Summary

The Director of Clinical Quality Improvement (DCQI), a key member of the hospital management team, is responsible for overall hospital quality / performance improvement and monitoring of the organization. The position ensures the provision of differentiated quality and safety, patient-focused, outcomes based, and cost-effective medicine in the hospital setting.

As such, the DCQI�s responsibilities will include, but are not limited to the following activities:

(a) Ensures processes are implemented to evaluate and identify opportunities for improvement in the provision of high

quality, safe and resource effective medical care to its patients,

(b) Implements Tenet�s Commitment to Quality initiative and assures goals are met,

(c) Ensures processes are in place to ensure compliance with Quality and Performance Improvement and as applicable

with Case Management / Utilization Management, Infection Control, Risk Management, Patient Safety, Peer Review,

Medical Staff and Accreditation functions,

(d) Monitors, in partnership with the medical staff, the measured outcomes of hospital clinical care activities, identifies

opportunities for improvement, and leads clinical improvement activities to improve those measured outcomes,

(e) Ensures documentation of the results of hospital wide, clinical quality activities,

(f) Ensures hospital compliance with accreditation, licensing and regulatory agencies.

Qualifications

-A Registered Professional Nurse (RN) degree preferred, with experience in quality / performance improvement and as applicable in case management and other related areas of responsibility, and / or;

-Requires a degree in a health related field (Bachelors, Masters or Doctorate) with 5 years of relevant hospital management experience, or;

-Other allied health professionals who have extensive hospital experience (> 7 years, or other pertinent credentials) in the area of responsibility will be considered.

-Demonstrated knowledge of Performance Improvement, Outcomes and Quality Management.

• As applicable, DCQI candidate also has demonstrated knowledge in the areas of Case Management, Utilization
• Management, Discharge Planning, Social Work, Medical Staff Services, Peer Review, Risk Management, Patient Safety, Infection Control Prevention and Reporting.
• Ability to interpret and process data in an analytical manner.
• Excellent communication (written and verbal) and presentation skills.
• Computer operational skills, understanding of statistics, spreadsheets and database systems.
• Current understanding of regulations as it relates to Joint Commission, State specific requirements, and Centers for Medicare & Medicaid Services (CMS).
• Demonstrated understanding of Quality Improvement Organization (QIO) guidelines and required processes.
• Demonstrated understanding of current trends in quality and other areas of responsibility as applicable.
• Ability to lead and coordinate activities of a diverse group of people.
• Ability to work with hospital team to motivate relevant constituencies to embrace change as required by Tenet�s Commitment to Quality and other clinical initiatives.

#LI-MP1