Regional Director Quality Management
Company: Christus Health
Location: Beaumont
Posted on: September 25, 2024
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Job Description:
Description
Summary: In collaboration with other clinical leaders in the
Regional Group, 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. 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 that 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, and the Board of Directors,
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. Responsibilities:
--- Meets expectations of the applicable OneCHRISTUS Competencies:
Leader of Self, Leader of Others, or Leader of Leaders. ---
Regional leaders are responsible for effectively collaborating with
local leadership teams to meet accountability measures including,
but not limited to, labor productivity standards, quality metrics,
associate engagement, and retention efforts, as well as service
level agreements to the consumer. --- Provides expertise in quality
management for inpatient and hospital outpatient department
delivery settings. --- Works collaboratively with the 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 the 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. --- Provides quality management reports to the
Quality Management Committee, a sub-committee of the Regional Board
of Directors. --- 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. --- Computer
Skills: Must be proficient in the use of Microsoft Excel, Word,
PowerPoint, and the Internet. Source: NAHQ Workforce Accelerator
Competency Framework 2022: Eight Domains--- Quality Leadership and
Integration- Advance the organization's commitment to health care
quality through collaboration, learning opportunities and
communication. Lead the integration of quality into the fabric of
the organization through a coordinated infrastructure to achieve
organizational objectives. Domain Level: Advanced. --- Performance
and Process Improvement- Use performance and process improvement
(PPI), project management and change management methods to support
operational and clinical quality initiatives, improved performance
and achieve organizational goals. Domain Level: Advanced. ---
Population Health and Care Transitions- Evaluates and improve
health care processes and care transitions to advance the
efficient, effective, and safe care of defined populations. Domain
Level: Proficient--- Health Data and Analytics- Leverage the
organizations analytic environment to help guide data-driven
decision-making and inform quality improvement initiatives. Domain
Level: Advanced--- Regulatory and Accreditation- Direct
organization wide processes for evaluating, monitoring, and
improving compliance with internal and external requirements. Lead
the organization's processes to prepare for, participate in, and
follow up on regulatory, accreditation and certification surveys
and activities. Domain Level: Advanced--- Patients Safety-
Cultivate a safe healthcare environment by promoting safe
practices, nurturing a just culture, and improving processes that
detect, mitigate, or prevent harm. Domain Level: Advanced---
Quality Review and Accountability- Direct activities that support
compliance with organization-wide voluntary, mandatory, and
contractual requirements for data acquisition, analysis, reporting,
and improvement. Domain Level: Advanced--- Professional Engagement-
Engage in the healthcare quality profession with a commitment to
practicing ethically, enhancing one's competence, and advancing the
field. Domain Level: Proficient Requirements: A. Education/Skills
Bachelor's degree in Health Care Administration, Nursing, or a
relevant clinical discipline with evidence of additional training
in Quality required. Master's degree in Nursing or other healthcare
related profession is strongly preferred. B. Experience 5 years of
experience in a strategic quality position in a complex healthcare
environment required C. Licenses, Registrations, or Certifications
Current Certified Professional in Health Care Quality (CPHQ)
required or actively seeking the certification within 1 year of
hire date. Current Texas license in a relevant clinical discipline
is required. Work Type: Full Time EEO is the law - click below for
more information: We endeavor to make this site accessible to any
and all users. If you would like to contact us regarding the
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application process, please contact us at .
Keywords: Christus Health, Lake Charles , Regional Director Quality Management, Executive , Beaumont, Louisiana
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