SUMMARY: Reporting to the Chief Medical Officer, the Area Director of Clinical Quality & Performance Improvement is responsible for guiding, building and leading the hospital's Performance Improvement (PI) program to support the Hospital's mission, values and business objectives. Key focuses for this position include: 1-Building clinical programs that improve the quality and safety of the care provided by the St. Joseph Health System in Sonoma County; 2-Maximizing performance and external awareness of St. Joseph Health System Sonoma County outcomes and excellence, and; 3-Internal facilitation to achieve best practice. The position plans, organizes and directs all aspects of the Performance Improvement function including clinical outcomes, patient safety, environment of care safety, infection control, risk management, operational improvements, service quality and organizational regulatory and accreditation readiness. The Director in collaboration with other members of the department provides the organization with focus and education on performance improvement, outcomes reporting, and regulatory issues.
MIN REQS: Master or Doctor level degree in clinical field (e.g. MSN, Pharm.D., or equivalent level). Incumbent should have 5 - 10 years in Performance Improvement and 3 - 5 years of increasing responsibility in leadership/oversight of quality programs. Training in performance improvement tools and techniques. Training in team dynamics and facilitation. National certification in performance improvement (e.g. Certified Professional in Healthcare Quality -CPHQ) preferred.
1. Helps position the St. Joseph Health System-Sonoma County as the premiere hospital system in Sonoma County relative to key clinical outcomes. Examples of activities would include the development of clinical pathways with medical and hospital staffs, benchmarking, participation in multi-hospital collaboratives, and standardization of care to support Care Redesign and CPOE.
2. Ensures integration of the Hospital's quality, financial, operational and strategic planning processes to facilitate housewide focus and achievement of performance improvement priorities.
3. Fosters a climate that facilitates clear, fast, open and accurate communication regarding Performance Improvement (PI) and outcomes at all levels of the organization, with the Board of Trustees, Medical Staffs, and with the communities we serve.
4. Creates an environment where: Best practices are accomplished through development of data driven strategies and tactics; Resources are identified, acquired, and are freely shared across/among teams; Key stakeholders are engaged and accountable for achieving excellent outcomes.
5. Champions an organizational environment of education, learning, and organizational competencies at all levels using principles and tools for continuous assessment and achievement of Performance Improvement tactics and clinical outcomes.
6. Assures that major decisions related to Performance Improvement and Clinical Quality take into account their effect on the organization and the communities we serve.
7. Establishes mutually beneficial partnerships with external consumers (payors, brokers, medical groups, employer groups and other community and patient group contacts) to maximize their awareness of Performance Improvement and Clinical Outcomes activities for the St. Joseph Health System in Sonoma County.
8. Facilitates internal and external stakeholder dialogue related to their quality projects and needs.
9. Establishes systems and resources that enable cross-functional analysis, internal and external benchmarking, and complex problem-solving across organizational boundaries.
10. Collaborates with leaders and staff across the organization, and with other entities and the System office, in pursuit of best practice and effective communication of excellent outcomes to our community.
Santa Rosa Memorial Hospital - 16 months ago