Dir- Quality Cad/mayo/svh at Northern Light Health

Overview

The compensation range listed reflects the range Northern Light Health anticipates relying on in setting the wages for the position. The range may not necessarily include all additional compensation elements available, such as differentials, incentive programs and

Benefits

• . Northern Light Health Department: Quality Management Position is located: Mayo Hospital Work Type: Full Time Hours Per Week: 40.00 Work

Schedule

No Hours Assigned Salary Range : $ 43.46 - $67.15 Exempt: Yes

Summary

The Director, Quality is responsible for leading the development, execution, and oversight of the quality strategy at Hospital. The position has oversight of patient experience, patient safety, risk management, and medical staff quality. This position will identify and implement quality and process improvement initiatives to achieve clinical excellence and patient experience goals for the organization working closely with the executive team, all nursing, physician and operational leaders and other key stakeholders to develop and implement effective change management strategies.

The Director is responsible for maintaining a culture of positive communication and cooperation between physicians, advance practice practitioners, nursing, and other staff to ensure achievement of shared objectives. This role will report to the Chief Quality & Patient Safety Officer with matrix reporting to the Senior Physician Executive for Hospital.

Responsibilities

• Proficient in coordinating and managing reporting of CMS Core Measures, NHSN, CAHPS, Leapfrog, commercial payor quality programs and other quality metrics as needed.
• Lead improvement initiatives and direct the day-to-day execution of the strategies and tactics necessary to successfully improve patient safety and quality improvement outcomes and established goals for the organization.
• Monitor and maintain hospital-wide quality & patient safety program to include development of improvement plans, data collection, aggregating and analyzing data, maintaining policies and procedures, and reporting to executive leadership, Medical Staff, and the Board.
• Develop a comprehensive patient safety plan for the organization; monitor and identify trends; develop and implement mitigation plans in partnership with key stakeholders.
• Provide expertise and knowledge for administration, staff, and physicians in the areas of regulatory, process improvement, performance monitoring, and statistical analysis.
• Coordinate with Medical Staff Office the management and support of physician peer review processes by ensuring the collection and analysis of data for provider FPPE/OPPE, peer review, and department quality metrics.
• Participate in nursing and physician peer review processes and chart reviews, as needed.
• Provide recommendations to leadership based on patient safety and risk data for development of key performance indicators to evaluate and improve quality, clinical excellence, and patient experience for the organization.
• Use data from internal and external resources appropriately to develop overall goals for organizational quality program.
• Implement strategies to advance the organization towards high reliability and zero preventable patient harm.
• Has expert knowledge of value-based quality programs, risk-based payor contracts, prospective payment hospitals and value-based modifiers for hospital and ambulatory practices.
• Manage departmental budget, leading cost efficient and effective operations, and create plan of correction for expense variation.
• Maintain required competencies for self and all employees within the department.
• Complete annual performance evaluation for self and employees and implement plans of correction when needed.

Other Information

Process Improvement certification preferred. Healthcare Quality Certification (CPPS, CPHQ, CPXP, CPHRM) preferred. Active RN license in Maine preferred. 5 – 7 years of professional experience required. 3 – 5 years of progressive management experience required.

License or certification as required by discipline. Must be knowledgeable about Quality, Risk, and Patient Safety, and performance management and improvement. Knowledge of The Joint Commission and state regulatory standards is required.

Candidate must demonstrate strong leadership and employee engagement skills. Competencies and Skills Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives.