Posting Department The Administrative Director for Quality Services is responsible for the planning and execution of YRMC's overall Quality and Performance Improvement activities hospital-wide (including outpatient departments) . He/she will have oversight of Infection Prevention, Medical Staff and Nursing Peer Review, Clinical Documentation Improvement Management, Quality Measure collection, abstraction and submission, and strategic initiatives to achieve the highest quality, satisfaction and safety of care for our patients with the goal of national recognition in these areas. He/She will assure collaboration and cooperation between Quality, Risk, Safety and Utilization Management functions. This position reports to the Chief Nursing Officer with direct reports. Excellent oral and written communication skills, computer literacy and diplomacy are essential. Requires ability to analyze and present data in a clear and logical manner. Provides education to medical staff, hospital staff and Governing Board around quality initiatives. Also essential is significant performance and quality improvement experience using various models, in particular Lean and Six Sigma. Familiarity and experience with Critical Event Review, Root Cause Analysis and Failure Mode Effect Analysis is highly desirable. Competency with MIDAS data collection and aggregation system is preferred.
Posting Department Quality Services
Posting Department Description The overall goal of the Quality Service Department is to support the mission of the Hospital through quality measurement and performance activities using, in particular, Six Sigma Methodology, in order to promote and maintain comprehensive quality care and safety for patients and the community. This is currently accomplished through continuous measurement and assessment of organizational issues, concerns or areas that directly or indirectly impact patient care or Hospital processes. The Quality Services staff provides data collection, analysis, development and consultation for quality and performance issues. Successful implementation of the best practice guidelines contained within Core Measure data sets is an important goal of the department and two data abstractors are members of the staff to assist in this process. Regulatory Compliance coordinates and ensures Yuma Regional Medical Center's compliance with the regulations and standards of local, state and federal agencies and accrediting organizations. Our current accreditation is through the Joint Commission on Accreditation of Healthcare Organizations. The Infection Control program goals are outlined in the Infection Control Program Plan. The Infection Control Coordinator functions in an advisory/consultant role to all departments throughout the Hospital. Patient Safety is an essential component of all that we do within Yuma Regional Medical Center. To that end, attaining and maintaining the Patient Safety Goals of the Institute for Healthcare Improvement is an expectation of Yuma Regional Medical Center.
Area of Interest Management Start Date Open Until Filled Work Week Mon-Fri Daily Hours 8 Bi-Weekly Hours 80 External Education RN and Bachelor's degree in Nursing or health related field. Education Preferred: Masters of Science in Health Related Field. Certified Professional in Healthcare Quality (CPHQ). External Experience 3 - 5 years management experience in Performance Improvement or Quality Management activities in an acute care setting with proven success. Computer proficiency (must be able to pass computer proficiency assessment) Experience Preferred: 5+ years of experience in Quality Management leadership role with proven success. Experience with EPIC Electronic Health Record or similar electronic record systems. Requires Call No Relocation Yes