Director Quality and Performance Improvement

Overview:PURPOSE STATEMENT:Develop and implement a planned, systematic and on-going system for monitoring and improving quality, safety and appropriateness of patient care.Responsibilities:ESSENTIAL FUNCTIONS:Develop processes for identification, collection and analysis of performance measurement data.Utilize collected data regarding the outcome of activities for delivering continuously improving services.Develop written plans to improve and/or correct quality, safety and appropriateness of patient care. Conduct routine evaluations of the effectiveness of services.Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data and related information.Determine if services meet pre-determined quality improvement expectations and outcomes.Ensure correction of any observed deficiencies identified through the quality improvement process.Identify key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices.Conduct timely and regular evaluation of serious incidents, complaints, grievances and related investigations to:Identification of events, trends and patterns that may affect client health, safety and or treatment efficacy.Committee evaluation findings and recommendations submitted to agency management for corrective action.Implemented actions, outcomes, trends analyzed over time.Identification of problems or potential problems to prevent risks to patients. Proposes corrective steps that may include, but are not limited to:Changes in policies/procedures.Staffing and assignment changes.Additional education or training for staff.Addition or deletion of services.OTHER FUNCTIONS:Perform other functions and tasks as assigned.Qualifications:EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:Bachelor’s Degree in Human Services or nursing required. Master’s degree in behavioral health/risk discipline, Registered Nurse preferred.Three or more years’ experience in a Quality or PI role required.Two or more years’ management experience required.LICENSES/DESIGNATIONS/CERTIFICATIONS:Current licensure appropriate for the degree held required.CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).First aid may be required based on state or facility.We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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