Director of Standards & Performance Improvement
Tuality Healthcare - Hillsboro, OR

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director of standards & performance improvement
When it comes to community, everyone has a part to play. For us, it's an honor and a duty to help those near us receive the best medical care possible. That's why, since our beginnings in 1918, we've worked hard to provide quality, convenient care for our patients. Throughout our growth and expansion, we have become a strong community-governed, not for profit, healthcare system. We take pride in our excellent quality of work and all of our services provided, creating an atmosphere that benefits our staff and patients alike.

At Tuality Healthcare we recognize that the foundation for providing excellent care begins with recruiting exceptional candidates and cultivating the talents of our current employees.

Summary of Duties

Directs Tuality Healthcare’s quality and performance improvement processes. Oversees the Joint Commission (TJC) preparation and survey for accreditation, quality management/improvement, credentialing, continuing medical education, (CME) and peer review. Participates in or leads sentinel event root cause analysis and Confidential Occurrence Report investigation when it applies to a quality of care or patient safety issue.


HIRING COMPETENCIES - skills & experiences the applicant should bring to the job.
a) Education
: BS/BA degree required; Master’s degree in Nursing, Hospital or Business Administration preferred. b) License
: Current license as an RN from the Oregon State Board of Nursing required; Certified Professional in Healthcare Quality (CPHQ) and/or Certification in Healthcare Risk Management (CPHRM) preferred. c) Minimum 10 years hospital or healthcare experience, 5 years in management supervising employees required.
d) Knowledge of medical staff organization, quality and risk management, and TJC required.
e) Must have knowledge and experience with Core Measures, HCAHPS, patient satisfaction, CMS, state regulatory requirements, and current concepts in quality assessment and improvement standards.
f) Ability to work with mathematical concepts required.
g) Planning and budgeting skills required.
h) Excellent written, verbal and interpersonal skills essential.
i) Excellent presentation skills required.
j) Ability to implement ideas and programs required.
k) Demonstrated leadership and management skills required.
l) Ability to resolve problems required.
m) Self-directed and motivated to work with minimal supervision.
n) Strong analytical skills essential.
o) Personal appearance makes a first good impression.
p) Must have experience and working knowledge of Microsoft Word/Excel and electronic communication programs i.e. Microsoft Outlook (e-mail).
q) Knowledge in statistics, data collection and quality improvement tools.
r) Excellent customer service skills required.
s) Microsoft Visio experience/skills preferred.

1. Percentage of Time Spent:

% of time

Physical Requirement








Lifting / Carrying
2. Physically Demanding Tasks: Refer to Job Analysis