Job Description
• Reports to a highly supportive AVP of Quality with strong collaboration with department leaders and the CNO, CMO, and CEO
• 500-bed | Level II Trauma Center
• Directs the daily activities of the Quality Department with direct reporting from the Quality Manager and Quality Coordinator (2 FTEs)
• Develops quality outcome reporting and analytic insights using knowledge and expertise regarding public reporting, metrics, analytics, and application tools
• Oversees continual compliance readiness with leadership in providing Joint Commission and other accrediting or licensing body reviews and education
• Researches and recommends quality management objectives
• Develops reports to effectively convey regulatory updates from appropriate data sources and systems, including national benchmarks and public ranking data
• Supports production of reports in collaboration with subject matter experts
• Educates the hospital and medical staff on matters related to quality
• 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
• Collaborates with the hospital leaders to achieve quality goals and eliminate preventable harm
• Offers specialized expertise in quality management for both inpatient and hospital outpatient care settings
• Brings high-reliability processes to the organization
• 500-bed | Level II Trauma Center
• Directs the daily activities of the Quality Department with direct reporting from the Quality Manager and Quality Coordinator (2 FTEs)
• Develops quality outcome reporting and analytic insights using knowledge and expertise regarding public reporting, metrics, analytics, and application tools
• Oversees continual compliance readiness with leadership in providing Joint Commission and other accrediting or licensing body reviews and education
• Researches and recommends quality management objectives
• Develops reports to effectively convey regulatory updates from appropriate data sources and systems, including national benchmarks and public ranking data
• Supports production of reports in collaboration with subject matter experts
• Educates the hospital and medical staff on matters related to quality
• 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
• Collaborates with the hospital leaders to achieve quality goals and eliminate preventable harm
• Offers specialized expertise in quality management for both inpatient and hospital outpatient care settings
• Brings high-reliability processes to the organization
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