The first and only freestanding, inpatient acute rehabilitation hospital in Bucks County.
St. Mary Rehabilitation Hospital (SMRH) embraces the tradition of excellence for which St. Mary Medical Center is known. We are very proud of our patient outcomes. St Mary Rehab Hospital has been ranked in the top 25 percent of all rehab hospitals by UDS (Uniform Data Systems) for multiple years.
Our state-of-the-art, acute rehabilitation hospital features 50 spacious, private rooms and two specialty units (brain injury and stroke recovery). Our highly skilled, clinical staff is dedicated to the treatment and recovery of individuals who have suffered:
Neurological conditions including:
Spinal Cord Injury
Medically Complex Illnesses including: Cardiac and Pulmonary, and Renal disease
The Director of Quality assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The Director of Quality will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement. He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The Director of Quality will focus on measuring, analyzing and trending information in order to improve outcomes. He/she will assure ongoing monitoring of performance to ensure that improvements are sustained. The Director of Quality will direct and assist in compliance with federal and state regulations and accreditation standards.
Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program.
Measures and assesses performance through collection, analyses, and trending of data.
Focuses on processes and systems to improve performance.
Directs, facilitates, and reports on all aspects of services relating to risk management, patient safety, and employee health.
Investigates factors contributing to adverse outcomes in order to improve processes and systems. Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and/or outcomes.
Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training.
Responsible for nursing education, in-services and training.
Directs the functions and operation of the hospital-wide infection control (IC) program including policies of surveillance, management of job-related unprotected exposures to infectious diseases, concurrent review of records for infections and other indicators of quality; reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate.
Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff.
Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.
Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.
Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.
Serves as the facility Risk Manager.
Serves as the facility Compliance Officer.
Serves as facility Patient Advocate.
Other duties as assigned.
Registered Nurse in PA preferred.
Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
BSN or BS/BA preferred. Associates degree required.
Two years of experience in an acute hospital or rehabilitation setting required.
Previous supervisory experience preferred.
Current Basic Life Support/CPR Card preferred.
Demonstrated ability to plan, coordinate, and evaluate PI activities; effective oral and written communication skills and proficiency in basic computer skills required.
Working knowledge of staff development and the educational process, quality improvement, infection control/employee health, and safety/risk management standards.
Job : Compliance/Quality/Risk Primary Location : PA-Langhorne-CHC Payroll - Saint Mary Rehab Hospital Organization : 6788 - CHC Payroll - Saint Mary Rehab Hospital Shift : Day