Director / Quality and Patient Safety

Overview:

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Description:

Director of Quality and Patient Safety

Shift: Full Time 8:00am-4:30 pm

Location: The Emory Clinic / Heart and Vascular Services

The Emory Clinic is seeking a Director of Quality and Patient Safety (DQPS) who will be responsible for providing the oversight, direction, coordination and integration of quality and patient safety at the entity level.

Responsible for contributing to and executing the strategic planning to achieve the Emory Healthcare vision by partnering with entity executives, directors and department leaders in continuously improving clinical outcomes and reducing risk.

Responsible for effectiveness and efficiency of infection control/prevention, regulatory accreditation/certification, patient safety, medical staff quality, clinical quality analytics and data reporting, and process improvement.

In conjunction with Emory Healthcare Office of Quality and Risk (OQR) and entity executives, sets short and long term goals for quality improvement, patient safety, and pro-active improvement of processes.

Responsible for position management including interview, hiring/firing, onboarding, evaluation, coaching, mentoring, training, professional development, employee recognition, etc. to maintain an active, engaged workforce.

Collaborates with the system OQR Corporate Director of Quality Operations in all aspects of budgeting, purchases and payroll (time and attendance). Supports the VP-Quality in prioritizing system-wide quality initiatives.

In collaboration with Program Director for Accreditation and Certification, coordinates and executes the Accreditation/Certification Readiness program for State, CMS and TJC at the entity. Develops, implements and monitors accreditation readiness activities. Implements activities to respond to new or revised regulations or standards.

Collaborates with the system data analytics team for data collection, reporting and submission to regulatory bodies: CMS and TJC. Collaborates with system data analytics team on any validation data sent to external sources i.e. TJC, GHA, QHIP, CMS, NHSN, NSQIP and other registries if applicable.

In collaboration with entity executives and medical staff leaders, manages the organization's peer review functions, including OPPE/FPPE. Organizes mortality reviews and implements process improvements. . (This position reports to the VP-Quality with dotted line responsibility to the entity via the CQO.)

Minimum Qualifications:

Masters degree from an accredited college or university 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).

Seven years of experience in healthcare quality & accreditation including three years leadership experience.

Must hold Six-Sigma and/or Lean certification and/or experience and attain CPHQ within 2 years of employment.

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details:

Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Permanent