We have an immediate opportunity for Director of Quality Management.

General Summary: The Director of Quality Management (DQM) provides operational and strategic leadership to support the LifeCare mission of providing superior specialized critical care. The Director works collaboratively with senior leadership, physicians, all departments and managers to develop the hospital’s quality and safety program and to ensure regulatory compliance and accreditation. The DQM directs and/or performs the departmental functions of all quality management services in the hospital including Risk Management, Performance Improvement, Medical Staff Credentialing, Patient Safety, Infection Control and the hospital compliance program. The DQM works in collaboration with the Infection Control Nurse. The Director Quality Management develops and implements the hospital Performance Improvement Program through an ongoing program that objectively and systematically monitors, measures and evaluates the quality and appropriateness of patient care, pursues opportunities to improve patient care, and assists in the resolution of problems that are identified. The Director Quality Management is actively involved in department activities, transdisciplinary team activities, and LifeCare activities to ensure individualized, patient- centered health care for all patient populations admitted to LifeCare Hospital.

Patient Population: Has contact with patients in a clinical setting; understands and demonstrates appropriate behavior when interacting with patients in the adult (18-65 years of age) and geriatric (65 and older) populations.

Essential Functions:

• Collaborates with hospital and physician leaders to develop, and implement the organization’s quality and patient safety plan.
• Coordinate the process of monitoring, measuring, and assessment of patient care and support of systems to achieve high quality, safe, cost effective healthcare services.
• Coordinate and oversee hospital Quality Improvement Plan development, review, revision, and implementation.
• Coordinate and integrate QI plans and processes for individual services.
• Organizes, coordinates and attends all hospital, governing board, quality, and Medical Staff committee meetings and participates in all pertinent hospital committee meetings where monitoring functions and activities are performed.
• Serve as a resource for Medical Staff and internal services on quality improvement activities, education, and use of quality principles and tools.
• Facilitates, develops, and implement special projects as assigned by the CEO and CCO
• Oversees regulatory readiness, quality measurement, holding staff and departments accountable for achieving performance goals.
• Establishes quality measurement and improvement activities, including methods to track implementation of action plans following site surveys and critical events reviews.
• Oversees reporting and communication of quality improvement initiatives, quality and patient safety awareness, safety culture survey administration, and recognition programs.
• Coordinates and reports Medical Staff Quality Assurance/Improvement activities.
• Coordinates and manages Core Measures reporting and other functions.
• Facilitate CQI teams as requested. Facilitate planning sessions as requested.
• Teaches quality and patient safety concepts to clinicians and other staff during orientation and in various educational settings.
• Leads the root cause analyses and failure modes and effects analyses and debriefings.
• Promotes a culture of safety, high-reliability, patient and staff engagement, and performance excellence.
• Evaluates, and maintains quality dashboards and performance metrics.
• Maintains current competency and expertise in quality and patient safety.
• Performs other duties as assigned.

Supervision: Directs the functions and the staff of the Quality Management department.

Experience: Five to seven years of relevant acute-care hospital experience in quality, patient safety, regulator accreditation, and performance improvement. Previous management experience and working knowledge of standards compliance for regulatory agencies: The Joint Commission, the State and all oversight agencies.

Education: Bachelor’s degree, Masters preferred or actively matriculating toward.

Licensure/Certification: Current Registered Nurse license in state where currently practicing. Certified Professional in Healthcare Quality (CPHQ) preferred. All Directors of Quality Management must maintain current licensure while employed with LifeCare Hospitals.