Job Description

Job Responsibilities:

Under the supervision of the Chief Medical Officer/Patient Safety Officer, the Director of Patient Safety and Quality provides leadership and oversight for developing, managing, evaluating, and enhancing programs of Patient Safety, Quality Performance Improvement, Infection Prevention, and Regulatory Compliance at Sibley Memorial Hospital, Renaissance (skilled nursing facility), Grand Oaks (assisted-living facility), and the outpatient practices that reside in the Sibley Physician Group.

Works closely with Vice Presidents, Directors, Managers, and leaders of the Medical Staff to make Quality Performance Improvement, Infection Prevention, Patient Safety, Regulatory Compliance, and Joint Commission on Accreditation Survey readiness a collaborative effort. Works to ensure Sibley Memorial Hospital, Renaissance (skilled nursing facility), and Grand Oaks (assisted-living facility) meet all regulatory requirements for Quality/Performance Improvement and ORYX /Core Measure data submission to the Centers for Medicare and Medicaid (CMS) and Joint Commission.

Qualifications:

• Bachelor Degree in Nursing; Post Graduate Degree in Nursing or Healthcare related field is preferred.
• A minimum of ten (10) years acute hospital experience or the equivalent combination of education and experience working in Patient Safety, Quality Improvement, Infection Prevention, and Regulatory Compliance.
• At least ten (10) years’ experience in process management, and performance improvement required.
• Clinical background required.
• Lean Sigma required
• Experience in preparing for Joint Commission Surveys.
• CPHQ, HACP, CIC or CHCQM Certification

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