Director of Quality...Broken Arrow, Oklahoma
Seasoned professional in Quality, Regulatory, and Risk Management, including Safety Officer and Environment of Care duties.
Able to adapt to the rapidly changing healthcare standards, and quickly comprehend rationale and develop solutions to be compliant.
Experience in gathering data, developing reports, and presenting information in a manner which is understood by all.
Motivated to support the leadership team in compliance of polices/procedures/standards/laws.
Able to meet the time tables involved in reporting to and facilitating teams to develop plans and meet goals.
Reliable, and willing to represent the company in community organizations (i.e., IHCC).
Strong interest and experience in Emergency Preparedness and Disaster Recovery.
The Director of Quality is responsible for all Quality, Risk, Regulatory, Safety, and Environment of Care areas for the LTAC hospital. Responsible for the Joint Commission Survey Readiness for this hospital in a hospital setting, including undergoing the triennial accreditation survey for two campuses, development of the MOS and ESC plans addressing and correcting findings, and continued monitoring to ensure the meeting of standards. Collects data for assurance of meeting Quality Standards as directed by the company and regulatory entities. As Safety Officer, responsible for ensuring a safe environment, as well as dealing with complaints, grievances, and events in which safety of the patients and staff may be affected. Key contact person dealing with state complaint surveys, and contact person for the hospital with the State Department of Health, Nevada Hospital Association, and the American Hospital Association.
Proponent for Environment of Care rounding, ensuring compliance with standards and regulations. Leader and facilitator of Environment of Care Committee and Quality/Patient Safety Committee, as well as participant in Policy Committee. Facilitator and organizer for MEC and Governing Board meetings. Investigator of physician issues (OPPE, FPPE, and Peer Review). Skilled in Word, Excel, PowerPoint. Also member of the hospital Ethics Committee. Representative for the hospital in the Washoe County Inter Hospital Coordinating Council. Developed the growing Emergency Preparedness Plan for Tahoe Pacific Hospitals, following the LifeCare policy, and the Mutual Aid Agreement for the Washoe County Health District. Preceptor for hospital administration practicum for pharmacy students from California North State University, providing exposure to regulatory aspects in healthcare, as well as qualitative analysis, planning, and improving of pharmacy issues.
Primary responsibilities included overhauling existing 2,200 policies to be compliant, revised, retired, or combined, to last review being within 3 years. Also revised the process for policy approval to be more timely and efficient. Within 1 year decreased the total number of policies to 1,300, with the formation of a new policy committee comprised of leadership of the hospitals.
Also responsible for EOC rounding in preparations for survey readiness, working with the Director of Regulatory Services and the VP of Quality Management. Dealt with identification of areas for improvement, development of action plans, implementation of process changes, and ultimately maintenance of compliance with standards for CMS and the Joint Commission. (Left this position when the opportunity arose to be promoted to the Director of Ethics and Compliance, still working with Regulatory in this role.)
This position worked directly for the Director of Quality Management and the CMO of a three hospital STAC system. Initially hired to develop the Quality Program as it pertained to the newly built 125 bed San Martin Campus in 2007, working with the hospital leadership in compliance with the standards of the Joint Commission, CMS, and also identification of opportunities for improvement in CMS CORE standards (AMI, CHF, Pneumonia, SCIP) and other areas for continuous monitoring.
Part of the team in EOC rounding, and ensuring compliance with JC/CMS standards as well as those of OSHA, State and City Department of Health. Facilitator in all Quality meetings, including EOC, Medical Staff Meetings (Surgery, Cardiology, Medical, OB/GYN/Neonatal), as well as facilitator for all medical staff departments peer review, utilizing Crimson and MIDAS. Direct interaction with JC/CMS/State surveyors during survey activity, and assisted with development of plans for improvement and monitoring with all leadership.
This is a real resume for a Director of Quality Management in Sparks, Nevada with experience working for such companies as Tahoe Pacific Hospitals, Sunrise Hospitals And Medical Center, Sunrise And Sunrise Childrens Hospitals. This is one of the hundreds of Director of Quality Management resumes available on our site for free. Use these resumes as templates to get help creating the best Director of Quality Management resume.
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