ASSISTANT DIRECTOR OF CLINICAL QUALITY IMPROVEMENT
Company: Emanuel Medical Center
Posted on: January 10, 2019
ASSISTANT DIRECTOR OF CLINICAL QUALITY IMPROVEMENT
The Assistant Director of Clinical Quality Improvement will assists with the coordination of the systematic hospital-wide program to monitor quality issues and organizational performance. Responsible for the oversight of the day-to-day and permanent record keeping of all quality reports. Supports the process improvement activities designed to improve patient care, quality and compliance with professional, regulatory and governmental standards of care and guidelines. Assists with the development and reporting of data to hospital and corporate leaders. Facilitates cooperative and collaborative relationships among departments, physicians and external agencies to ensure effective patient outcomes.
Essential Job Duties:
Planning and organizing - able to identify, analyze, diagnosis impediments to optimal clinical performance on selected clinical indicators; facilitate consensus teams to overcome such impediments
Performance Improvement Concepts and Strategies - able to effectively apply PI skills and tools to improve clinical performance; able to foster collaboration and resolve conflicts
Data Analysis and Reporting: Able to review, interpret, and present clinical outcomes data; use spreadsheets; run reports from Tenet data systems; review, investigate and verify quality data
Clinical Expertise: Able to credibly discuss and present clinical information to physicians and others
Proficient in Email, Word, Excel, Power Point, PC and software troubleshooting.
Able to manage people, resources and plans.
Able to plan and implement changes in clinical roles and processes.
Ensures facility is compliant with the regulations of all Federal, state, local and other regulatory agencies
Assists with reporting of outcomes for identified clinical indicators to MEC/Board/other hospital medical staff committees.
Assists physician champions to lead clinical performance improvement teams.
Serves as change agent.
Maintains knowledge of current research, best practices, using evidence based literature.
Manages data-related to patient care.
Assists with the development of policies and procedures and protocols for initiatives.
Supports infection prevention staff to achieve zero nosocomial infections.
Assists with establishing and monitoring methods to avoid, eliminate, and/or reduce risk associated with the provision of patient care and services.
Assists with the development of reports for state authorities according to state or regulatory requirements. Additionally, assists with reporting of real and potential risk issues to the medical staff, administration, hospital departments and committees, as appropriate.
Monitors for trends in quality of patient care.
Effectively communicates appropriately and clearly to employees, physicians, nurses, and members of the Senior Leadership Team.
Collaboration in the investigation of Sentinel Events and adverse outcomes to patients, visitors and employees via the process of using Root Cause Analysis (RCA) with development and implementation of Action Plans to reduce the chance of recurrence.
Utilizes the hospital's performance improvement model, to coordinate the redesign of the process and/or underlying systems to minimize the risk of undesirable variation or to protect patients from the effects of undesirable variation. Follows critical analysis and identification of failure mode methodology (FMEA) with collaboration with the Risk Department.
Assists as liaison between the various hospital departments and/or family to identify potential problems and participates in the resolution of grievances in order to maintain quality of care.
Works collaboratively with other departments as a member of various hospital committees.
Consults with other departments as appropriate to provide for patient care and performance improvement activities.
Assists and presents educational programs related to process improvement and quality of care to medical staff, nursing personnel and other departmental personnel.
As assigned, works with regulatory boards, agencies and investigators.
Keeps abreast of best practices by participating in continuing education courses, professional organizations and seminars; reading current literature and maintaining professional contacts in the community. Participates in hospital required educational programs.
Development, implementation, and ongoing evaluation of procedures, protocols, or practice standards based on changes in legislation or otherwise.
Maintains the confidentiality and legal privilege, as appropriate, of all data and information.
Performs other functionally related duties as assigned.
Bachelor's Degree in Nursing required; Master's Degree in a Health Related Field or MD Preferred
Must be knowledgeable in both quality and risk activities
Knowledge of Joint Commission standards and other regulatory agency requirements required
Minimum of three (3) years of experience in integrated quality management, change management or outcomes management.
Minimum of two (2) years of management experience
California Registered Nurse required.
Job: Managers and Directors
Primary Location: Turlock, California
Facility: Emanuel Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Keywords: Emanuel Medical Center, Turlock , ASSISTANT DIRECTOR OF CLINICAL QUALITY IMPROVEMENT, Healthcare , Turlock, California
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