What are the responsibilities and job description for the Director, Quality and Patient Safety position at Regulatory Affairs Professionals Society?
Details
Posted : 03-Jan-25
Location : Chicago, Illinois
Type : Full Time
Categories :
Quality / Risk Management
Sector :
Hospital, Public and Private
Required Education : Masters
Additional Information :
Hybrid / Remote is allowed.
Internal Number : 5905
Saint Anthony Hospital is a diverse and community-centric organization your career can thrive in, while addressing the health and wellness challenges that families in our neighborhood face. Our employees deliver on our mission and achieve success by working together to provide excellent customer service and patient care.
As part of Saint Anthony Hospital’s commitment to providing the highest quality health care, we will be building a new state-of-the-art hospital to serve as an anchor to the Focal Point Community Campus. Learn more at www.focalpointchicago.org .
Position Purpose : The Director, Quality Resources provides leadership for and management of Quality / Performance Improvement, Patient Safety, Infection Prevention and Control, Patient Experience, and clinical initiatives for Sepsis and Stroke. The Director, Quality and Patient Safety facilitates regulatory compliance activities throughout the organization and acts as a liaison between federal, state, and other accrediting bodies.
- Leads the development and implementation of hospital-wide Performance Improvement activities. Annually reviews and revises the facility Performance Improvement Plan and submits the plan to the Board of Directors for review and approval.
- Provides leadership and support for the management of Quality Assessment and Performance, Infection Control, Patient Experience, and external regulatory activities.
- Assures effective manpower utilization, development, and performance. Participates in decisions to employ, evaluate, transfer, and, when necessary, terminate employees.
- Develops budget for department and ensures operations are within budget.
- Oversees data collection required for The Joint Commission, CMS, and other accrediting bodies. Assures timely submission of data through selected vendor.
- Coordinates system preparation for The Joint Commission triennial and for cause surveys.
- Facilitates system compliance with external agency requirements by coordinating site visits, routing updated requirements to appropriate individuals, coordinating responses to identified deficiencies, and communicating open issues to appropriate leadership individuals.
- Assures education of all entities and staff within the organization on the principles, tools, and concepts to support performance improvement, patient and staff safety, and external regulatory agency compliance.
- Monitors trends and analyzes all performance improvement data, including medical staff peer review. Assures reporting of all significant trends and issues to the appropriate committees and senior leadership. Assists in the development of action plans and appropriate follow-up.
- Actively participate in Risk Management and Patient Safety activities related to all events that are designed as “Near Miss” or “Sentinel Events”. Provides leadership for the development of Root Cause Analysis and develops action plans for all such events.
Qualifications :
Saint Anthony Hospital Highlights :
EQUAL OPPORTUNITY
Saint Anthony Hospital is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment based on age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.
Create a Job Alert for Similar Jobs About Saint Anthony Hospital Saint Anthony Hospital is an independent, nonprofit, faith-based, acute care, community hospital dedicated to improving the health and wellness of the families on the West Side and Southwest Side of Chicago.We have grown to provide medical care, social services, and community outreach to the residents of several city neighborhoods, including : Little Village, North Lawndale, Brighton Park, Garfield Park, Back of the Yards, McKinley Park, Archer Heights, Pilsen, Austin, and Chinatown, as well as suburban Cicero.Saint Anthony offers quality services close to home, caring for people regardless of their nationality, religious affiliation, and ability to pay.Saint Anthony Hospital is a community hospital, never turning anyone away or leaving anyone behinda community hospital, addressing the challenges that families in our neighborhood facea community-centric institution, engaging families on many levels in improving and sustaining theirwell-being, anda forward-thinking organization, developing new models for community care that lead to the overall success of the community.Teaching Affiliations (Medical Schools)Western Atlantic University School of Medicine (WAUSM)Ross University School o...f MedicineRosalind Franklin University of Medicine and ScienceUniversity of Guadalajara (UAG)Saint George’s University School of MedicineTeaching affiliations (Residency Programs)University of Chicago MedicineLawndale Christian Medical CenterHumboldt Park HealthJackson Park Hospital and Medical CenterHealth Care AffiliationsNorthwestern Memorial HospitalUniversity of Chicago MedicineUniversity of Illinois Hospital and Health Sciences System Show more Show less Connections working at Saint Anthony Hospital https : / / regulatorycareers.raps.org / jobs / 20915664 / director-quality-and-patient-safety
