Director of Quality/Patient Safety

Position Title

Director of Quality/Patient Safety

Purpose & Scope

The Director of Quality/Patient Safety reports to the Associate Vice President and will lead all activities designed to support Quality, clinical excellence, clinical improvement initiatives, and Patient Safety Goals throughout the system. This individual will:

• Utilizes quality concepts and team facilitation skills to lead clinical improvement initiatives.
• Monitors the status of patient safety, Core Measures, and relevant clinical processes and outcomes.
• Strong healthcare background.
• The Director is responsible for planning, implementing, and coordinating all activities designed to ensure regulatory compliance and continuously maintain accreditation standards.
• Serves as an internal expert and resource regarding accreditation standards and regulatory compliance.
• Provide leadership for all Joint Commission and regulatory reviews.

Education

Bachelor's degree in Nursing, Pharmacy, Physical Therapy, Occupational Therapy, or other similar clinical degree is required.

Master's degree in an approved related field is preferred.

Experience

Five years of healthcare/medical - nursing/patient care experience is required.

Three years of managerial experience is required.

Certification/Licensure

Certified Professional in Healthcare Quality (CPHQ) is preferred

Lean/Six Sigma certification is preferred