The role of the Quality Manager is to work closely with hospital leadership and teams to develop clinical improvement strategies and improve clinical performance outcomes. By leveraging data-driven decision-making, this position will help enhance clinical outcome, operational efficiencies, and patient satisfaction. Through collaboration, communication, and a commitment to learning, the Quality Manager will integrate quality into the organization's fabric to achieve its objectives. The position requires accountability, competency, innovation, collaboration, compassion, and respect to create the best possible outcomes with exceptional patient experiences.

Essential Responsibilities:

• Provides leadership for the development and implementation of a quality infrastructure to achieve quality objectives.
  • Lead, develop, coach, and effectively manage the team of professionals to ensure deliverables and performance metrics are met. Develop team to accomplish results through training, development, performance management and recognition.
  • Utilize performance and process improvement, project management and change management methodologies to support operational and clinical quality initiatives.
  • Leverage the organizations analytic environment to help guide data driven decision making and inform quality improvement initiatives
  • Cultivate a safe healthcare environment by prompting safe practices, nurturing a just culture and improving processes that detect, mitigate, or prevent harm
• Promotes a culture of continuous improvement through the coaching and mentorship guidance of best practices.
  • Coach, mentor, and support process improvement teamsto achieve nation-leading quality and patient safety performance.
  • Lead teams/projects and utilizing quality improvement principles and methodologies.
  • Establish strong team relationships building trust and open communication regarding quality and patient safety issues and results.
• Promotes a culture of continuous improvement through collaboration with providers, staff, and hospital leadership to ensure quality patient care.
  • Support strategic goals and development of KPIs to contribute to the success of the organization.
  • Collaborate and partner with leaders, providers, staff, Patient Safety, Performance Management and Innovation, and Operations to address quality and safety care issues.
  • Communicate and network with key teams to develop process improvements in the quality and safety domains.
  • Collaborate with internal teams to improve on publicly reported measures including Leapfrog, Joint Commission, CMS Hospital Star ratings and other benchmarking databases; act as a thought leader around how to leverage analytics and leverage for quality improvement initiatives.

Daily

• Attend daily tiered huddles, share prioritized KPI's and relevant quality information
• Review patient safety events (RLs) daily collaborate with Patient Safety partners to identify trends
• Communicate with leaders and Patient Safety partners on significant safety events

Weekly

• Attend weekly clinical improvement meeting with site-based leaders & unit directors
• Attend RCA's and partner with Patient Safety for identified trends needing QI
• Investigate evidence-based practice
• Organizes data and analytics for site-based improvements
• Prepare & collate data, create team meeting agendas, and relevant improvement materials
• Lead prioritized project providing detailed project plans & progress reports
• Lead & provides oversight of PSI/PDI & Mortality Improvement teams
  • Assign reviews
  • Lead collaborative review process
  • Track outcomes and trend opportunity for unable to exclude cases
  • Develop qi on prioritize metrics
  • Communicates to key stakeholders developing dashboards/scorecards

Monthly

• Attend & present Quality Improvement update with site-based leaders
• Attend & present Quality improvement updates at nursing leadership meetings
• Meet with department leaders to explore improvement opportunities identified through registries/databases
• Facilitates monthly quality committee highlighting organizational KPIs, patient safety trends, and quality improvement efforts
• Prepares agenda, meeting minutes for development team meetings & develops implements plans to execute on
• Participates in development of on action planning efforts for regulatory bodies

Quarterly/ Annually

• Partners with site-based leaders to develop Quality strategy

• Collaborate with site-based leadership teams (executive leaders, acmo's) to determine opportunities & to prioritize project work and resources.
• Meet with Quality Data & Analytics team to review registry & database insights
• Review quality reports and utilize quality databases/programs to inform investigation. Partners with key stakeholders to identify key drivers

Minimum Qualifications:

Education:

• Bachelor's Degree required in Healthcare or Business Administration, Nursing, Public Health, or a related field.

Experience:

• 3 or more years in quality management professional work experience, with preferred min of 2 years in leading performance improvement.

License(s)/Certification(s)/Registration(s) Required:

• Lean Six Sigma Certification preferred or equivalent.

Knowledge, Skills and Abilities:

• Ability to effectively build and manage teams with multiple high priority deliverables and ability to effectively manage competing stakeholder priorities.
• Result-oriented change leader, effective business systems thinker with strong track record of improving quality outcomes.
• Thorough knowledge of hospital systems and processes
• Knowledge of quality improvement principles and practices, patient safety concepts.
• Knowledge of the requirements of regulatory agencies, public reporting and quality payment programs.
• Ability to analyze data and information to formulate improvement strategies for clinical care, quality, and outcomes.
• Strong written and verbal communication skills with ability to prepare and present reports.
• Excellent computer and data analysis skills.