Position Summary The Director of Quality and Clinical Analytics is responsible for promoting a culture of safety, high-reliability, patient and staff engagement, and performance excellence aligned with national patient safety goals. Working collaboratively with the Chief Quality Officer, Chief Nursing Officer, Chief Medical Officer, senior leadership, service line chairs, nursing, pharmacy and administrative/operational leadership to develop and implement a best-in-class quality and safety program to ensure regulatory compliance and mitigate organizational risk. The Director of Quality and Clinical Analytics develops and assesses clinical quality and safety programs that support the health system service lines and nursing practice. Collaborating with service line leaders to prioritize opportunities to improve healthcare delivery throughout the health system. This position will be accountable for working with the Chief Quality Office to ensure that all data needed to support reporting is available and in compliance with regulatory agencies. The Director of Quality and Clinical Analytics will be proactively researching opportunities to implement best practices to support the highest quality and safety initiatives. A working knowledge of data management, analysis, and reporting is essential – along with collaboration and communication skills. The Director of Quality and Clinical Analytics will be a member of the senior leadership team and will be considered a key advisor to the C-Suite and medical staff in continuing our journey to high reliability and no-harm.
Essential Functions § With the Chief of Quality develop and execute annual plans for hospital-wide quality improvement initiatives designed to assure care, service to patients and customers. § Coordinates and ensures the monthly QI meeting is staffed and documents with the Chief of Quality and the chair of the Quality Committee. § Monitors organizational performance toward effectively meeting the goals of the annual QI plan and refers data/outcome to appropriate individuals or committees. § Oversees the events reporting process and assures patient and staff safety and organizational risk mitigation through review, analysis, and feedback. § Collects and analyzes data which can be utilized in identifying and minimizing risk exposure. § Coordinates and assures timely response to legal concerns related to litigation against the hospital. § Coordinates the response to Sentinel Event occurrences and responses. § Provides quality report to the board per established cycle. § Coordinates and performs case review for routine and focused quality and credentialing matters. § Advises Administration and the Board of Directors regarding QI. § Develops policies and procedures as related to QI. § Serves as resource person for employees and medical staff for matters related to QI.
Work Experience Relevant experience in quality, patient safety, regulatory and accreditation, or performance improvement. Management/leadership experience in healthcare and clinical experience preferred.
Physical Demands and Work Environment Lifting/Carring Pushing/Pulling lbs % Time lbs % Time 1-10 67-100 1-10 67-100 11-20 01-33 11-20 01-33 21-50 01-33 21-50 01-33 51-75 NA 51-75 NA 76-100 NA 76-100 NA
Movement % Time Bend/Stoop/Twist 34-66 Crouch/Squat 34-66 Kneel/Crawl 1-33 Reach Above Shoulder 34-66 Reach Below Shoulder 34-66 Repetitive Arm 1-33 Repetitive Hand 34-36 Grasping 34-36 Squeezing 34-36 Climb Stairs 1-33 Walking Uneven 1-33 Walking Even 67-100
To create healthier tomorrows.
Your health system of choice, dedicated to healing and well-being through a culture of excellence and compassion.
Titus County Hospital District d/b/a Titus Regional Medical Center has been serving the healthcare needs of Northeast Texas for 65 years!