Regional Director Quality Management
CHRISTUS Trinity Mother Frances
Quality and Risk Management
CHRISTUS Mother Frances Hospital Tyler
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Strategic oversight of all clinical leaders in the Regional Group ensuring deployment of organizational strategy. The Regional Director of Quality Assurance is responsible for ensuring that patient care is delivered within the framework of evidence-based practice throughout the health system continuum and for understanding existing and emerging requirements in healthcare quality, safety, service/experience and operational improvements. The Regional Group is defined as CHRISTUS Trinity Mother Frances Hospital Tyler, CHRISTUS Trinity Mother Frances Hospital Jacksonville & CHRISTUS Trinity Clinic Hospital outpatient settings. The Regional Director of Quality management is responsible for researching and recommending the annual quality management objectives. Facilitates medical staff and other committee meetings that are conducting quality and peer review activities. Directs the daily activities of the Quality Management Department and its staff responsible for the region. The Quality Management Department consists of quality, infection prevention, regulatory, risk management and patient safety. Designs the measurement techniques, audits and data reports which evaluate the attainment of the quality objectives of the hospital, region, and system. Educates the hospital and medical staff on matters related to quality. The Regional Director of Quality Management oversees and coordinates the process of regulatory accreditation including preparing and monitoring the hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety. In collaboration with CHRISTUS Health & CHRISTUS Hospital Senior leaders, facility leaders & physicians, he/she collaborates with other leaders to develop the strategic direction for the overall delivery of high quality patient care across the continuum of health care service specifically related to improving organizational performance. This position is responsible for the design, implementation, tracking, and reporting of clinical quality of care and patient safety efforts in alignment with the corporate strategies for performance improvement.
•Provides expertise in quality management for inpatient and hospital outpatient department delivery settings.
•Works collaboratively with Chief Medical Officer and Chief Nursing Officer on quality management initiatives.
•Provides leadership and expertise for integrating CHRISTUS multidisciplinary activities into quality management processes that include utilization of national benchmarks, internal goals and local targets.
•Works collaboratively in a team environment to promote patient quality of care and safety.
•Oversees continual compliance readiness with regional leadership in providing Joint Commission and other accrediting or licensing body reviews and education.
•Provides oversight for the facilitation of the Quality Council, Infection Control Council, and the Patient Safety Council.
•Leads the Quality Management Committee for areas oversight
•Bachelor’s degree in Health Care Administration, Nursing or a relevant clinical discipline with evidence of additional training in Quality required. BSN preferred.
•Master’s degree in Nursing or other healthcare related profession strongly preferred.
•Language Ability: Excellent communication skills. Ability to write reports, business correspondence, and policy and procedure manuals. Ability to effectively present information to Associates, Executive Leadership, Committees and the Board. •Reasoning Ability: Ability to use critical thinking skills to solve problems.
•Computer Skills: Must be proficient in use of Microsoft Excel, Word, PowerPoint, and the Internet.
•Current Certified Professional in Health Care Quality (CPHQ) required
•Current Texas license in a relevant clinical discipline is required.
· CPHQ- Certified Professional in Healthcare Quality (required)
· CJCP- Certified Joint Commission Professional
· CPPS- Certified Patient Safety Professional
· CIC- Certified in Infection Prevention and Control
· 10 + years in Healthcare quality leadership
· Must have strong communication, team building skills
· Ability to build and transform quality culture in a complex healthcare organization
· Strong knowledge and experience in quality, regulatory, patient safety, HRO principles, infection prevention, and change management