Summary

In collaboration with Administrative Staff and the Medical Staff, implements programs and standards in delegated areas to include: Performance Improvement Program-Hospital �wide Performance Improvement and Infection Prevention as well as TJC readiness and TJC compliance for the medical center. This role represents quality concerns on the governing board and at medical staff leadership meetings.

Responsibilities

This individual�s responsibilities include the following activities:

• Responsible for leading the Quality / Performance Improvement activities across the hospital.
• Integration of the Quality / Performance Improvement Program activities for the Medical and Hospital-wide Staff.
• Data management and reporting for Quality / Performance Improvement initiatives.
• Oversight of Quality / Performance Improvement department and staff.
• Responsible for complying with all policies and procedures that pertain to HIPAA including the minimum necessary requirements for the DCQI position.
• Other duties as assigned.

Education

Required: RN Florida License, BSN with a minimum of 5 years� experience in related field. M.S. (Health Administration, Business, Public Health or Management) and Lean Six Sigma Certification preferred.

Experience

Required: 5 years experience in QA/PI

Certifications

Required: Must be currently licensed, certified or registered to practice profession as required by law, regulation in state of practice or policy CPHQ or eligible to take exam within two years of employment.

#LI-MH1

*AONE19*