Job Summary

The Senior Director of Quality, Patient Safety, Risk, and Infection Prevention will be responsible for the strategic oversight, planning, development, and implementation of effective Quality Improvement, Patient Safety, Risk, and Infection Prevention programs that monitor, address, and prevent quality of care, patient safety, and infection prevention concerns.

This position will oversee the daily operations of the Quality Improvement, Patient Safety, Risk and Infection Prevention programs. This includes leading quality improvement programs, incident review processes, root cause analyses, and evaluating effectiveness of process changes. This leader will inform, advise and make recommendations to hospital leadership about quality improvement, patient safety, and infection prevention practices. Required reporting to external agencies and oversight of program-related databases and IT systems are essential responsibilities of this position.

This position directs the identification and implementation of infection control goals and objectives including, but not limited to, appropriate selection and usage of products and equipment related to cleaning, antisepsis, disinfection, and sterilization, facility design and construction. Directs the development and implementation of educational programs designed to reduce or prevent infection. This position is responsible for directing the prevention, reporting, surveillance and controlling healthcare associated infections (HAIs) and communicable diseases for Henry Mayo Newhall Hospital.

This role will collaborate closely with Medical Staff leadership in creating a comprehensive approach to peer review program and system design. Additionally, this position will collaborate to ensure regulatory and accreditation compliance and survey readiness. The Senior Director will be responsible for the management of program personnel and fiscal and material resources.  This role will support staff development and continuous program process improvement.
 

Licensure and Certification:

• Certified Professional in HealthCare Quality (CPHQ) preferred
• Certified Professional in Patient Safety (CPPS) preferred

Education:

• Bachelor’s degree required
• Master’s degree (MSN, MBA, MHA, or MPH) or higher preferred

Experience:

•    Minimum five (5) years’ cumulative experience in any combination of the following areas:
           - Quality (required experience)
            - Performance Improvement
            - Patient Safety
            - Risk Management
            - Accreditation/Regulatory/Licensing
            - Infection Prevention and Control
•    Minimum (3) years’ acute clinical care experience
•    Minimum (5) years’ progressive management experience

Knowledge and Skills:

•    Demonstrates and applies leadership and management theories, principles, practices, techniques and methods to create and maintain a high-functioning, engaged       team  
•    Effective oral, written and presentation skills
•    Ability to interact and collaborate with all levels of the organization, including the Medical Staff
•    Advocate and facilitator for continuous improvement
•    Superior critical thinking skills
•    Ability to prioritize and effectively execute to achieve goals
•    Report Analysis: Able to develop, compile and analyze statistical reports.
•    Able to monitor overall performance of assigned tasks
•    Provide best in class customer service
•    Knowledgeable and have previous experience in performance improvement
•    Knowledgeable in statistical process control, data analytics, and graph/chart display techniques