System Director of Quality and Performance Improvement

Overview

The System Director of Quality and Performance Improvement reports to the Vice President of Quality and Clinical Excellence and will assist in planning and execution of the organization’s journey to high reliability and a zero-harm culture to realize exceptional outcomes for our patients. This leader will help shape and execute the quality assurance and performance improvement plan. They will support clinical departments and hospitals across the system in evaluating outcomes to support improvements in objectives around standardization and utilization.

She/He will perform a key leadership role in the development of an organization-wide culture of safety and quality improvement, informing the evaluation and implementation of performance improvement (PI) models, assessing PI education needs, linking PI activities and data with strategic goals. She/He will oversee the database system management utilized to abstract, analyze and report national quality measure outcomes to regulatory agencies and quality improvement benchmarking platforms.

• Incorporates ARH’s vision, missions and values in goals and programs within Quality and Performance Improvement.
• Interprets impact of broad scope organizational change for staff and develops change strategies for successful implementation.
• Develops and manages operational initiatives with measurable outcomes.
• Formulates objectives, goals and strategies collaboratively with other stakeholders.
• Prepares and delivers reports to operational leadership outlining progress toward meeting annual goals and objectives, including performance related to clinical activity, quality, and safety.
• Manage and direct all activities within area of responsibility.
• Continually assesses all services, identifies problems, utilizes data to analyze and propose innovative approaches for solutions.
• Maintain records related to operations and services that are complete, accurate, available, and in compliance with all legal, regulatory, and policy requirements.
• Engages staff and other stakeholders in continuous improvement of systems and processes; manages resources for staff participation in improvement work activities.
• Ensures effective facilitation of improvement teams and development of leadership skills to ensure overall effectiveness of the meetings.
• Organizes and prioritizes time and resources to manage efficiency.
• Remains current of new trends and best practices and incorporates into Quality – Patient Safety practices and programs.
• Articulates and enforces standards for quality and performance improvement in the delivery of exceptional patient care.
• Develops and implements innovative systems and processes that improve staff and patient quality and safety.
• Demonstrates achievable and measurable results and develop action plans for improvement.
• Initiates, monitors and enforces regulatory requirements.
• Holds self and others accountable to policy, standards and commitments and provides timely follow-through on questions and concerns.
• Ensures development of Quality and Performance Improvement initiatives to improve patient satisfaction and family centered care.
• Develops and implements clinical outcome measures for quality improvement, cost and complication reduction, and the implementation of evidence-based practice.
• Incorporates the use of evidence-based practice and appreciative enquiry into program development and improvement activities.
• Actively listens to staff ideas and concerns, assesses others communication styles and adapts to them.
• Effectively facilitates Quality meetings at the system, local and organizational level.
• Creates bi-directional systems that effectively communicate information and data, utilizing multiple methods.
• Articulates and presents data, information and ideas in a clear and concise manner.
• Communicates opinions and ideas in a non-threatening and nonjudgmental manner to staff, peers and others.
• Communicates with physicians, department leaders, and senior administrators to maintain coordination with other ARH programs.
• Demonstrates empathy and concern while ensuring Quality goals are met.
• Manages complex interdepartmental and interdisciplinary relationships to…