Career Center

Director of Quality

Ascension Saint Thomas Rehabilitation Hospital

Ascension Saint Thomas, in partnership with Kindred Healthcare, are to open the new
Ascension Saint Thomas Rehabilitation Hospital in Midtown Nashville, TN.

Saint Thomas Rehabilitation Hospital will serve nine counties and a population of 1.9 million--including more than 298,000 senior citizens. Upon completion and pending necessary regulatory approvals, the 40-bed, state-of-the-art facility will replace the 24-bed Acute Rehab Unit now located at Saint Thomas Midtown Hospital. Saint Thomas Rehabilitation Hospital will provide additional access to post-acute care by addressing Middle Tennessee's shortage of dedicated beds for individuals who require extended neurological and cardiovascular care following serious health events.

Full Press Release :
https://www.kindredhealthcare.com/about-us/news/2020/08/06/ascension-saint-thomas-midtown-breaks-ground-on-transformative-facility-developments

With nearly 30 standalone inpatient rehabilitation facilities (IRFs) across a dozen states, Kindred Hospital Rehabilitation Services (KHRS) is a partner of choice for many major hospital systems in the creation and success of joint-venture operations that outperform in both clinical and financial outcomes. We bring proven rehabilitation management and services expertise that benefits our partners as well as the nearly 50,000 IRF patients we see each year who seek to recover and get home quickly from any of a number of conditions, including stroke, brain injury, spinal cord injury, orthopedic injury, neurological conditions, amputation and trauma.

IT'S SIMPLE. You want to work in a hospital setting where you are valued and appreciated - where you receive respect from your superiors and co-workers as well as the patients we serve.

You want to be challenged by your job without being overwhelmed by it. You want to play an instrumental role in helping a patient recover, sometimes against strong odds, and go home. What you want is Kindred Healthcare.

Our mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. Join us!

JOB SUMMARY:

The DQM assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program.
The DQM will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement. He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes. He/she will assure ongoing monitoring of performance to ensure that improvements are sustained. The DQM will direct and assist in compliance with federal and state regulations and accreditation standards.

QUALIFICATIONS:

• Registered Nurse with current state licensure highly preferred.
• Clinical license required.
• Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
• BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.
• Current Basic Life Support/CPR Card.
• Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required.
• Working knowledge of staff development and the educational process, quality improvement, infection control/employee healthy, and safety/risk management standards.
• Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.

ESSENTIAL FUNCTIONS:

Job Specific

• Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program.
• Measures and assesses performance through collection, analyses, and trending of data.
• Focuses on processes and systems to improve performance.
• Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety.
• Investigates factors contributing to adverse outcomes in order to improve processes and systems.
• Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and/or outcomes.
• Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training.
• Directs the functions and operation of the hospital-wide continuous quality improvement program including review of records for indicators of quality; reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate.
• Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff.
• Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.
• Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.
• Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.
• Other duties as assigned.

Company Specific:

• Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty
• Completes annual health, safety, and education requirements. Maintains professional growth and development.
• Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
• Reports to work on time as scheduled; adheres to policies regarding notification of absence.
• Attends all mandatory in-services and staff meetings.
• Represents the organization in a positive and professional manner.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Maintains current licensure/certification for position, if applicable.
• Consistently demonstrates customer service skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.
• Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
• HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.
• Compliance: Conducts job responsibilities in accordance with standards set forth in Kindred's Code of Conduct, Kindred policy and procedures, applicable federal and state laws, and applicable standards.

• Registered Nurse with current state licensure highly preferred.
• Clinical license required.
• Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
• BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.
• Current Basic Life Support/CPR Card.
• Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required.
• Working knowledge of staff development and the educational process, quality improvement, infection control/employee healthy, and safety/risk management standards.
• Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.