At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
The Quality Director is responsible for overseeing and administering the quality and performance improvement program and its functions which include but are not limited to safety, accreditation, infection prevention, and peer review for the facility, off-site departments, and additional areas as designated.
Essential Job Functions
Provides leadership for the development and implementation of the facility-wide quality and performance improvement plan and functions. Facilitates and supports the development and maintenance of a robust quality infrastructure to meet system quality objectives and regulatory standards.
Collaborates and acts as a resource to the facility and medical staff in the analysis and submission of data for evaluation to ensure compliance with accreditation and regulatory agencies, CMS Conditions of Participation, and payor requirements.
Collaborates with the clinicians, administration, medical staff, and department/services to assist in coordination, standardization, development of outcomes measures and continuity of quality improvement initiatives.
Facilitates the collection, aggregation, and analysis of quality indicator data to provide a basis for internal and external benchmarking.
Collaborates with the medical staff and organizational leadership to ensure review and improvement for quality issues through the peer review process and Ongoing Professional Practice Evaluation
Collaborates with the system and regional leadership to develop quality and patient safety initiatives designed to improve patient outcomes and eliminate harm. Identifies areas of potential risk and participates in organization-wide learning.
Evaluate the effectiveness of current processes and lead the team to strive for continual ongoing improvement.
Serves as a resource for all internal and external customers for the Quality and performance improvement program and its functions.
Collaborates with Risk Management, Patient Safety, and High Reliability leads, and Patient advocates to investigate, follow up, and create action plans for Serious Safety and adverse events, and patient complaints and grievances.
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REQUIRED:
4 year/Bachelor Degree - RN but will consider another clinical degree
Registered Nurse *will consider another clinical license
CPHQ or obtain within one year of hire.
MINIMUM of 5 years of Clinical Experience
PREFERRED :
Graduate Degree (Masters)
CPHQ or other Quality certification
Experience in Quality Improvement, accreditation, measurement
Experience in tools related to Operational Excellence such as PDSA
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
