Job Category:

Work Shift/Schedule:

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

The Director of Quality for Heart & Vascular will lead Georgia Heart Institute (GHI) and the Heart & Vascular Service Line in improving clinical quality by supporting clinicians in improving quality of clinical outcomes, processes and patient experience through providing awareness of quality metrics, promoting standard work and utilizing evidenced based practices directed by the data. Acts as a liaison between NGMC and GHI as it relates to safety and quality initiatives by collaborating with appropriate hospital departments, rapidly identifying risk and opportunities for improvement in the continuum of care between inpatient and outpatient settings and implementing risk and medical error reduction strategies to bridge defined quality and clinical gaps. Ensures required accreditations and regulatory requirements are met and maintained.

Minimum Job Qualifications

• Licensure or other certifications:

• Educational Requirements: Masters degree in Health Care Administration, Public Health, Business Administration required. Must show proof of enrollment in an Accredited Masters Degree Program , and will have 18 months from the date of hire to obtain degree .

• Minimum Experience: Five (5) years of Experience in Clinical, clinical quality management, including performing Root Cause Analysis and Failure Mode and Effects Analysis required. Two (2) years of Management experience in a health care setting required.

• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:

• Preferred Educational Requirements:

• Preferred Experience: Experience in both physician group practice and large complex healthcare organization.

• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• High energy and ability to function effectively in a dynamic work environment

• Superior organization and interpersonal skills

• Excellent written and communication skills, enabling successful presentation to diverse audiences

• Creativity; ability to create new programs and implement new concepts

• Strong analytical, root cause analysis and process improvement skills

• Demonstrated effectiveness as a team player

• Data development and management skills

• Demonstrates expertise in use of clinical databases
  

Essential Tasks and Responsibilities

• Works collaboratively within the group and service line to monitor group performance in key quality measures tied to potential Pay for Performance initiatives and aids in developing corrective measures to ensure success in achieving optimal performance.

• Develops and implement quality initiatives for the group and service line to comply with various government quality programs.

• Researches benchmarks that would be utilized in comparing the group and service line to other groups and medical centers.

• Facilitates process improvement, demonstrating expertise in leading teams or participating as a contributing member.

• Designs and presents educational sessions on clinical, patient experience, error prevention and clinical quality improvement.

• Supports the Chair of the Quality Council and manages relevant topics/discussions for improvement and approval of new services and/or technology.

• Oversees the dissemination of accurate, user friendly clinical reports in a timely fashion to key stakeholders.

• Participates in senior leadership forums, site level meetings and group peer review activities, identifying pertinent findings and events, corrective action plans and completion status.

• Keeps current with emerging initiatives. Identifies best practice recommendations for clinical quality and introduces them to the group. Examples include: Institute for Healthcare Improvement, NCQA, etc.

• Must be able to proactively assess budgetary impact during design and planning phases of key projects.

• Responsible for collaborating with Administrative Directors and Director of Operations on performance improvement, accreditation and regulatory requirements.

• Responsible for identifying and communicating budgetary needs during financial planning cycles.

• Monitors and supports process improvement projects in the areas of cg-chaps and outpatient patient experience.

• Manages the abstraction of clinical data for cardiovascular registries such as National Cardiovascular Data Registry for Percutaneous Coronary Interventions, Society of Thoracic Surgeons registries for Cardiac and Thoracic Surgery, and American Heart Association Heart Failure Registry.

• Prepares survey responses for payor quality programs such as BCBS distinction designation, Q-HIP and AETNA Institute of Quality designation and American Hospital Association Survey.
  

Physical Demands

• Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

• Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

• Vision: Moderate, Frequently 31-65% of time

• Kneeling/Stooping/Bending: Occasionally 0-30%

• Standing/Walking: Occasionally 0-30%

• Pushing/Pulling: Occasionally 0-30%

• Intensity of Work: Frequently 31-65%

• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.