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)
PURPOSE STATEMENT:
Develop and implement a planned, systematic and on-going system for monitoring and improving quality, safety and appropriateness of patient care.
ESSENTIAL FUNCTIONS:
· Develop processes for identification, collection and analysis of performance measurement data.
· Utilize collected data regarding the outcome of activities for delivering continuously improving services.
· Develop written plans to improve and/or correct quality, safety and appropriateness of patient care. Conducts routine evaluations of the effectiveness of services.
· Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data and related information.
· Determine if services meet pre-determined quality improvement expectations and outcomes.
· Ensure correction of any observed deficiencies identified through the quality improvement process.
· Identify key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices.
· Conduct timely and regular evaluation of serious incidents, complaints, grievances and related investigations to:
o Identification of events, trends and patterns that may affect client health, safety and or treatment
o efficacy
o Committee evaluation findings and recommendations submitted to agency management for corrective action
o Implemented actions, outcomes, trends analyzed over time
· Identification of problems or potential problems to. prevent risks to patients. Proposes corrective steps that may include, but are not limited to:
o Changes in policies/procedures
o Staffing and assignment changes
o Additional education or training for staff
o Addition or deletion of services
OTHER FUNCTIONS:
· Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
· Bachelor’s Degree in Human Services or nursing required. Master’s degree in behavioral health/risk discipline, Registered Nurse preferred.
· Three or more years’ experience in a Quality or PI role required.
· Two or more years’ management experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
· Current licensure appropriate for the degree held required.
· CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
· First aid may be required based on state or facility.
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