Director Clinical Quality Safety Improvement

• Directing clinical quality and patient safety management programs including budgeting annual evaluations and revisions consultation services education initiatives outcome measurement and improvement strategies related to clinical accreditation regulatory and licensing (AR&L) risk management and infection prevention and control.
  
• Establishing standards for evaluating designing developing and implementing evidencebased guidelines principles and programs to reduce clinical practice variation optimize patient outcomes and ensure organizational compliance.
  
• Overseeing the collection analysis reporting and presentation of clinical data to identify trends outliers and areas for improvement informing both short and longterm strategy and project goals.
  
• Developing strategies for educational initiatives related to quality improvement activities regulatory requirements and translating external demands into program goals.
  
• Serving as an expert resource on monitoring reporting and developing mitigation plans for occurrences that may lead to medical center liability.
  
• Supporting the medical centers continuous survey readiness program to maintain regulatory compliance.
  
• Developing collaborative relationships with government and regulatory agencies as well as other organizations.
  

Essential Responsibilities:

• Preparing individuals for growth opportunities and advancement building internal collaborative networks.
  
• Soliciting and acting on performance feedback driving collaboration to set goals and providing open feedback and coaching to foster performance improvement.
  
• Demonstrating continuous learning overseeing the recruitment selection and development of talent and ensuring performance management guidelines and expectations align with business needs.
  
• Staying updated with best practices processes benchmarks and industry trends sharing this knowledge within and across teams.
  
• Motivating and empowering teams maintaining a highly skilled and engaged workforce by aligning resource plans with business objectives.
  
• Providing guidance for difficult decisions and creating opportunities for expanded decisionmaking and impact.
  
• Overseeing the operation of multiple units within a department by identifying member and operational needs managing work assignments translating business strategy into actionable business requirements and ensuring products and services meet member expectations.
  
• Gaining crossfunctional support for business plans and priorities assuming responsibility for decisionmaking setting standards measuring progress and resolving escalated issues.
  
• Communicating goals and objectives analyzing resources costs and forecasts and incorporating them into business plans prioritizing and distributing resources removing obstacles that impact performance guiding performance and developing contingency plans.
  
• Directing data collection and analyses to support quality improvement reporting overseeing statistical analysis for evaluations and special projects defining standards for integrating multiple utilization data reporting systems and presenting quality improvement metric reports to senior and executive management.
  
• Directing quality improvement and risk management efforts defining standards for corrective action plans ensuring compliance with internal and external regulations conducting root cause analyses and escalating highrisk issues.
  
• Establishing standards for quality improvement performance metrics at regional and organizational levels consulting with senior management to set performance standards and monitoring the delivery of measurable results aligned with strategic objectives.
  
• Overseeing KPwide quality improvement initiatives implementing new technology methods and tools serving as a technical advisor on datadriven improvement principles and consulting with stakeholders to define consistent quality improvement strategies.
  
• Serving as a subject matter expert on quality improvement processes and regulations providing consultation on policy interpretation and implementation engaging with committees and initiatives and advising on compliance and policy changes.
  
• Promoting continuous learning through quality performance review processes defining standards for utilization and performance reviews presenting performance reports and developing training programs related to process improvement for quality improvement programs.
  

Requirements

• Minimum two (2) years of experience managing operational or project budgets.
  
• Minimum five (5) years of experience in a leadership role with direct reports.
  
• Minimum two (2) years of experience with databases and spreadsheets or continuous quality improvement (CQI) tools.
  
• Minimum seven (7) years of experience in clinical setting health care administration or a directly related field.
  
• Bachelors degree in Business Administration Health Care Administration Nursing Public Health or related field AND Minimum eight (8) years of experience in heath care quality assurance/improvement or directly related field OR Minimum eleven (11) years of experience in heath care quality assurance/improvement or a directly related field.
  
• Professional Healthcare Quality Certificate within 24 months of hire OR Professional in Patient Safety Certificate within 24 months of hire OR Professional in Healthcare Risk Management Certificate within 24 months of hire
  

• Knowledge Skills and Abilities (KSAs): Clinical Quality Expertise; Negotiation; Business Process Improvement; Risk Management; Compliance Management; Health Care Compliance; Health Care Policy; Applied Data Analysis; Health Care Data Analytics; Learning Measurement; Consulting; Managing Diverse Relationships; Delegation; Development Planning; Agile Methodologies; Process Mapping; Project Management; Risk Assessment; Health Care Quality Standards; Quality Improvement