HCA, Hospital Corporation of America Division Director of Quality Management in St Petersburg, Florida

HCA West Florida is a comprehensive network of hospitals, outpatient surgery and diagnostic imaging facilities, physician practices, medical education and training programs and a complete continuum of specialized health programs and services that meet the healthcare needs of residents and businesses in West Florida communities.

POSITION SUMMARY: Provides direction to ensure the facilitation and utilization of diverse strategies and communication for quality and performance improvement in accordance with organizational, regulatory and accreditation body requirements. * Demonstrates responsibility and accountability in the organizational wide direction and facilitation of performance assessment, reassessment, development and implementation of the Quality/Performance Improvement program in accordance with all regulatory requirements. * Utilizes, integrates, and interprets data to assist organization in its improvement efforts, and promote optimal patient outcomes. Works collaboratively with Senior Management to develop strategic quality initiatives. * Leads organizational performance efforts for JCAHO, core quality measures, COP and regulatory and all other accrediting and regulatory agencies.
* Ensures compliance with JCAHO, and all legal, regulatory and accrediting agency requirements are met. * Continuously prioritizes organizational Quality/Performance Improvement management needs based upon assessment and reassessment of findings/data or populations served. * Acts as an active member of peer review committees; analyzes cases and outcome data and collaborates with physicians to promote and improve practice and optimal patient outcomes. * Actively contributes to and works toward hospital wide improvement in meeting core measures, patient safety and service excellence goals.
* Continuously evaluates work process and design; understands role in ensuring quality/performance improvement, productivity, and service delivery to meet stakeholder needs. * Performs duties in accordance with departmental policies and procedures, and recognized professional, quality, environmental and infection control standards. * Demonstrates knowledge of the occurrence reporting system. Uses system to report potential patient safety issues.
* Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patients care which results in patient harm.

*Education: *
Bachelor's Degree in Nursing, Master's Degree in Nursing, Business Administration, Healthcare Administration, or other related field.

*Experience: *
Minimum of five years of experience in a healthcare environment. Previous system experience in accreditation, quality, or risk management required. Knowledge of State, Federal, and TJC regulations. Previous experience in a nursing and administration role preferred.

*Licensure: *
Current FL RN license
* * *Training: *
CPHQ (Certified Professional in Healthcare Quality), CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians) required, CIC (Certification in Infection Control) preferred

Title: Division Director of Quality Management

Location: Florida-St Petersburg-WCF Shared Services

Requisition ID: 01380-7569