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Director of Quality And Risk
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- The Director is responsible for hospital-wide quality management program and works with hospital administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital.
- They will have access to all medical records for the hospital; will ensure proper compliance with regulatory agencies, accrediting bodies, and Home Office and hospital policies and procedures; and will work to develop, implement, and maintain quality assessment and improvement programs within the hospital.
- o Mentors others for the leader and facilitator role in the performance improvement process.
- o Ensures updates and maintenance of hospital plans is completed (for example Plan for the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, Performance Improvement and Patient Safety).
- Coordinates all RCA (root cause analysis) and sentinel event report development and submission.
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