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The Cook County Health & Hospitals System (CCHHS) is one of the largest public hospital systems in the nation. The System cares for over 25,000 inpatients annually and has almost 1 million clinic visits per year. The John H. Stroger, Jr. Hospital of Cook County has a Level 1 Trauma Center, a busy Emergency Department serving 140,000 patients per year, a full service OR and Maternal Child Services. The System is committed to excellence in the quality of care provided to its patients and seeks to demonstrate this quality by fill accreditation from Joint Commission.
The Director of Quality Improvement, Hospital Based Services is a health care professional with experience in directing quality, safety and performance improvement efforts in the hospital setting which may include community based clinics. Provides organizational direction and oversight of quality metric reporting. Provides oversight of the Hospital patient safety program including the reporting and analysis of sentinel events and the development and implementation of a patient safety plan. Leads continual readiness efforts across the Hospital, including policy review, tracer activities, staff education and survey preparation and oversight. Responds to requests for information and collates and presents data as required by the Regulatory Agencies. Prepares and delivers reports to such agencies, as well as to Cook County governance including the CCH Board of Directors. Perform other duties assigned by the Chief Quality Officer.
This position is exempt from Career Service under the CCH Personnel Rules.
Master's or higher level degree in a health related discipline from an accredited college or university (Candidates who do not possess a license must provide official transcripts with evidence of coursework at the time of the interview)
Five (5) years' clinical experience in a hospital setting
Five (5) years' experience in key roles in quality improvement at a system level
Previous experience with data analysis and interpretation
Two (2) years of leadership at a Director/Hospital Administrator level preferred.
Ability to adapt and thrive in a complex organizational environment
Ability to function independently and under time constraints
Previous experience in clinic administration in a hospital care setting
Additional certification or coursework in quality improvement or patient safety
General Administrative Responsibilities
Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
Participate in collective bargaining negotiations, caucus discussions and working meetings
Document, recommend and effectuate discipline at all levels
Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiate, authorize and complete disciplinary action pursuant to CCHHS system rules, policies, procedures and provision of applicable collective bargaining agreements
Direct and effectuate CCH management policies and practices
Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Contribute to the management of CCH staff and CCHs’ systemic development and success
Discuss and develop CCH system policy and procedure
Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Work with Labor Relations to discern past practice when necessary
Initiates and oversees the development of a comprehensive safety/quality/and Pl program inclusive of the analysis and trending of data including patient grievances and patient safety reports.
Provides strategic oversight for quality committees with accountability for distribution of organizational communication.
Prepares regular reports as needed for performance improvement and quality programs.
Assesses entity compliance with accreditation standards and regulations related in collaboration with entity leadership and staff.
In conjunction with the medical staff and system leadership, directs and coordinates quality/performance improvement initiatives.
Fosters and maintains collaborative relationships within CCH and with external agencies, purchasers, and stakeholders related to quality/performance improvement initiatives.
Regularly communicates Pl and quality activities to leadership and staff.
Manages department budget and determines fiscal requirements and prepares budgetary recommendations.
Reports to the Chief Quality Officer
Knowledge, Skills, Abilities and Other Characteristics
Excellent leadership skills with operational experience in regulatory, safety, care management and related fields
Detailed knowledge of the regulatory environment including Joint Commission standards
Outstanding written and verbal communication skills
Must be detail oriented and have high standards of accuracy
Experience working with Electronic Medical Record Systems
Proficient in Microsoft Word and PowerPoint
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
100% Tuition Reimbursement for nursing-related programs
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowinglyprejudicing or affecting any term or aspect of County employment or hiring uponor because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER