Director, Quality, Patient Safety & Medical Staff Services

Company Name:
SCL Health
St. Mary's Medical Center is dedicated to meeting the healthcare needs of the residents of western Colorado and eastern Utah. An opportunity exists for a Director of Quality, Patient Safety and Medical Staff Services. Relocation assistance is available along with access to our competitive benefits packages which include comprehensive selections of medical, dental, vision, life insurance, disability, retirement and more.
A not-for-profit organization, St. Mary's Medical Center was founded in 1896 and is part of SCL Health. Today, St. Mary's Medical Center is the largest medical center between Denver and Salt Lake City, and has 346 beds, over 2,000 associates and 400 active physicians.
Initiates and oversees the development of a comprehensive safety/quality/performance improvement program inclusive of the analysis and trending of data related to initiatives.
Provides strategic oversight for patient safety and quality committees with accountability for distribution of organizational communication.
Provides overall direction necessary to ensure that clinical services are provided in accordance with standards established through state and federal regulations and TJC accreditation standards, including the National Patient Safety Goals, and that are evidence-based.
Provides strategic oversight of proactive and reactive patient safety activities including root cause analyses, failure mode effects analyses and Sentinel Event Alerts in regards to the facilitation of process, planning, implementation and evaluation of effectiveness of process changes.
Assesses entity compliance with accreditation standards and regulations related to clinical care in collaboration with leadership and staff. Identifies areas of vulnerability and directs the development of strategies to enhance compliance.
In conjunction with the medical staff and hospital leadership, directs and coordinates safety/quality/performance improvement initiatives.
In collaboration with clinical staff and medical staff leadership, participates in the monitoring, reporting, and improvement activities related to clinical guidelines, health care quality/safety initiatives, accreditation and regulatory requirements
Proactively educates leadership and staff regarding regulatory issues, new statutes/guidelines, and safety/quality/PI activities.
Regularly communicates PI and quality/safety activities to leadership and staff.
Manages the departmental budget effectively and determines fiscal requirements and prepares budgetary recommendations.
Understands and manages the medical staff office, including physician credentialing and OPPE/FPPE processes.
Performs staff performance evaluations establishing a development plan for each employee.
The information above is for summary purposes, and is not intended to be a comprehensive list of essential functions.
Bachelor's degree in healthcare related field. Master's in healthcare related field preferred. Formal education and certification in quality and patient safety is highly desirable.
A minimum of 5 years of direct patient care experience as a healthcare professional or as a non-clinical quality/patient safety professional.
Three years in accreditation/regulatory affairs/performance improvement/patient safety in healthcare.
Five years managerial experience.
Qualified candidates are encouraged to Apply Now for immediate consideration.
St. Mary's Hospital & Regional Medical Center is located in Grand Junction Colorado, a community that is welcoming and entrepreneurial. Grand Junction is a hub for education, retail, healthcare and energy development. The area boasts many outdoor recreational opportunities and a vibrant downtown with many entertainment options.
To learn more about St. Mary's Hospital & Regional Medical Center, please visit www.stmarygj.org

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