Director Quality and Patient Safety

Position Summary

The Director of Quality & Patient Safety is responsible for leading clinical quality and patient safety efforts for Hunterdon Health System. The position oversees a team of clinicians who evaluate clinical quality, identify opportunities for improvement, and support individuals and committees charged with implementing and tracking improvement actions.

Primary Position Responsibilities

• • Assumes responsibility for clinical outcomes across the health system

• Implements a physician quality improvement evaluation system with supporting structures including but not limited to FPPE, OPPE, and peer review

• Assesses and articulates vulnerabilities of operations to prevent errors

• Collaborates with key stakeholders (clinical staff, supporting departments, leadership, etc.) to advance quality and patient safety; assists clinical teams and supporting departments with performance improvement projects

• Actively participates in key quality and safety committees including Quality Council; leads patient safety rounds

• Leads comprehensive root cause analyses and oversees incident reporting processes to identify systemic issues, drive corrective actions, and improve patient safety outcomes.

• Assures conformance to practice standards inclusive of those from regulatory and accrediting bodies including, but not limited to, CMS, Joint Commission, CDC, OSHA, NJDOH

• Oversees mandatory and voluntary quality and safety reporting including, but not limited to, CMS, NJDOH, CDC, Leapfrog, etc.

• Develops and leads system-wide programs to assess departmental and organizational safety culture and coach improvement of same including performance improvement related to Joint Commission Sentinel Event Alerts and Patient Safety Systems Chapter elements, National Performance Goals, etc.

• Oversees organizational efforts to provide education on the topics of clinical quality and patient safety (e.g. National Performance Goals)

• Actively participates in regulatory and accreditation visits

• Demonstrates strong human resources and fiscal management skills

• Other duties as assigned

Qualifications

Minimum Education :

Required:

Bachelor’s Degree in nursing or healthcare related field

Preferred:

Master’s Degree in nursing or healthcare related field

Minimum Years of Experience (Amount, Type and Variation) :

Required:

Minimum of 3 years nursing or healthcare related clinical experience

Minimum 5 years experience in leadership in a hospital or healthcare system

Experience working with regulatory agencies

Preferred:

None

License, Registry or Certification :

Required:

Registered Nurse (RN)

Preferred:

Certificate and/or Advanced Specialized Training in healthcare quality and patient safety

Knowledge, Skills and/or Abilities :

Required:

Highly visible and comfortable assessing and articulating vulnerabilities of operations to prevent error

Excellent data analytics and reasoning skills

Attentive to detail with a high level of accuracy

Exercise sound judgment and strong organizational and project management skills

Ability to present and report information to all levels of the organization

Strong leadership skills that emphasize collaboration and positive relationships.

Excellent verbal and written communication skills, including excellent listening skills and presentation skills to communicate clearly, concisely and effectively across a wide range of audiences

Resourceful, diplomatic, and professional; delivers outstanding customer service while managing relationships; a solution-focused perspective and work style that supports teamwork.

Effectively lead performance improvement teams

Adaptable; be able to shift priorities and focus as departmental and/or business demands change

High level of knowledge of regulatory agencies and activities

Proven workforce management skills

Proficient in all MS Office and Google applications

Preferred:

None

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).