Quality Director - Smilow

Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Directly reports to the Chief Quality Officer (CQO) and VP of Patient Services (VP) for Smilow Cancer Hospital. Works collaboratively with the Smilow leadership teams, medical staff leadership, YNHHS, YNHH, and delivery networks (DNs) quality and regulatory leadership, and other departments and disciplines. He/she has responsibility in collaboration with the CQO and VP in establishing direction, planning, implementation, and evaluation of Smilow?s clinical quality and safety infrastructures and processes. The director will identify priority outcome opportunities, coordinate the design and implementation of appropriate tools to measure and assess safety, quality and outcomes - including patient satisfaction. He/she will engage in performance improvement activities to elevate the quality of cancer care across the enterprise. This involves working to improve key processes, policies and procedures in a collaborative manner with stakeholders across the organization aligned with the mission, vision, values and strategic goals of the organization. He/she has responsibility to work with IFE and YNHHS performance management departments on performance improvement curriculum and staff education. He/she utilizes performance management and Six Sigma tools to achieve service line and hospital initiatives and goals. This work requires extensive knowledge, skills and expertise in change and performance management. This position will lead a diverse group of staff skilled in assisting the organization in achieving success in mission critical initiatives through project management, process improvement, consultation, facilitation and collaboration within Smilow and YNHH. The quality manager will be involved with mentoring of Smilow managers and staff regarding performance improvement, root cause analysis and implementation of HPI methodology.

EEO/AA/Disability/Veteran

Responsibilities

• 1. Under the direction of the CQO and VP, develops and manages PI Plan implementation (quality, safety, and patient experience):
• 1.1 Develops yearly PI plan with input from stakeholders and effectuates such plan over the course of the fiscal year.
• 2. Under the direction of the CQO and VP, leads the development of and manages Smilow?s Patient Safety/Quality Program:
• 2.1 Manages Smilow's Patient Safety and Quality committee
• 3. Under the direction of the CQO and VP of Patient Services for Smilow, oversees data reporting for performance management requirements to all regulatory and accrediting bodies
• 3.1 Facilitates and serves on various committees to assure regulatory and accrediting body readiness in terms of data collection, display, benchmarking and action planning for hospital accreditation and other programs such as COC, QOPI, C4QI, NCCN, Flatiron, Press Ganey/HCAHPs and Vizient.
• 4. Works collaboratively with multidisciplinary teams, and organizational units to create and maintain periodic reporting of key performance indicators (dashboards).
• 5. Oversees the Patient Safety/Quality Improvement coordinators and the Program coordinators. Directs their activity to achieve service line goals.
• 6. Serves as the main contact for assigning, directing and managing quality improvement, patient safety activities for Smilow
• 7. Works collaboratively with the leader for Nursing Education and Practice to coordinate enterprise rollout and training for all change management efforts.
• 8. Enhances knowledge in the field for clinical quality improvement, healthcare quality monitoring, federal and state regulatory guidelines, standards, and practices by attending meetings, visiting other sites, reading, reporting and disseminating relevant literature.
• 9. Represents Smilow quality externally at regional, state, and national platforms. Collaborates within these platforms, participates, and informs quality standards for cancer.
• 10. Engages with the health system in evaluation of value based care cancer models and other payor strategies specific to cancer.
• 11. Demonstrates high-level knowledge and skills in key behaviors that reflect expertise in communication, customer service orientation, professionalism, problem solving, resource management, results orientation, teamwork and cooperation, business and organizational expertise, leadership and managing performance.
• 12. Represents Smilow at hospital management meetings as a part of the leadership team.
• 13. Maintains an exceptional work environment through effective leadership, supervision, role modeling and communication.
• 14. Performs other assignments as required and /or directed by the Chief quality officer and/or VP of Patient Services for Smilow.

Qualifications

EDUCATION

Masters degree required (MSN, MBA, MPH or relevant degree will be considered).

EXPERIENCE

7-10 years of progressive experience in performance improvement, quality, safety, and/or accreditation experience with 5 years of progressive experience in leadership. Leadership experience at a complex organization with a focus on patient experience, quality of care, and a focus on safety.

SPECIAL SKILLS

Excellent interpersonal, communication and leadership skills. Ability to work collaboratively and independently; demonstrated personal maturity and good judgment. Expertise in data collection and process improvement techniques. Expert knowledge of information systems and external databases associated with accreditation and regulatory requirements for quality of care, treatment and service evaluation and public reporting. Trained in quality improvement frameworks such as Six Sigma, LEAN, PDSA, etc.