Vice President, Quality and Medical Staff Services, Process Improvement, Full Time
Location: Saint Albans Vermont
Description: Northwestern Medical Center is in need of Vice President, Quality and Medical Staff Services, Process Improvement, Full Time right now, this occupation will be placed in Vermont. More details about this occupation opportunity kindly see the descriptions. Average Weekly Hours:
40 hours +
The Vice President for Qual! ity and Medical Staff Services leads all organization quality monitoring and improvement activities. Leads and directs the following services: medical staff credentialing and support services, risk management, accreditation survey preparation, State and Federal regulatory standards compliance hospital wide, infection control, cancer support services, cancer registry services, patient satisfaction program, and quality data management, value based purchasing, and Hospitality Services including, Restaurant and Catering Services, Environmental Services, and Volunteer Services.
Quality Improvement (QI)
Leads development of hospital performance improvement plan, based on analysis
of data regarding service area demographics and health conditions, state and national priorities and hospital quality priorities.
Develops and maintains hospital quality reporting processes, meeting the needs and expectations of internal, community, and regulatory proc! esses.
Leads department managers/directors in develop! ment of department-specific performance improvement plans and reporting processes.
Leads the organization in compliance with the Joint Commission and Center for Medicare and Medicaid (CMS) regulatory standards and in the survey preparation process.
Leads the organization in compliance with both State and Federal Environmental and Health regulatory standards.
Develops curriculum and education plan for hospital board members, management and staff regarding QI concepts and processes, and risk management.
Provides consultation, facilitation, and/or leadership to process improvement initiatives.
Provides regular reports to management staff, medical staff and Board of Directors on quality improvement initiatives.
Serves as liaison between hospital and board of directors on Hospital Quality and Safety Committee.
Leads and directs the Service Culture Program for the organization.
Leads and directs cancer regist! ry and American College of Surgeons cancer program accreditation process.
Leads continuous improvement results to top performance across organization including HCAHPS, Core Measures, ACO Quality metrics.
Ensures high performing Risk Management program.
Ensures high performing Infection Control program resulting strong results against national infection control benchmarks.
Partners with colleagues internally and externally to develop strong quality program with trended results.
Partners with Sr. VP/COO/CNO to create an ingrained culture of process improvement.
Conducts/Role models clinical rounding to provide just in time education on the priority of quality outcomes, evaluates systems for improvement, listens actively to staff, engages staff in a quality mission, and celebrates success.
Department Management
Develops and administers Process Improvement, Environmental Services and Restaurant and Catering! and Volunteer program department budgets and monitors resource utiliza! tion. Ensures best practice operating standards.
Supervises medical staff credentialing and support services in accordance with regulatory bodies and medical staff bylaws.
Supervises programs and processes to measure and improve patient safety via event reporting and monitoring of quality indicators.
Supervises data retrieval, entry and analysis of medical data to support physician peer review, quality improvement and patient safety processes.
Oversees/directs processes for surveillance, prevention and control on infection within the hospital and within the community, via contractual arrangements with local health care organizations.
Supervises processes for obtaining patient feedback, including patient satisfaction surveys and patient complaints.
Supervises successful risk management program.
Creatively designs best practice quality improvement initiatives.
Medical Staff Services and Peer Review
Develops and maintains structure for medical staff credentialing process.
Works with President of Medical Staff and Chief Medical Officer to design strong medical staff leadership structure; maintain current and closely followed medical staff bylaws, in a culture of process improvement.
Supports medical staff in identifying screening indicators and adherence to policies and standards to ensure an effective peer review process.
Initiates external peer review process, as indicated and requested.
Provides regular feedback to medical staff regarding quality performance.
Provides consultation to Board of Directors regarding peer review processes and regulatory requirements.
Seeks opportunities for professional development by participating in ongoing continuing education activities.
Executive Leadership
Role models hi! gh standards for leadership and development
Promotes consisten! cy in executive leadership as One Team
Actively participates in executive priority setting and achieving results
Delegates effectively
Sets clear expectations and guides managers/directors to successful outcomes
Actively recognizes and celebrates staff/manager achievements
Embraces the mission/vision of NMC and the operational plan
Works collaboratively for the success of the organization
Continually seeks opportunities to grow with organization and promotes a culture of learning
Fosters a culture of clinical and service excellence
Builds teams and engages staff
Education:
Bachelor's degree in nursing required. Master’s degree in health-related field required or enrolled. Professional certifications a plus.
Experience:
Minimum of 8 years experience in health care, including 5 years in leadership position. Experience facilitating board level and medical ! staff committees a plus. Quality improvement experience desired.
Special Skills / Other:
Excellent verbal and written communication skills required. Proven data analysis and results in process improvement initiatives.
Professional License Required:
No
On Call Required:
No
On Call How Often:
as needed
Weekends:
Yes
How Often:
as needed
Job Status is Currently:
Open
Internal NMC Job:
No
Job Status:
Full Time
Job Shift:
Day
Category:
Leadership Careers
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Northwestern Medical Center.
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Sat, 29 Jun 2013 09:12:28 GMT
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