Director, Quality-Forbes Hospital

Job ID: J123374
Company: West Penn Allegheny Health System
Location: Monroeville, PA, United States
Facility: Forbes Hospital
Full/Part Time: Full time
Job Type: Regular
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Description

GENERAL OVERVIEW:

The Director, Quality is responsible for the successful implementation of the AHN enterprise-wide Quality goals and objectives for designated locations. Oversees the Quality function, while working in tandem with other Quality and Safety Divisions such as: Patient Safety, Infection Prevention, Regulatory Preparedness, and Pay for Value. Accountable for driving results to achieve top performance for all clinical and pay for value measures which may include but are not limited to: Hospital associated Infections, Core Measures, Patient Safety Indicators, CMS and P4V program measures. Responsible for driving and/or supporting Lean improvement efforts to realize efficiencies and maximized resource utilization.

ESSENTIAL RESPONSIBILITIES:

  • Lead and/or facilitate internal quality initiatives to achieve successful outcomes and minimized harm to patients and staff. (20%)
  • Maximize impact of P4V programs CMS, Payor and Public Reporting), including focused efforts on opportunities for improved documentation within the record. (20%)
  • Responsible for working collaboratively with Institute/Departments/Centers and Facility representatives to design and implement best practices and drive highest performance outcomes. (20%)
  • Provide ongoing communication on progress, opportunities for improvement and direction on areas of focus throughout the year to various stakeholders and forums. (10%)
  • Provide ongoing educational support for departments in areas of performance improvement including quality models, lean instruction, analysis, facilitation, etc. (15%)
  • Ensure capture and management of all quality related data; ensure timely reporting and transmission of information; provide useful quality analytics to inform decision making. (15%)

QUALIFICATIONS:

Minimum

  • Master’s degree in Nursing, Health Administration or similar degree
  • 3-5 years’ experience in developing, implementing, and anchoring outcomes in process improvement results

Preferred

  • Lean or Six Sigma Certification
  • CPHQ Certification
  • 1-3 years’ experience with CMS, Insurer-based pay for value programming.
  • 1-3 years’ experience with Joint Commission and CMS Regulations.
  • 1-3 years’ experience with work in a matrix organization and successfully drive results
  • 1-3 years’ experience with developing strategy, formulate action plans and execute on plans to ensure successful outcomes

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
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