Reporting to theChief Nursing Officer, the Director of Clinical Quality Improvement is a keymember of the hospital management team, and is responsible for overall hospitalquality / performance improvement and monitoring of the organization. The position ensures the provision ofdifferentiated quality and safety, patient-focused, outcomes based, andcost-effective medicine in the hospital setting. As such, the Clinical Quality Improvement Director�sresponsibilities will include, but are not limited to the followingactivities: Ensures processes areimplemented to evaluate and identify opportunities for improvement in theprovision of high quality, safe and resource effective medical care to itspatients; implements Tenets Commitment to Quality initiative and assures goalsare met; ensures processes are in place to ensure compliance with Quality andPerformance Improvement and as applicable with Education, Infection Control,Risk Management, Patient Safety, Peer Review, and Accreditation functions;monitors, in partnership with the medical staff, the measured outcomes ofhospital clinical care activities, identifies opportunities for improvement,and leads clinical improvement activities to improve those measured outcomes;ensures documentation of the results of hospital wide, clinical qualityactivities; ensures hospital compliance with accreditation, licensing andregulatory agencies; assures that the Patient Safety Officer is responsible forproviding the necessary leadership, training and support for performance of theplan by the employees� assuring and observing compliance with the policies andprocedures outlined with full regard for the identification and reporting ofincidents, potential hazards and other relevant information in a timely manner.
Minimum Education/Minimum Experience:
Degree (Bachelors, Masters or Doctorate) in a health related field, with 5 years of relevant hospital management experience or other allied health professionals who have extensive hospital experience (>7 years, or other pertinent credentials) in the areas of responsibility will be considered.
Experience in quality/performance improvement, and as applicable in case management and other related areas of responsibility. Demonstrated knowledge of Performance Improvement, Outcomes and Quality Management. As applicable, DCQI candidate also has demonstrated knowledge in the areas of Peer Review, Risk Management, Patient Safety, Infection Control Prevention and Reporting. Ability to interpret and process data in an analytical manner. Excellent communication (written and verbal) and presentation skills. Computer operational skills, understanding of statistics, spreadsheets and database systems. Current understanding of regulations as it relates to Joint Commission, State specific requirements, and Centers for Medicare & Medicaid Services (CMS). Demonstrated understanding of Quality Improvement Organization (QIO) guidelines/required processes and understanding of current trends in quality and other areas of responsibility as applicable. Ability to lead and coordinate activities of a diverse group of people. Ability to work with hospital team to motivate relevant constituencies to embrace change as required by Tenet�s Commitment to Quality and other clinical initiatives.
Registered Nurse Preferred
Job: Managers and Directors
Primary Location: San Ramon, California
Facility: San Ramon Regional Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.