Director of Quality

UofL Health - Frazier Rehabilitation Hospital (East)

UofL Health and Kindred Rehabilitation Services (KRS) have announced a joint venture to build and operate an inpatient rehabilitation hospital in Louisville, Kentucky.

This new 40-bed inpatient rehabilitation hospital will be located at 5000 Chamberlain Lane, near the intersection of I-71 and I-265 in the northeast area of Jefferson County, and will serve the growing East End of Jefferson County and adjacent counties. The approximately 55,000-square-foot, two-story rehabilitation facility will have all private rooms and focus on acute rehabilitation for patients who suffer from stroke, traumatic brain injury, spinal cord injury, complex neurological disorders, orthopedic conditions, multiple trauma, amputation and other injuries or disorders. Large multidisciplinary therapy gymnasiums will be outfitted with the latest therapeutic technologies, including augmented reality balance training, therapy bionics and a full body exoskeleton. The hospital will also include a therapeutic courtyard with exterior amenities.

UofL Health - Frazier Rehab Institute is recognized nationally as an innovator in rehab care. For more than six decades, patients from across the world have sought out Frazier Rehab for life-enhancing treatments and therapies. The new facility is expected to help manage the growing needs of the region and will free up access to the array of specialty programs at its downtown location with one common goal - helping people of all ages with disabilities reach their fullest potential in physical and cognitive functioning.

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.

ESSENTIAL FUNCTIONS:

• 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.

• 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.