Administrative Director Quality

Description

Introduction

We are seeking an Administrative Director of Quality with Transylvania Regional Hospital to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!

Benefits

Transylvania Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking an Administrative Director Quality for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!

Job Summary and Qualifications

The Director, Quality promotes high quality, patient-centered care by overseeing aspects of the Quality Management/ Patient Safety Program(s) and Performance Improvement programs across complex organizations (critical access hospitals, outpatient settings). The Director ensures the facilitation and utilization of diverse strategies and communication for quality and performance improvement, providing an integrated framework for monitoring, evaluating, and improving quality of care. The Director promotes performance improvement to drive care excellence and oversees the hospital regulatory and accreditation program.

Major Responsibilities:

• Drives facility-wide standardization in targeted process improvement initiatives and evaluates success through preestablished criteria and measurement tools. Manages project flow and alignment to ensure milestones and key performance indicators are met within defined parameters.
• Collaborates with all stakeholders to drive care excellence across a complex organization. Leads in strategy development for performance improvement through system thinking and safety science application.
• Develops and implements policies, procedures, and objectives. Reviews and updates the Quality Improvement Plan regularly. Develops, implements, and reviews goals, objectives, and priorities to ensure alignment with hospital strategic plans and compliance with federal, state, and local regulations and standards.
• Collaborates with facility leadership in the establishment of operational performance measurements and targets, as well as the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency. Leads and oversees the quality department with responsibility for care excellence, disease specific care, risk management, patient safety, and other aspects of performance improvement across the facility.
• Performs regular analysis of facility quality and risk performance data and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality.
• Ensures effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
• Administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
• Maintains oversight of Quality and PI software and reporting systems to meet internal and external reporting requirements and surveys. Assists with selection and installation of software applications.
• Coordinates with the medical staff office, when applicable, for processing and completeness of medical staff and advance practice professionals for appointment, reappointment, or privileges in accordance with Medical Staff Bylaws, Rules, and Regulations, and policies and procedures. Assist with focused and ongoing professional practice evaluation completeness, when applicable.
• Monitors completeness, accuracy, and validity of quality files on medical staff and advance practice professionals.
• Participates as an active member of peer review committees; analyzes cases and outcome data and collaborates with physicians to promote and improve practice and optimal patient outcomes.
• Develops and maintains strong, collaborative working relationships/partnerships with other key stakeholders, including infection prevention, nursing, patient safety, facilities, Medical Staff, etc.. Collaborates with division and corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level.
• 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.
• Provides orientation and ongoing education to staff regarding quality and patient safety initiatives; promotes competency, compliance, and performance improvement.
• Serves as the Patient Safety Director for event analysis, FMEA development, proactive safety activities to support development of a culture of transparency and safety science. Inclusive of hospital team members, medical staff, GME programs, as applicable, and senior leaders.
• Collaborates and leads activities of the Quality Committee of the Board in collaboration with facility leadership.
• Performs other duties as assigned.
• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

What qualifications you will need:

• Required Education: Bachelor’s degree in nursing or health-related field
• Preferred Education: Master’s degree in nursing or health-related field   
• Certified in Healthcare Quality and Management, or Certified Professional Healthcare Quality (CPHQ) must be obtained within 2 years of employment start date
• Required Experience:  1 years clinical experience in a healthcare setting;  2 years experience in healthcare quality/risk management;

Transylvania Regional Hospital is a full-service community hospital serving Transylvania and the surrounding counties. Located in Brevard, North Carolina, the hospital offers 90 beds, including more than 25 inpatient rooms and 10 transitional care unit rooms. Transylvania Regional Hospital offers comprehensive services representing a full spectrum of specialties, and has been named one of the Top 20 Critical Access Hospitals in the United States. Transylvania Regional Hospital, a member of Mission Health, is an operating division of HCA Healthcare.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Salary : $4 - $0