Director Quality

Area of Interest: ManagementFTE/Hours per pay period: 1.0Department: Quality ImprovementShift: 8a-4:30pm M-FJob ID: 181417OverviewThe Director, Clinical Decision Support & Quality, is responsible for the effective operation of the Clinical Quality Department. As a member of the management team, the Director will lead this service line and the team’s commitment to quality, service, growth and fiscal accountability and will be held accountable for the accomplishment of these results and targets. The individual assumes responsibility for the support of the Quality Management System and serves as a resource to the Board of Directors, Management Team and Medical Staff affiliated with UnityPoint Health – Des Moines.Why UnityPoint Health?At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:    Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.Find a fulfilling career and make a difference with UnityPoint Health.ResponsibilitiesAccreditation Readiness & SurveysEnsures that processes needed for the Quality Management System (QMS) are established, implemented and maintained. Supports and coordinates the Management Review Committee, Quality Management Oversight Committee (QMOC) and the Critical Event Committee (CEC), assuring oversight committees are actively engaged and informed on appropriate elements of the QMS. Maintains awareness of applicable laws and/or regulations. Remains current on law/regulation changes, recognizes implications to the organization and recommends courses of action to ensure compliance. Acts as a resource to committees/workgroups regarding regulatory standards and interpretation.Clinical Decision & Application Support Assures the accuracy of clinical data collection and submissions to outside entities (CMS & various registries).Assures that efficient/effective data gathering procedures, methods and systems avoid duplication of effort and the generation of nonessential data.Shares reports with the Board of Directors, medical staff leaders and hospital management on the performance of the Quality Management System and any need for improvement.Clinical Complication Prevention & Risk Management Assures case reviews, RCA and corrective action planning involves the appropriate stakeholders and occurs in a timely fashion. Assures the Infection Prevention risk assessment is done annually and findings are used in annual planning and goal setting. Assure Infection Prevention resources are allocated based on the priorities identified in annual planning and as new emergent needs are identified. Assures the coordination of the Medical Staff and Nursing Peer Review processes, including records sent for outside reviews. Demonstrates the knowledge that patient and workplace safety is a priority by preventing errors, accidents and infections, and reporting potential or actual concerns immediately.Management & Staff Development Leads, manages and supports the managers, supervisors and staff in responsible departments. Provides personal performance development feedback and performs employee rounding. Assumes responsibility for administrative functions, i.e., development of budgets, effective use of resources, long range planning, cooperative relations with other UPH departments and affiliates.QualificationsMinimum RequirementsMaster’s degree in a related field.Five years of progressively responsible management experience in a hospital, outpatient, or clinical environment.Demonstrated results in improving performance and quality.Demonstrated experience as an effective communicator, manager, and developer of people and programs.Valid driver’s license (required when driving any vehicle for work-related reasons).Understanding of quality and process improvement tactics and methodologies.Basic understanding of statistics (e.g., control charts, run charts) and ability to analyze data.Ability to read, write, and speak fluent English; communicate effectively with various disciplines/roles.Excellent oral and written communication skills, including periodic article preparation and formal presentations.Ability to travel to other UPH facilities, including travel to all UPHDM hospitals using a UPH vehicle, rental, or personal vehicle.Ability to use usual and customary equipment required to perform the essential functions of the position.Preferred QualificationsCertification in Healthcare Quality, Lean, or Six Sigma.