Project CQO

Community Health System Franklin , TN 37064

Posted 2 weeks ago

Community Health Systems ("CHSPSC, LLC") is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 100 hospitals in 20 states, with an aggregate of approximately 21,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a range of inpatient medical and surgical services, outpatient treatment and skilled nursing care. In over 60 percent of the markets served, CHS-affiliated hospitals are the sole provider of healthcare services.

CHSPSC, LLC seeks a Project CQO for its Franklin, TN, headquarters' Quality team.

Summary:
The Project Chief Quality Officer (CQO) shall act as an interim CQO for hospitals that have a CQO vacancy. This position reports to the CHS VP of Quality who may also request assistance for other corporate initiatives related to quality and credentialing. During a hospital assignment the Project CQO will also report to the assigned hospital's Chief Executive Officer.. The Project CQO will serve as an Interim CQO/Quality Director, managing various projects in the Corporate Quality Department as it relates to quality and medical staff credentialing. The Project CQO will also be responsible for training and development of newly hired CQO/Quality Directors. This individual will be required to travel and reside in the market's location for the duration of the interim assignment and may be asked to travel to other sites as assigned. This individual may also be requested to provide expertise and be a mentor to new site CQOs, or those needing assistance in enhancing department performance. All duties will be fulfilled consistent with the mission of Community Health Systems Professional Services Corporation, LLC.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Be able to conduct on-site and/or remote evaluation and support of quality management, regulatory/accreditation compliance, performance/managed care/quality and clinical outcomes improvement, patient safety and medical staff credentialing including peer review/FPPE/OPPE.

  • Establish follow-up mechanisms to assess progress towards implementation of goals and recommendations.

  • Set-up and maintain processes to identify, analyze and address variances in key performance indicators.

  • Analyze outcome data to identify opportunities for improvement. Guide an assigned organization to plan, implement, and evaluate the effectiveness of improvement efforts

  • Provide education, training and support as needed to an assigned organization in their evolution toward becoming a Highly Reliable Organizations through the implementation of highly reliable behaviors/practices/systems in the pursuit of zero patient harm and zero defects.

  • Assist with facility education programs and resource materials within the scope of their role/expertise.

  • Provide and coordinate orientation for new facility Quality Directors/Chief Quality Officers/Medical Staff Professionals.

  • Communicate relevant information regarding regulatory changes and other pertinent industry information to hospital leaders.

  • Coordinate efforts with other internal CHS support departments to support achievement of individual/ hospital/division/corporate goals.

  • Along with the CHS Survey Management Department, assist hospitals with survey preparations, attending surveys when necessary/requested, and assisting in survey response activities and implementation/evaluation of remedial/corrective/improvement actions.

  • Participate in other projects as requested.

  • Routinely communicate effectively with facility/division/CHS quality leaders on findings, priorities, results of improvement actions, barriers to improvement actions, recommendations for improvement, and other pertinent information.

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.

  • Minimum of five (5) years' experience in a CHS acute care facility and five (5) years in Quality Management.

  • Working knowledge of Quality Improvement principles and experience in oversight/management of quality management, performance/outcomes improvement, peer review, medical staff credentialing, and regulatory compliance including Joint Commission, CMS and State regulations.

  • Knowledge of patient safety/high reliability

  • Previous participation in the CHS Quality Director Orientation program within past 5 years

  • Demonstrated ability to develop and maintain strong working relationships with Executive Leaders, Medical Staff, Department Leaders, and Hospital Staff

  • Excellent communication (written and verbal) and interpersonal skills

  • Working knowledge of computer systems including Microsoft Office applications.

Reasoning Ability:

To perform this job successfully, an individual must be able to:

  • Define problems

  • Collect and interpret data by utilizing a variety of statistical tools and formats

  • Establish facts, draw valid conclusions and develop sound plans for improvement

Computer Skills:

To perform this job successfully, an individual should have knowledge of word processing, spreadsheet, and database software. The individual should also have skills (or obtain skills within a reasonable time) to support quality staff and other leaders in the use/troubleshooting of quality/operational software within the acute care setting (Examples: Event Reporting System, Premiers Quality Advisor and Clinician Performance Manager and MD-Staff Credentialing).

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Travel may well require long travel times (often greater than 4 hours).

  • Travel and other work activities will likely require the employee to frequently lift and transport objects (luggage, computer bags, training materials, manuals, etc.) up to 25 lbs or greater.

  • Typical work travel will generally be away from home will often span several weeks or more outside the employee's immediate home area.

  • Employee must be able to travel independently for frequent/extensive business travel.

  • The employee will be frequently exposed to public (airports/hotels/etc.) as well as healthcare environments.

Certificates and Licenses:

  • Nursing (RN or BS) degree or other clinical degree/licensure

  • Greater than two year's current experience in Healthcare Quality, Patient Safety, and/or Regulatory/Accreditation Readiness.

  • CPHQ/other Certifications and/or advance degrees considered, but optional.

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Project CQO

Community Health System