Director of Quality
Company: Air Combat Effectiveness Consulting Group, LLC
Location: Daly City
Posted on: January 9, 2022
Posted Date 6 months ago (3/31/2021 6:55 PM) Requisition ID
req10540 Facility Seton Medical Center # of Openings 1 Shift Days
Category Nursing Administration Position Type Regular Full-Time
Overview JOB SUMMARY:
The Director of Quality is responsible for directing all
hospital-wide Quality, Infection Control, Performance Improvement,
and Risk Management activities in accordance with external
regulatory agency requirements, accepted standards of care, and
internal standards for patient care delivery as directed by
hospital leadership, in order to enhance quality of patient care,
increase efficiency and minimize risk. Responsibilities Performance
--- Provides oversight of implementation of the Performance
Improvement Plan, the Utilization Management Plan, Infection
Control and the Risk Management Program.
--- Coordinates regulatory compliance activities including Joint
Commission, DHS and CMS requirements.
--- Analyzes and interprets data communicating trends and issues to
--- Identifies events necessitating Root Cause Analysis and leads
the facilitation of the RCA process.
--- Directs the Patient Safety activities through the Patient
Safety Committee and assists with issue resolution.
--- Provides leadership to the Hospital PI Council, the Medical
Staff PI Council and Joint Commission Committees.
--- Provides oversight for risk management activities and
--- Analyzes and presents quality, and risk management reports.
--- Provides education and communication related to quality, and
risk management activities to all areas of the hospital. Develops
educational materials as appropriate.
--- Represents Facility system-wide activities involving Quality,
Infection Control and Risk Management.
--- Hires, supervises and evaluates managers for Quality, Infection
Control and Risk Management.
--- Establishment of strong relationship with the medical staff
through participation at key medical staff committees. The
incumbent should also demonstrate visibility, accessibility and
willingness to listen to and follow up on physician concerns and
suggestions. Quality Management
--- Assist with development of Performance Improvement Project in
each area of responsibility. Assists in the review & analysis of
results. Supports action plans developed from analysis.
--- Prepares reports for Executives and the Board of Directors as
needed. Fiscal Accountability/Productivity
In collaboration with Supervisor:
--- Analyzes statistics and takes appropriate action as
--- Implements cost containment measures when applicable.
--- Implement revenue enhancement ideas through new occupational
health accounts, charge capture, and/or new services.
--- Demonstrates effective time management. Regulatory
--- Monitors compliance with all applicable external agency
--- Ensures compliance with all personnel to safety standards,
Hazardous Materials Management program, Universal Precautions, and
Infection Control. Human Resource Management
--- Demonstrates sound management and leadership principles.
--- Promotes associate growth and development through effective use
--- Uses effective interviewing skills to hire qualified and
--- Demonstrates awareness of and ability to apply knowledge of
current developments in healthcare.
--- Ensure Values are reflected in carrying out the duties and
responsibilities of the position.
--- Participate in professional organizations and activities.
--- Flexes staffing based on the needs of the Medical Center.
--- Maintains budget and productivity accountability.
--- Implements mechanisms to maintain financial viability of areas
of responsibility. Accountability
--- Maintains confidentiality of all patient and hospital related
communications, documents, and records.
--- Maintains clinical and management skills and expands knowledge
base through participating in conferences and seminars.
--- Performs required duties in accordance with prescribed hospital
policies and procedures.
--- Maintains an awareness of Hazardous Materials and is compliant
with safety and infection control policies.
--- In accordance with the mission and philosophy of the Facility,
performs work consistent with the standards of Facility, the
community, and regulatory agencies.
--- Maintains a positive attendance record and is prompt in
reporting to work.
--- Assesses personal learning needs and utilizes available
resources in self development including new equipment/products used
in performance of job.
--- Demonstrates active listening skills and treats all contacts
with dignity and respect.
--- Accomplishes objectives within prescribed time frames by
prioritizing and organizing workload. Qualifications Job
Requirements Minimum Education
--- A minimum of a bachelor's degree (Masters Degree in a
Healthcare curriculum preferred). Minimum Work Experience
--- Must have minimum of two year's experience in an acute care
hospital; one year of supervisory experience. Required - preferred
--- CPHQ certification preferred. Required Skills, Knowledge, and
--- Must be knowledgeable regarding JCAHO and governmental
--- Must have expertise in JCAHO survey preparation and
--- Must have a high level of written, verbal and interpersonal
--- Proficient in basic computer skills and understanding of
various operating systems. (i.e., MS Windows, Outlook, Word, Excel,
PowerPoint) Hospital Description AHMC- Seton Medical Center has a
long tradition of providing patient-centered, quality care and a
commitment to clinical excellence and our community. Founded in
1893, the 357-bed medical center now serves 1.5 million residents
of San Francisco and northern San Mateo County with comprehensive
inpatient and outpatient medical specialties, as well as emergency
and urgent care services. Its sister facility, Seton Coastside, is
a 116-bed skilled nursing complex offering inpatient care and the
only 24-hour standby Emergency Department on the Pacific Coast
between Daly City and Santa Cruz. We pride ourselves on improving
the health and well-being of our patients, community, and
populations, we serve with high quality community partnerships, and
continuous innovation to our health care delivery system and this
is why we need caring, committed people on our team - like you.
Join us on our mission to deliver the safest and highest quality
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Keywords: Air Combat Effectiveness Consulting Group, LLC, Daly City , Director of Quality, Executive , Daly City, California
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