Director of Quality_

Terre Haute

**Description**

This position is incentive eligible.

**Introduction**

Do you have the career opportunities as a Director of Quality you want with your current employer? We have an exciting opportunity for you to join Terre Haute Regional Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

**Benefits**

Terre Haute Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (cahealthcare.com/pages/employee-benefits-and-rewards)

**_Note: Eligibility for benefits may vary by location._**

Our teams are a committed, caring group of colleagues. Do you want to work as a Director of Quality where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

**Job Summary and Qualifications**

The Director of Quality has responsibility and authority to plan, organize, and direct the activities of the Quality Resource Management, Medical Staff Services, Risk Management, and Infection Control functions. Responsible for selection, management and evaluation of personnel in the department and other departments as assigned as well as accountability for overall results of those functions.

**Behavioral characteristics:**

· Must be able to develop new programs based on standards, policies and procedures

· Must process leadership qualities and principles and have the ability to organize and present concepts

· Must be able to communicate effectively with all levels in the organization – physicians, nurses, departmental staff house wide, other facilities staff, patients, families/significant others, etc

· Displays sound judgment and has a high degree of analytical skills

· Displays an intimate working knowledge of hospital policies and organizational relationships and works effectively within such framework

· Must display good understanding or adult teaching-learning principles

· Demonstrates responsibility and accountability for own attendance and tardiness

· Actively seeks to learn the department’s/hospital’s processes and participates in improving them to meet the hospital’s patient/customer focus, as evidenced by suggestions, reporting occurrences, team participation

· Demonstrates good communication skills including written, verbal, nonverbal (body language), and interpersonal manners

· Demonstrates awareness and application of all safety procedures while on duty

· Demonstrates ability and willingness to plan and coordinate the work so as to accomplish required tasks accurately

· Must possess ability to supervise, counsel, and work professionally with department personnel and peers. Ability to perform cognitive tasks

· Demonstrates behaviors that are relative to the HCA Mission and Values Statement: “We act with absolute honesty, integrity and fairness in the way we conduct our business and the way we live our lives.”

**Position responsibilities:**

· Provides strategic and technical direction to ensure all areas of responsibility are in compliance with QIO, ISDH, CMS, The Joint Commission, and other regulatory guidelines

· Keeps appraised of changes in regulations as they relate to all areas of responsibility

· Coordinates house wide Quality Management activities for reporting to the appropriate physician committees, Executive Committee and the Board of Trustees

· Receives and reviews minutes of Medical Staff and hospital-wide Committees to gather information pertinent to Quality Management activities

· Reviews data related to clinical care with the Clinical Monitoring Committee to set the committees agenda and identifies problems which require immediate action

· Assists as a liaison for various committees and departments to help maintain communication between committees/departments monitoring activities

· Assists Medical Staff with the establishment and maintenance of ongoing monitoring and evaluation activities

· Maintains open communication with all other leaders, Administration, and Medical Staff and updates them on any concerns/issues within area of responsibility

· Oversees the annual reappraisal of the Performance Improvement Plan and Patient Safety Plan to include a list or summary of relevant findings, actions required to either improve or assure the coordination and integration of Performance Improvement activities and evidence of the programs impact on improving clinical performance and patient care.

· Functions as a Performance Improvement (PI) facilitator

· Serves as a contact/resource person for QIO, CMS, Medicaid, ISDH, The Joint Commission, and all other regulatory bodies.

· Performs Root Cause Analysis on all sentinel events and intensive analysis on near misses. Initiates an action plan for necessary changes of processes

· Interviews, hires, trains, supervises, and evaluates the performance of the employees according to the criteria of their job description

· Counsels, and disciplines departmental employees in consultation with the Human Resources Director and Administration

· Prepares annual departmental operations, personnel and capital budgets. Reviews DOR as needed to ensure expense control to maintain hospital budgetary requirements

· Assures that departmental policies and procedures are in place and revised/reviewed and updated and as needed/required

· Conducts regular meetings with subordinates for purpose of communication, problem solving and evaluation of departments operations. Collaborates with staff to establish, implement and evaluate department’s goals and objectives

· Evaluates employees’ performance in a timely manner with professional feedback

· Serves on a variety of hospital committees as required/assigned

· Maintains strict confidentiality regarding patient, employee and strategic hospital information

· Attend Code of Conduct training course annually

· Adherence to HCA’s Code of Conduct

· Understands and satisfies the needs of the patient population appropriate to the age of the patient served (adults, geriatric, adolescent, pediatric, and parents of neonates)

+ Adheres to the Standards of Behavior for Terre Haute Regional Hospital as per the Customer Relations Policy

+ All other duties as assigned by the Chief Executive Office,

**Essential educational/licensure, skills and experience:**

+ Above average communication skills in all forms

+ Graduate of an approved school of nursing

+ Licensed Registered Nurse in the State of Indiana, BSN required

+ Must have comprehensive knowledge of nursing theory and practice

+ Three to five years of clinical nursing experience with previous managerial or leadership experience required

+ Prior experience in utilization/quality review and/or QIO review required or equivalent experience in nursing filed

+ Experience with The Joint Commission and ISDH standards required

**Valued but not required educational/licensure, skills and experience:**

+ MS, MBA or related graduate degree

Terre Haute Regional Hospital (om/) has provided quality healthcare services since 1882. We give patient's access to trained physicians and advanced technology. Our 275+ bed hospital is a leading acute care facilities in Indiana. Terre Haute is the only full-service hospital in the area accredited by The Joint Commission. We have provided quality care to the Wabash Valley community for 135 years. Services include the region’s only Level-II trauma center, cardiovascular services--including open-heart surgery and cardiac catheterization; oncology services, which include radiation therapy and outpatient infusion; labor and delivery, including a neonatal intensive care unit; an inpatient behavioral health unit; and other specialized inpatient areas, including intensive care and inpatient rehabilitation units.

At Terre Haute Regional Hospital, our care like family culture extends to our patients, people and our community. We are committed to each other. When we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Director of Quality opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.