The Director of Quality & Patient Safety is responsible for leading and facilitating the quality operations of the entity in which they serve. This responsibility includes Infection Control, Accreditation/Regulatory Compliance, Patient Safety, Data Analytics and Reporting, and Quality Improvement. The Director supports hospital leadership in improving the patient experience and collaborates with the system level Program Directors to standardize processes across all operating units.
Responsibilities include but are not limited to:
Serve as entity point person for all on site surveys i.e. TJC, CMS, DCH, OSHA, etc
Collaborate with the system OoQ Corporate Director of Operations in all aspects of budgeting, purchases and payroll (time and attendance)
Produce Annual Quality Report
Responsible for internal and external reporting based on federal, state, and other regulatory requirements including sentinel events
Oversee action plans are being monitored to ensure sustainability Infection Prevention & Control
Participate in developing the annual entity risk assessment
Collaborate with system IP to draft the Infection Prevention & Control Plan and shepherd through entity committees for approval
Organize local team to develop responses to survey deficiencies and submit responses to the appropriate organization (TJC, CMS, DCH, OSHA, etc.)
Timely collaboration with system staff on any validation data sent to external sources i.e. TJC, GHA, QHIP, CMS, NHSN, NSQIP and other registries if applicable
MINIMUM QUALIFICATIONS AND CERTIFICATIONS:
Master’s degree in Nursing, Public Health, Healthcare Administration, Industrial and Systems Engineering, or other quality related field.
In lieu of a Masters degree, candidates with 10 years leadership experience in healthcare quality and accreditation may be considered.
7 years of experience in healthcare quality & accreditation
3 years leadership experience
Must hold Six-Sigma and/or Lean certification and/or experience and attain CPHQ within 2 years of employment.
Emory Healthcare has cultivated a strong culture dedicated to quality, resulting in a national ranking for quality among the top 10 percent of academic medical centers in the U.S., according to Vizient and Press Ganey.
At Emory Healthcare, we are transforming the face of health care and advancing medical discoveries through the integration of science and caring. We are proud to be Georgia’s only health system with three Magnet®-designated hospitals. Our teams work collaboratively to care for medically complex, high-acuity patients across a full range of hospitals, clinics and practices, with an emphasis on evidence-based practice.
As the largest health care system in Georgia and the only health network in the state that brings together a full range of hospitals, clinics and local practices, Emory Healthcare is committed to providing patients and families with better, more collaborative care for all of their medical needs.
The Emory Healthcare Network encompasses teams of providers at our locations across Georgia, includi...ng Emory University Hospital, Emory University Hospital Midtown, Emory University Orthopaedics & Spine Hospital, Emory Rehabilitation Hospital and the Wesley Woods Center; Emory Saint Joseph's Hospital and Emory Johns Creek Hospital; Emory Clinic; and the Emory Healthcare Network physicians, ranging from primary to specialty care providers. Through our integrated, collaborative care network, we are dedicated to providing the standard of care that our patients expect and deserve.
Our researchers are discovering what’s next in medicine, and our physicians and care teams are putting that research to use to improve the health of our community today. From our experts at the Winship Cancer Institute of Emory University, the state’s ONLY National Cancer Institute-designated cancer center, to the specialists at our Orthopaedics & Spine Center and our network of hundreds of primary care physicians, our team is 16,000 strong and committed to the health of our community. After all, we're all in this together.