Job Code: 00144-11930
Largo Medical Center is an all private room, 425-bed statutory teaching hospital serving Tampa Bay area residents from three locations in Pinellas County. The hospitalâ€™s Transplant Institute of Florida is one of only eight programs in the state performing kidney transplant services with liver transplants added in 2016.
The hospital features a wide of comprehensive programs including behavioral health, Florida Breast Institute, cardiovascular services including a certified Afib & Heart Rhythm Center (SCPC), clinical research, Company Care occupational health, emergency care, imaging and diagnostic services, knee care at the Florida Knee and Orthopedic Pavilion, inpatient and outpatient rehabilitation, spine and neurological care at the Florida Spine & Neuro Center and weight loss/bariatric surgery at the Florida Bariatric Centers.
Located next to a golf course and not far from the Pinellas beaches, Largo offers great Florida living. The hospitalâ€™s GME program is the West Coast Academic Center for NOVA Southeastern University and affiliated with the USF Morsani College of Medicine.
The Director of Quality Management 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.
Role Accountabilities Include:
- 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.
Bachelor's Degree in Nursing, Business Administration, Healthcare Administration, or other related field. Experience
Three-five years of experience in a healthcare environment. Previous experience in accreditation, quality, utilization management, or risk management required. Knowledge of State, Federal, and JCAHO regulations. Previous experience in a nursing and/or administration role preferred. Licensure:
Current FL RN license Training:
CPHQ (Certified Professional in Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians) Individuals without CPHQ or ABQUARP will be granted a 12 month grace period to obtain CPHQ or ABQAURP to obtain, if all other qualifications are met.
Last Edited: 04/18/2018