Director of Quality Programs

Memorial Health Care Systems, an award-winning Critical Access Hospital is seeking a full-time candidate as Director of Quality Programs responsible for Quality Programs and Risk Management efforts.

SUMMARY: Plans, organizes, directs, and evaluates resource and quality management services related to Quality Assurance Programs including Process Improvement and Risk Management performing the following duties at Memorial Hospital.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below; other duties may be assigned.

• Actively demonstrate support for the Customer Service Standards of Practice by using CPR(Communication, Professionalism, and Rights & Compliance) in your daily interaction with patients and residents, supervisors, subordinates, co-workers, and the general public.
• Responsible for continued compliance with Critical Access Hospital conditions for participation.
• Acts as resource for department heads in area of process improvement as it relates to departmental quality improvement efforts. Provides education for MHCS staff in proper method of process improvement.
• Works closely & collaboratively with department heads in quality assurance and risk management issues as requested/required.
• In collaboration with the MHCS Safety Committee, manages and implements employee annual mandatory education to assure compliance with federal and state requirements.
• Manages, evaluates, and communicates data on occurrence reports.
• Works with Health Information Management Systems in reviewing, trending, and communicating various outcome data.
• Use resources offered through various networks and alliances. Works with Critical Access Network Hospitals to assure compliance with Critical Access QA regulations.
• Delivers the quarterly quality programs report to the Board, Medical Staff & Senior Management Team.
• Works closely with the MHCS Administration to monitor and process various risk management reviews and investigations. Investigates identified concerns, trends, or risk factors that present risk to patients.
• Maintain professional relationship with MHCS liability insurance carrier and legal counsel when investigating and processing any risk claims. Acts as contact person for insurance carrier in regard to claims. Identifies quality improvement through risk services.
• Occasionally conducts chart reviews for various functions related to risk management and quality programs.
• Serve on MHCS Safety Committee.
• Facilitate the medical staff peer review committee activities related to process improvement.
• Other duties as directed.