Quality Director
- Works with Corporate Director of Quality implementing organization-wide quality programs at the hospital level.
- Facilitates the hospital Quality Assessment and Performance Improvement (QAPI) committee.
- Prepares an annual evaluation of the hospital QAPI plan, including process and outcomes.
- Oversees hospital-wide performance improvement (PI) projects identified through on-going data driven quality assessment.
- 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.
- Completes assignments accurately, in a timely manner and within procedural guidelines.
- Coordinates education for QAPI principles and regulatory standards as indicated. Conducts training for staff.
- Participates in Joint Commission Accreditation process including plan of action tracking and completion.
- Performs other duties and projects as assigned by the facility administrator and corporate office.
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