Director of Quality/Patient Safety in Columbia, SC at Providence Health

Date Posted: 8/12/2019

Job Snapshot

Job Description

Providence Health

Founded as Providence Hospitals in 1938 by the Sisters of Charity of St. Augustine, Providence's two free standing full-service hospitals and numerous satellite practices maintain a true devotion to advanced clinical expertise and unmatched compassion. On February 2, 2016, Providence became part of the LifePoint Health network, and shortly thereafter, changed its name to Providence Health to better represent the full complement of its services. Driven by quality, compassion, and Christ, Providence treats the whole person- body, mind, and spirit.

Providence Health is currently looking for a Director of Quality/Patient Safety to join our management team. 

Position Overview

Director of Quality Management and Patient Safety is responsible for providing the education, coaching and leadership necessary to guide the hospital to achieve desired quality outcomes and meet TJC, DHEC, and national quality and safety standards. This position provides oversight of regulatory compliance and infection prevention and works closely with Risk Management and Medical Staff. Key responsibilities include all quality metric are abstracted, analyzed and presented to key stakeholders; assuring the organizational data for quality and compliance is submitted accurately and timely; leading patient safety initiatives and providing oversight of regulatory compliance. Reports to the VP Quality Operations.

Essential Functions

  • Provides direct oversight of the team in quality data abstraction and analysis.  Assure all deadlines are met.
  • Tracks performance on all quality metrics; communicate quality metrics results to appropriate stakeholders to facilitate improvements.
  • Compiles monthly Quality and Patient Safety Dashboards.  Collaborates with Patient Safety Officer to complete analysis.
  • Works closely with HSC Regional Director of Quality and Patient Safety in organizing presentations for monthly NQP and LifePoint Quality Oversight Committee
  • Facilitates preparation for regulatory surveys, HSC surveys and follow-up action plans if necessary.
  • Educates and assists Directors to maintain appropriate policies, procedures, and documentation to fulfill requirements and regulations.
  • Demonstrates current knowledge of regulations and standards of TJC, CMS and DHEC.  Remains current and notifies stakeholders of relevant changes.
  • Guides the development of the annual evaluation of Performance Improvement programs and plan for presentation and approval to Medical Staff, Senior Leadership, Quality and Patient Safety Committee of the Board and The Board of Trustees.
  • Assures the maintenance of all quality data bases, licenses and dues are current.


Job Requirements

Experience

  • Minimum of 8 years in Quality Management in an Acute CareHospital.  Minimum of 4 years inmanagement in performance improvement.
  • Demonstrated success at leading Performance ImprovementProjects and Regulatory Surveys.
  • Must possess strong analytical and data managementskills.

 

Education

Masters of Science in Nursing, Healthcare Administrationor Public Health

 

Required Licenses/Certifications

Certified Professional in Healthcare Quality (CPHQ) or inprocess of obtaining.

LEAN Green BeltCertification preferred and Black Belt a plus. PSO certification preferred. 
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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