What are the responsibilities and job description for the Director of Quality Management - Abilene, TX position at Abilene, TX - Community Hospital Corporation?
This Full-Time Director of Quality Management position is located at our ContinueCARE Hospital at Hendrick Medical Center in Abilene, TX. ContinueCARE Hospital at Hendrick Medical Center is a 23-bed long term acute care hospital (LTACH) located on the seventh floor of the Jones Building at Hendrick Medical Center. A typical LTACH patient may require care for: ventilator weaning, complex wounds, infections requiring IV antibiotics, complications from extensive surgery, multi-system failures, TPN, neurological / traumatic injuries, and those not yet able to participate in acute rehabilitation due to medical complexity.
The Director of Quality Management develops, implements and maintains an effective, ongoing, organization wide, data driven Quality Assessment Performance Improvement (QAPI) Program. Establishes a planned systematic and interdisciplinary approach to improving care treatment and services with hospital leaders. Creates a culture that shifts primary focus from the performance of individuals to the performance of the hospital’s systems and processes. Maintains compliance with state and federal regulations and accreditation standards.
- Coordinates a collaborative approach to Performance Improvement
- Ensure hospital is survey ready at all times
- Serves as hospital Compliance Officer and Risk Manager
- Monitor compliance with the safety plans within the Environment of Care Management Program
- Collects data, prepares and provides reports as requested by legal and regulatory bodies, hospital administration, and the CHC corporate offices. Participates in CHC requested meetings and provides input as requested
- Monitors and records infection on patient within the hospital
- Monitors patient admissions and placement to ensure optimum control of infection
- Maintain current Quality Improvement plans, policies, procedures and programs
- Maintain current knowledge of state, and federal laws and regulatory agency requirements for hospitals regarding utilization and quality management
- Assist CEO in developing Medical Staff Bylaws, Rules and Regulations.
- Serves as the Infection Control Practitioner and Employee Health Nurse for the hospital.
- Conducts regular surveillance to prevent and control the spread of infections.
- Educates staff on evidenced based prevention and control practices.
- Ensures accurate and timely reporting of CMS and NHSN quality data.
- In the absence of the CNO, takes responsibility for nursing services.