Quality Supervisor- Quality- FT- Days

DHR Health - US:TX:Edinburg - Days

Summary:

POSITION SUMMARY:

The Quality Supervisor is responsible for planning, administrating, and monitoring consistent readiness of all quality, regulatory requirements, and patient safety processes including High Reliability Organization processes. The Quality Supervisor will oversee and coordinate all hospital efforts to monitor and maintain compliance with all regulatory, State, Federal government and Joint Commission on Accreditation of Healthcare Organization standards. Leads and directs the work of the Quality department staff members. This is completed by working collaboratively with all levels of care providers within the facility.

POSITION EDUCATION/ QUALIFICATIONS :

• • Nursing or other clinical healthcare license/degree required. Bachelor’s Degree preferred.
  • Prefer minimum experience of three years in Quality in a hospital setting
  • Prefer experience with coordinating TJC preparation and participation in State and CMS surveys within the last three years
  • Computer skills required with knowledge of Microsoft Office suite.
  • Good written and verbal communication skills required.
  • Some evening or weekend work will be required
  • Bilingual – English/Spanish.

  JOB KNOWLEDGE/EXPERIENCE :

  • Prefer 3 years of quality management experience in healthcare
  • Strong organizational, interpersonal, management and leadership skills.
  • Proactive, self-confident and recognized as a credible resource in patient care and patient safety issues.
  • Ability to work independently, have good judgment, and decision making ability.
  • Work collaboratively with patient care service staff and physicians to lead transformational change.
  • Ability to bring together diverse entities and personalities for the purpose of creating a highly effective and productive team. Knowledge of statistics, data collection and survey design.
  • Skill in establishing a balanced perspective on mission effectiveness and business results is critical.
  • Knowledge of State, Federal, and The Joint Commission regulations.

Responsibilities:

POSITION RESPONSIBILITES:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices.
• Establishes and enforces policies, procedures, standards and objectives.
• Directs and supervises staff as well as workflow.
• Position has budgetary or fiscal accountability.
• Responsible for planning and implementing the performance improvement program to meet the needs of the hospital.
• Provides education to medical staff, hospital staff and Governing Body around quality initiatives.
• Facilitates performance improvement activities and CQI activities throughout the hospital.
• Acts as resource person to administrative team, department managers and medical staff.
• Assists department managers with preparation for medical staff committees.
• Oversight responsibility for all regulator body surveys, i.e., TJC, State Licensing Review, HCFA (CMS) Validation surveys.
• Maintains oversight responsibility for all performance improvement activities conducted throughout the institution.
• Responsible for the implementation, coordination and direction of quality activities
• Will maintain oversight responsibility for medical necessity reviews, appropriateness of levels of care by applying nationally recognized criteria. Position is responsible for approving timekeeping, employee evaluation, meeting applicable regulatory standards, approving supply orders and department strategic planning.
• Ability to develop and analyze quality/performance data to identify trends, develop action plans, and implement program modification for change.
• Ability to manage day to day operations of quality
• Must have a good understanding of regulatory standards/requirements.
• Able to manage the department budget and develop cost containment strategies to operate the department.
• Coordinate the quality improvement program of DHR and patient safety programs.
• Other duties as assigned.

Other information:

LINES OF REPSONSIBILITES :

(Chain-of-command)

1. Chief Quality Officer

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC :

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA) :

A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

B. Working Conditions : The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes : HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.