This position reports to the Chief Medical Officer of Kent Hospital

Job Summary:

Reporting to the Chief Medical Officer, the Director of Quality will develop and implement a comprehensive quality and patient safety program. The goal is to foster clinical excellence, promote innovation, and ensure patient safety by participating in clinical initiatives that promote evidence-based practices. The Director of Quality Management will provide leadership and direction for quality improvement, patient safety, hospital accreditation and certifications.

The Director of Quality Management is responsible for ensuring that the quality management and patient safety system are compliance with the Centers for Medicare & Medicaid Services Conditions of Participation and with The Joint Commission Standards of Care.

Duties and Responsibilities:

Oversee compliance with healthcare regulations and standards, including The Joint Commission, CMS, and other related quality certification programs

Oversee the budget for quality management activities, ensuring that resources are used effectively

Supervisor and support quality management staff, providing for development opportunities.

Work with other departments to ensure that quality improvement initiatives are integrated across the hospital.

Prepare and present reports and related analysis on quality performance to hospital leadership and regulatory bodies.

Demonstrate knowledge and understanding of current clinical practice guidelines, professional nursing standards, CMS regulations, regulatory/accreditation requirements, state licensure laws, national clinical quality benchmarks and organization policies/procedures; and applies this knowledge and understanding to the evaluation of patient care delivery;

Ensure timely and accurate data collection for reporting purposes; Accesses hospital databases and reporting applications as needed for data reporting.

Acts as a change agent to develop new processes, enhance existing workflow, and train clinical and medical staff in new processes.

Additional Information:

Quality Management: Lead and direct all quality management activities, including patient care, compliance with regulations, risk management, patient safety, and performance improvement

Strategic Planning: Develop strategic plans and policies to improve quality throughout the hospital and ensure compliance with regulatory agencies

Operational Leadership: Oversee the day-to-day operations, budgeting, financial management, and human resource management related to quality and patient safety.

Performance Monitoring: Continuously monitor and evaluate clinical outcomes, enhance value, and minimize patient harm3.

Stakeholder Coordination: Work closely with various stakeholders to coordinate quality and patient safety activities across the organization

Foster a culture of continuous performance improvement and metrics driven outcomes.

Requirements:

Bachelor’s degree in healthcare or a related field, Master’s degree preferred.

At least 5 years of leadership experience in a healthcare setting

CPHQ required.

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.