Director Quality and Patient Safety

Overview:
Founded in 1887, California Hospital Medical Center is a 318-bed, acute care, not-for-profit hospital located in downtown Los Angeles. The hospital offers a full complement of services including a Level II traumacenter, the Los Angeles Center for Women’s Health, obstetrics and pediatric services, and comprehensive cardiac and surgical services.California Hospital is home to Hope Street Margolis Family Center, a community health, education, and resource center helping thousands of families and children.

 

If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.

 

We offer the following benefits to support you and your family:

Annual Incentive (Bonus) Program.

Matching Retirement Program.

Pension fully funded by the Hospital.

Tuition Assistance for career growth and development.

Health/Dental/Vision Insurance.

Free Membership to our Care@Work program supporting child care, pet care, and adult dependent needs.

Employee Assistance Program (EAP) for you and your family.

Flexible spending accounts.

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft.

Wellness Program.

Paid Time Off (PTO).

Responsibilities:
As our Director of Quality and Risk at California Hospital Medical Center, you’ll lead ongoing quality improvement initiatives that include collaboration between many healthcare professionals. Each day you’ll make data-driven decisions to ensure our patients continuously  receive high-quality care resulting in positive outcomes. In this cornerstone leadership role, you’ll analyze data and implement different strategies for performance improvements, quality outcomes, risk reduction/mitigation, patient safety, and infection control. 

 

To be successful in this role, you’ll apply your experience in clinical practice, operations, data analysis, and technology in order to build on our culture of continuous improvement. Your project management skills will ensure our teams continue moving forward with current initiatives. 

 

Educate and lead health care teams on quality initiatives and mitigating risk

Collaborate with CNO and other leaders to build on our culture of growth and improvement

Lead on-going education initiatives

Ensure high integrity of data for reporting and analysis

Qualifications:
Education and Experience: Bachelor’s degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.

Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program.

Minimum of two (2) years of clinical, patient care experience or equivalent.

Licensure: Current State License in a clinical field. Five (5) years’ experience in Quality Management can be used in lieu of state license.

Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.

Special Skills and Training:

Knowledge of quality management methods, tools, and techniques and ability to create and support an environment that meets the quality goals of the organization.

Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.

Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.

Knowledge and expertise in specific performance improvement/CQI methodologies (e.g., Six Sigma, LEAN).

Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).

Experience with the event reporting process, root cause analyses, and event investigation/review.

Experience with patient compliant/grievance investigations and prompt resolution.

Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks.

Familiar with all legal documents related to hospital liability, including management of subpoenas, Summaries and Complaints and other related activities.

Knowledge of processes, tools and techniques for assessing and controlling an organization’s exposure to risks of various kinds; ability to apply this knowledge appropriately to diverse situations.

Ability to manage collaboratively and coaches others to achieve optimal performance; delegate effectively; praise/reward. 

 

 

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