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Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for ensuring effective quality and regulatory operations at the facility level, in partnership with safety, infection prevention, data analytics, patient advocacy, and patient experience partners and leaders. The Site Director of Quality ensures that all the domains of patient centered outcomes are understood and improved to achieve excellence through utilization of Prisma's Clinical Operating System. As part of a matrixed environment, this leadership role is an integral part of the local administrative team (dotted line to CEO) and serves as a central point of contact and coordination of all Clinical Care Experience activities at a campus level.
Success for this role will require establishing and maintaining strong partnerships with clinical and operational leaders throughout the organization using a patient-centered approach to achieve clinical excellence. This may require performing risk assessments, gap analyses and current state assessment to identify improvement areas and methods appropriate for improvement. This role should be savvy in data analytics including practitioner level knowledge of how to operationalize process adjustments. This role must have skills to lead through influence, apply just culture, and create psychological safety to help leaders develop strong learning environments. Supports system work as assigned, and collaborates with other like roles across the enterprise, seeking to standardize work to support one another as a collective group.
Responsible for ensuring the work of quality, safety, infection prevention, patient advocacy and patient experience is effective at the facility level, through relational guidance and coaching of the local team members that will report to an executive director at corporate level. Will provide feedback and coaching to these local partners and to the partner's direct leader, as needed. Responsible for coordinating and elevating all work required for clinical excellence, including all regulatory and licensing activities needed to retain CMS deeming status. As applicable, also responsible for supporting the scope of services for the facility, including NICU and Trauma.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Responsible to campus leaders and in collaboration with SME's, directs, supports, coaches, and provides consultative guidance on accreditation and survey readiness, quality, safety, infection prevention, patient experience, and patient advocacy functions to the local team. Partners and collaborates with clinical and operational leaders and medical staff to ensure positive patient outcomes. Leads, facilitates, supports related meetings and forums as local level expert. Supports the local Clinical Care Experience Team members as the operational guide and mentor, demonstrating teamwork and collaboration. Communicates and partners with other facility Site Directors of Quality to create standardized, evidence based best practices that are efficient, patient centric, and meet regulatory requirements for safe patient care. Ensures the senior leaders are updated on current performance and the coordinated work efforts of the local Clinical Care Experience team. The Site Director of Quality directs, supports, coaches, and provides consultative guidance on accreditation and survey readiness, quality, safety, infection prevention, process improvement, patient experience, and patient advocacy work with the local teams. Is responsible for ensuring the facility quality outcomes are assessed, plans for improvement are established and executed where needed, for top performance in all measures. Works with the Partners for safety, quality, infection prevention, advocacy, and patient experience to achieve this work. In addition, the Site Director is the point of contact ensuring the Clinical Operating System is utilized for best care practices, linking utilization to metrics that need improvement, where applicable. Provides oversight and ongoing performance monitoring and improvement action planning on quality metrics. Demonstrates ability to effectively execute performance improvement methodologies/tools and manage multiple improvement projects, while also coaching others. Performs other duties as assigned
Supervisory/Management Responsibilities
Minimum Requirements
Education - Master's degree in Healthcare Administration, Nursing, Business Administration or related field of study. Clinical degree preferred. Experience - Five (5) years of experience managing quality, safety, infection prevention, or patient experience performance. Experience in continuous and project management improvement in complex hospital or patient care delivery systems preferred. Experience in leading large scale project design and implementation preferred.
In Lieu Of
In lieu of a Master's degree, a bachelor's degree in healthcare administration, nursing, business administration, or related field and five (5) additional years of experience may be considered.
Required Certifications, Registrations, Licenses
Certification related to quality, safety, infection prevention, or process improvement required or required within 12 months of hire (CPHQ, CPPS, SSGB, CIC). Six Sigma (Green Belt or Black Belt), Project Management Professional (PMP) certification preferred.
Knowledge, Skills and Abilities
Expert at building internal and external relationships, with a demonstrated history of working successfully in diverse disciplines and teams. Able think strategically and collaboratively develops a short- and long-term vision of improvement for patient care opportunities. Skilled at getting individuals, teams, and the facility to implement changes successfully. Industry knowledge. Remains current with healthcare trends, regulatory guidelines, improvement methodologies, payer programs and changing healthcare landscape. Ability to lead through influence, implement just culture, and create psychological safety. Able to provide oversight and on-going performance monitoring and improvement action planning on quality metrics. Demonstrates ability to effectively execute performance improvement methodologies/tools and manage multiple improvement projects, while coaching others. Basic computer skills with proficiency in word processing, spreadsheets, Visio, PowerPoint, Excel, and databases.
Work Shift Day (United States of America)
Location Parkridge
Facility 7001 Corporate
Department 70019264 Clinical Care Experience - Quality
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Prisma Health
Sep 18, 2024