Director of Quality

Location:

Avera Sacred Heart Hospital

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Develops processes and systems that improve quality, productivity and operational efficiencies, including oversight for service excellence with emphasis on evidence based best practice models. Determines the most effective use of resources to ensure the highest level of quality, patient safety and patient/family experience. Responsible for assuring all phases of quality, patient safety and reporting are being addressed.

What you will do

• Oversees hospital performance improvements, quality outcomes, patient safety, risk management, medical staff support services, infection control and service excellence for region. Promotes and builds upon proactive data driven decision making and implementations for the betterment of our patients, residents, families and employees.
• Oversees all survey activities to ensure that the facility maintains accreditation and certification. This includes assisting with Joint Commission, state and federal survey oversight.
• Develops and implements medical staff quality improvement activities.
• Assures completion of quality related data entry, analysis and reporting.
• Oversees analysis of data, root cause analysis, plans for improvement, technical support to directors and/or managers, and re-measurement activities to assess performance improvement.
• Monitors quality performance indicators; prepares reports for quality oversight committees; develops vehicles to communicate performance to providers; and identifies clinical and administrative concerns for further investigation and analysis. Serves as a facilitator to guide improvement teams for continuous performance improvement and rapid cycle methodology such as PDCA cycles.
• Develops and manages communications with providers, government and accreditation organizations with respect to results of safety and quality projects/studies.
• Serves as content expert on patient experience for the region.
• Seeks and develops resources to assist leaders, providers and staff on their journey to service excellence. Work with leaders to ensure best practices are being consistently implemented and sustained.
• Provides education and best practices designed to elevate and maintain service outcomes.
• Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• Bachelor's Nursing
• Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire
• 3 years supervisory hospital clinical
• Management of complexities in data analysis and interpretation

Preferred Education, License/Certification, or Work Experience:

• Master's Nursing or related healthcare field

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Join