Group Director of Quality
Listed on 2026-01-29
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Healthcare
Healthcare Management, Healthcare Administration -
Management
Healthcare Management
PURPOSE STATEMENT:
The Group Quality Director is responsible for ensuring patient safety and superior quality of care as measured by survey readiness, treatment program fidelity, and compliance with state and federal laws and regulations and accreditation standards. As such, the Group Quality Director is responsible for providing expert guidance and advice on all aspects of policy development; clinical protocol and program implementation; critical incident reporting;
regulatory engagement, including development and submission of plans of correction; certification achievement and maintenance; quality assurance and process improvement initiatives; and on-going regulatory readiness strategies to the Division Quality Director to support all assigned Acadia facilities. Through routine physical presence, remote data and documentation monitoring, and intentional sharing of deep subject-matter expertise, the Group Quality Director will ensure a proactive focus on quality and excellence within the assigned facilities.
ESSENTIAL FUNCTIONS:
- Support and teach Division Quality Directors and facility leadership to sustainably implement best-practices in regulatory/accreditation compliance as evidenced by measurable results in assigned facilities. Measurements include but are not limited to: survey outcomes, patient safety metrics, patient experience results, HBIPS, etc.
- Ensure Division Quality Directors and facility Quality leaders develop and maintain proficiency in regulatory planning strategy for all standards for all relevant regulatory and accrediting bodies at the local, state, and federal levels for the assigned facilities and relevant territories.
- Oversee and ensure the timely development of corrective action plans for the resolution of areas of regulatory vulnerability or those which could compromise patient safety.
- Ensure proper facility reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
- Ensure proper facility reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required.
- Oversee and support communications with regulatory agencies as appropriate.
- Assist in the development of Performance Improvement practices at assigned facilities and maintenance of same including analysis of data and prioritization of efforts to improve survey readiness and consistency of care delivery using expected best-practices.
- Support Division Quality Directors and teach facility leadership best-practices in self-monitoring, auditing, and process improvement.
- Ensures effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
- Collaborates with Division, Group, and Corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level. Facilitates effective communication with facility and division leadership regarding key clinical performance improvement activities and initiatives.
- Serves as a technical advisor, educator and internal consultant to all hospital management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications.
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