Quality Improvement Director - Healthcare leads and directs process and overall quality improvement activities that produce better patient care and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Being a Quality Improvement Director - Healthcare implements a strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the hospital. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Additionally, Quality Improvement Director - Healthcare requires a bachelor's degree. Typically reports to top management. The Quality Improvement Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Quality Improvement Director - Healthcare typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
SUMMARY OF JOB:
Provide nursing informatics support to Clinical Improvement Department and Quality Management Program. Priorities are activities that promote continuous compliance and improvement activities to meet Medicare and Medicaid Conditions of Participation, Joint Commission Accreditation Standards, Healthcare Facilities Accreditation Program/American Osteopathic Accreditation (HFAP/AOA) standards, Bariatric Center of Excellence standards, and others as needed to obtain or maintain hospital accreditation or certifications.
Colorado West HealthCare System participates in Centers for Medicare and Medicaid (CMS), and is deemed in compliance with those Conditions of Participation through its successful accredited status from the Joint Commission and the HFAP/AOA. CWHS is committed to the provision of quality health care to the community it serves, and is accountable to collect and submit data from which the organization is measured. Further, CWHS is committed to a continuous monitoring of the quality of care provided, and collects, analyzes, and presents data to the board and medical staff, providing actionable information from which to assess clinical competence and quality outcomes.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Monitors and collaborates to ensure technical and quality compliance with governmental/regulatory rules and regulations.
Collaborates with the multidisciplinary health care team for development and implementation of the Quality Management Program.
Supports and Coordinates data collection for the Bariatrics Program Center of Excellence.
1. Successfully completes the BSCR Training Program.
2. Participates in data compilation for audits and initial and reaccreditation site visits.
3. Provides accurate (>95%) and timely data abstraction and data entry of bariatric patient information.
4. Periodically attends voluntary in-person professional development seminars offered at various annual meetings (for example, ASMBS, ACS NSQIP, and the ACS Clinical Congress).
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION:
Informatics degree and eight (8) years of healthcare organization experience. Proficient in Meditech and Meditech Reports, Microsoft Office. Current working knowledge of Rules/Regulations CMS (CoPs), ORYX Core Measures, and accreditation bodies (TJC & HFAP) preferred. Case Management experience including utilization review and discharge planning preferred.
This position's pay range is: $37.00 - $44.00 per hour, depending on education and experience.
Discretionary bonuses, relocation expenses, merit increases, market adjustments, recognition bonuses and other forms of discretionary compensation may be paid to eligible employees based upon organizational and individual performance.
Benefits:
Employees are eligible to participate in an attractive benefits package including medical, dental, vision, paid time off, education assistance, 403(b) with employer matching, and more. Eligibility is based on employment status. Details regarding specific benefit you may be eligible for will be discussed during the hiring process.
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Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. Community Hospital does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.
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