To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: planning, directing, implementing and coordinating the quality improvement processes and goals for the facility. The manager is accountable on a 24-hour basis for enhancing performance, ensuring improvements sustained, and maintaining a continuous awareness of patient safety and compliance with accrediting bodies and regulatory agencies.
The manager works closely and effectively with all members of the Quality and Outcomes Management team, as well as the Leadership team in order to enhance performance and ensure that improvements are sustained
Sponsors professional growth and development among direct reports and creates a succession plan consistent with HRMC needs.
Provides resources, support and information to department directors and clinical leaders via timely responses to requests. Attends the Corporate Patient Safety meetings, makes recommendations for improvement and distributes information, plans of action and oversees the ongoing improvements by overseeing the data collection and assessment of the changes made.
Guides Quality improvement activities and supports the annual strategies for the improvement of Patient Safety.
Oversees the FMEA process and reporting.
Supports medical staff quality initiatives and guides performance improvement within the Peer Review guidelines set forth by Medical Staff Bylaws and the accreditation standards.
Provides direct guidance and support for the facility's quality initiatives in line with the corporate strategies and external quality resources and national bench mark data.
Responsible for the facility's Performance Improvement Plan
Provides direct guidance and support to the hospital based and medical staff quality committees, and other committees as needed.
Plans and coordinates regulatory compliance initiatives with accrediting bodies as appropriate.
Leads facility preparation for The Joint Commission survey in coordination with senior leadership.
Overall coordination and integration with other departments that have a direct relationship to quality processes and strategies.
Guides quality improvement and supports annual strategic and financial objectives of the facility and the corporation.
Oversees the Quality Improvement team methodology for the facility.
Acts as a resource for staff education.
Maintains specific understanding of clinical and quality applications and utilizes application methodology and reports for outcomes measurement. (MIDAS, Trendstar, HBOC, KBC)
Manages the flow of information into the Patient Safety Evaluation System (PSES) in accordance with Health First PSES.
Respects and assists all visitors and customer appropriately. Acts as a liaison between customers and the hospital within the auspices of the hospital Grievance Committee.
Prepares and manages operating, FTE and capital budget for the department.
Coordinates Quality and Outcomes Department resources.
Interviews, hires and disciplines associates using established Human Resource Policies.
Plans department coverage and coordinates the utilization of associates.
Completes associate reviews using Human Resource Policies.
Currently licensed to practice in the state of Florida per related field
BS or BA degree and management courses required
Master's degree preferred
Minimum two year experience with clinical information systems
Must have demonstrated leadership skills
Demonstrated strong interpersonal, business writing and presentation skills
Computer skills mandatory for software applications and clinical systems, databases and hospital
based systems; formal training or certifications preferred
Understanding of accreditation requirements and experience successfully guiding standards