education/Skills

• Bachelor's degree in Health Care Administration, Nursing, or a relevant clinical discipline with evidence of additional training in Quality required.
• Master's degree in Nursing or other healthcare related profession is strongly preferred.

Experience

• 5 years of experience in a strategic quality position in a complex healthcare environment required.

Licenses, Registrations, or Certifications

• Current Certified Professional in Health Care Quality (CPHQ) required or actively seeking the certification within 1 year of hire date.
• Current Texas license in a relevant clinical discipline is required.

Work Type:

Full Time