Healthcare Director Quality Improvement

Healthcare Director of Quality Improvement opportunity for progressive healthcare organization

SUMMARY:

Responsible for directing development and administration of quality assessment and improvement programs for 17 facilities throughout Illinois. Lead Division effort to ensure effective implementation and integration of process improvement plans. Ensure overall compliance with regulations and standards governing licensure, contracts, funding sources, and accreditation. Responsible for effective and timely collection, analyses, and reporting of quality management data. Serve as resource and key contributor to variety of staff and organization components in identifying opportunities to enhance efficiency and processes, or resolve issues related to utilization, quality of care, process improvement, change, environment of care, delivery systems, records management, and so forth.

RESPONSIBILITIES:

• Direct and coordinate development and implementation of quality improvement programs to ensure effective integration of performance improvement programs; and to facilitate change, improve quality of care, and ensure effective resource utilization.
• Oversee administration of quality management of all treatment programs to ensure overall compliance with regulations and standards governing licensure, contracts, funding sources, and accreditation. Manages ongoing and special projects to ensure effective completion of scheduled reviews of performance measures.
• Work with each site to add their own quality measures and action plans in addition to the overall Division measures.
• Plan, organize and implement quality management processes, sampling systems, statistical techniques, and auditing methodologies to identify organization-wide or site-specific problems, and devise appropriate corrective interventions.
• Coordinate the Joint Commission accreditation efforts for the Community Services Division, including having current knowledge of the standards, helping to educate division managers about the standards, and performing readiness audits at all sites. Coordinate Joint Commission surveys and any corrective actions in response to surveys. In addition, performs required accreditation tasks such as the Focused Standards Assessment, response to complaints and sentinel events, and the FMEA process.
• Serve as resource and advocate to administration, clinical staff, and clients in responding to issues or conflicts related to compliance, utilization of services, insurance coverage, and quality of care. Reviews cases of noncompliance or deficiencies identified by staff analysts and approve recommended corrective actions.
• Oversee and direct assigned employees (3 direct reports) and manage and motivate their performance. In doing so, interview, hire, orient, train, assign work to, communicate performance expectation, evaluate the performance of, and, when necessary, discipline and discharge subordinate personnel.
• Periodically reviews QI team responsibilities to ensure they meet the needs of the Division and advancing the company’s fidelity to Evidence Based Practice.
• Work closely with Community Division leaders to ensure the QI team is well educated on quality documentation and can provide training at individual sites and to individual clinicians as warranted.
• Responsible, directly or through staff, for collecting, organizing, monitoring, and distributing any data (clinical, medical, or administrative), related to quality improvement objectives and results. Ensure accurate summary, analyses and presentation of data, and coordinate preparation and distribution of data reports to managers, executives, board, and external agencies.
• Serve as key contributor or leader to variety of organization committees and task forces concerned with issues related to quality of care, process improvement, facilitating change, environment of care, delivery systems, and so forth. Readily takes on assigned projects to further the work of the sites and the Division.
• Responsible for developing, securing approval of, facilitating, and administering department and organization-wide policies, procedures, and practices related to quality management, clinical practices, Joint Commission standards, and the functioning of the treatment center processes. Ensure approved policies and procedures are communicated to all employees and staff and administered consistently.
• Collaborate with various departments, contracting agencies, funding sources, and clinical staff in developing and implementing improved procedures and systems for process improvement or quality management; or to enhance collection, analyses and reporting of review and audit data.
• Develop quality management and related curriculum and provides training workshops and in-services programs for all levels of employees, as needed.
• Keep current regarding trends and developments in field by continuous self-education through reading or educational activities related to instructional design, health information management, and administrative and human resources management.
• SKILLS, EXPERIENCE, EDUCATION AND ABILITIES:
• 5-7 years’ progressive Leadership experience in Healthcare Quality Improvement.
• Bachelor’s Degree in health sciences, public administration, or related field.
• Knowledge of Joint Commission and health administration regulations and standards, health information management, and general administration and management principles.
• Experience in substance abuse treatment or mental health field required.
• Ability to plan and oversee department operations; develop and implement comprehensive programs and services to monitor and improve utilization and quality of services; develop and implement policies and procedures; collaborate with variety of staff and managers in facilitating improvements and change; and provide effective leadership and supervision of assigned employees.
• Organizational and analytical abilities necessary to oversee and organize the work of others; gather and evaluate quantitative and qualitative data; identify and monitor trends, variances, and performance outcomes; and initiate effective corrective actions or responses to ensure quality of services and program compliance.
• Advanced communication skills, both verbal and written, necessary to write clear and thorough policies, procedures and report and/or present audit findings and analyses to all levels of organization, governing bodies, regulators; work collaboratively with variety of managers, senior leaders, executives and staff in developing effective and comprehensive solutions to identified problems or deficiencies; and providing training and effective motivation and leadership to others.
• Ability to travel 20-25% throughout Illinois (day travel only)

REPORTING RELATIONSHIPS:

• Reports to the President of Community Division
• Responsible for leading and following up on the work of four to six professional employees.
• Exempt position

Generous Management Bonus and relocation reimbursement

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