Director of Quality and Patient Safety
Location: Colorado Springs, CO 80907
Type: Direct Hire
Salary Range: 100K—180k
Must Haves:
- 5 years' experience in a clinical healthcare environment with a focus on quality and safety.
- Two years leadership experience.
- Experience in clinical operations, performance improvement regulatory compliance, patient safety (including HRO concepts), and data analysis
- Bachelors degree required
Plusses:
- Previous experience working in a large hospital system environment
Day to day:
Responsibilities
Summary:
Responsible for the design, coordination, implementation and management of the Organization's Performance Improvement (PI) and Patient Safety plans. Identifies opportunities for improved patient care and outcomes and reductions in harm, with the implementation of evidence-based practices. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization's operations and strategic direction.
Responsibility:
- Establishes performance improvement goals annually with relevant stakeholders. Ensures the Performance Improvement and Patient Safety plans and the hospital-focused projects for the year are implemented and their effectiveness is evaluated annually. Develops and implements processes and formats which support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff. Provides leadership in developing quality improvement and patient safety training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
- Oversees the events reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and coordination of legal documents related to hospital liability). Participates in system office initiatives and programs to mitigate risks in the facility which have been identified at other hospitals, resulting in reduced costs, adverse patient outcomes and ultimately safer patient practices and care.
- Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization's peer review program and ongoing and focused practitioner evaluation.
- Provides leadership and is responsible for accreditation and regulatory survey readiness. Oversees mock survey tracers to assess survey readiness. Provides education to staff and providers on regulatory compliance. Organizes required staff to develop responses to survey deficiencies and submits responses to the appropriate accreditation or regulatory agency.