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Oceans Healthcare · 1 day ago

Quality Director

Gretna, LA

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Oceans Healthcare is focused on helping adults and seniors manage mental health challenges. The Quality Director is responsible for planning, developing, and managing systems to evaluate the quality of patient services and programs, ensuring compliance with regulations and organizational goals.

Health Care

Responsibilities

Collaborate with the Corporate Director of Quality implementing organization-wide quality programs at the hospital level

Facilitates the hospital QAPI committee and prepare annual evaluations of the QAPI plan

Lead hospital-wide performance improvement projects based on on-going data assessment. Provide management and staff education as needed and service on facility committees

Implement and manage the Patient Safety Program, including incident investigations, root cause analyses, and tracking improvement opportunities

Report patient incident data and issues to corporate management and monitor performance initiatives

Manage the incident management process and track data for improvement opportunities

Coordinates the hospital’s data collection procedures and provides on-going support and education to staff regarding QAPI tools and reporting requirements; utilizes data and collaborates with leadership to set priorities and provide guidance in their development of quality improvement work plans

Serves as a resource to the medical staff, administrators and other staff including participation in root cause analyses, as indicated, to investigate potentially avoidable sentinel events. Develop and oversee systems to maintain regulatory compliance and ensure timely reporting to state and accrediting bodies

Ensure timely reporting to state and accrediting bodies

Serve as the point of contact during onsite surveys and manage Plans of Correction or Action Plans as needed

Manage and oversee the implementation of the facilities action plan when required after a survey

Define required clinical data sets in collaboration with medical staff and clinical leaders and ensure timely data entry of performance improvement and patient safety data into appropriate systems

Coordinate education and training on QAPI principles, regulatory standards and participate in Joint Commission Accreditation processes

Performs other duties and projects assigned by the facility administrator and corporate office

Qualification

Quality ImprovementPatient Safety ProgramData AnalysisHealthcare ExperienceProfessional CertificationEducationTrainingRegulatory ComplianceCollaboration