Director, Quality and Performance Improvement

Job Description

Job ID: 1194805
Employment Status: Full-Time
Your Career. Made Better.

Christian Hospital is an acute-care community hospital with 220 staffed beds, located in north St. Louis County. As a founding member of BJC HealthCare, the hospital has an expert medical staff and a diverse workforce of nearly 2,000 health care professionals who are dedicated to providing the absolute best care with the latest technology and medical advances. Christian Hospital is nationally recognized for stroke care and cardiology, and highly regarded for its excellence in emergency medicine, robotic surgery, orthopedic and spine surgery, pulmonology and wound care.

Our Northwest HealthCare campus, located six miles west of Christian Hospital in Florissant, offers the community 24-hour emergency care as well as a variety of outpatient services and physician practices.

The Quality and Service Excellence Department promotes the vision of Christian Hospital. The scope of clinical quality includes, but is not limited to, on-going assessment of data to improve internal processes to enhance the quality of care provided to our patients, as a facility and from individual departmental levels. This assessment measures important hospital and departmental dimensions of performance as outlined by The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). Service Excellence promotes a culture based around customer support in an efficient, excellent, equitable and empowering manner. The Best-In-Class Scorecard, Emerging Trends Report Card, ORYX data reported through Quality Works and BJC Scores are the tools used to report quality and service measures.


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Role Purpose

The Director of Patient Safety and Quality oversees all patient safety, quality improvement, accreditation and regulatory compliance initiatives. The DPSQ provides clinical, administrative and strategic oversight to personnel responsible for patient safety and quality. The DPSQ will ensure that Barnes-Jewish Hospital (BJH) incorporates and utilizes cutting-edge strategies and methods to improve all aspects of patient safety and quality, employing national guidelines, clinical standards and evidence-based practices, in partnership with national experts in safety and quality. The DPSQ will oversee data management, analysis and dissemination of safety and quality improvement data and information.


Responsibilities

  • Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.
  • Directs, coordinates and evaluates surveillance, prevention and control programs to improve patient safety and reduce risk to the patients and organization.
  • Develops and implements a framework for an integrated system-wide approach to Performance Improvement, Risk Management and Patient Safety.
  • Conducts hospital wide assessments of Performance Improvement and Patient Safety programs to identify needed changes and improvements.
  • Collaborates with the Patient Safety and Risk Manager and Acting Chief Medical Officer to oversee hospital-wide investigations related to patient harm, injury or near miss.
  • Collaborates with the Patient Safety and Quality Medical Director and the Performance Improvement Oversight Committee to participate in strategic and operational direction and leadership for the Best In Class scorecard.

  • Minimum Requirements

     

    Degree

  • Master's Degree
  • - Nursing/Healthcare related

     

    Experience

  • 5-10 years
  •  

    Supervisor Experience

  • 5-10 years

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer