Job Description
Neuropsychiatric Hospitals
Founded fifteen (15) years ago, NeuroPsychiatric Hospitals is the largest hospital system in the nation providing care to patients with both neurological and medical needs. Our facilities maintain an inter-disciplinary focus using a multi-specialty approach for both neuropsychiatric and complex medical care issues. This proven approach provides unrivaled quality care for all of our patients. NeuroPsychiatric Hospitals is looking for a Director of Quality and Risk at our Kalamazoo, Michigan location. NPH is the national leader in providing medical and neurobehavioral care to patients in acute psychiatric distress. You will be joining a team of rock star staff who provide exceptional, patient-centered care and understand our patients are always our number one priority! The Director of Quality supports the implementation and monitoring of the quality assurance measurements and audits, and assists in improving patient safety processes throughout the hospital through coordinating and engaging in activities to proactively promote implementation of evidence based best practices and resolve deficiencies; helps to prepare NPH facilities for surveys by accrediting and licensing agencies; Benefits of joining NPH as a Director of Quality and Risk Medical, Dental, and Vision Insurance Employee Assistance Program (EAP) Programs Generous PTO and Time Off Policy Work/life balance with great professional growth opportunities Implements and monitors quality goals and objectives to measure the organizations processes and outcomes while administering programs that focus on improved outcomes of patient care or patient safety. Interacts with physicians, nurses, department managers, supervisors, and any/all other staff members to provide resource information and identify new opportunities to improve service and reduce costs. Generates effectual quality related policies and procedures for the department and hospital that ensures compliance with JC, OSHA, CDC, CMS and other county, state, and federal regulatory agencies. Prepares reports, presentations and statistical data that go to the Quality Assurance and Performance Improvement Committee Meetings, facility’s administration and other committees as needed. Analyzes data to identify trends and resource utilization for use in optimizing compliance. Assists with the annual assessment of the quality control programs from the prior year activities. Investigates incidents within the facility and coordinates with the Corporate Quality team to complete the root cause analysis and develop action plans to prevent incidents in the future. Establish a structure to ensure that patient care activities are addressed in a coordinated manner involving quality improvement. Prepares the agenda for the Quality Council Committee meetings and holds regularly scheduled meetings. Ensures all staff receive proper education on new or revised state and/ or federal regulations or Joint Commission standards. Participates in root-cause analysis, sentinel events, adverse events and identifies trends as directed by regulation. Promote Quality is everyones business to gain support, understanding and ownership among staff. Understands and adheres to NPHs compliance standards as they appear in NPHs Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and hospital regulations, laws and policies as they presently exist and as they change or are modified. Bachelor’s Degree in healthcare field or pertinent program required. 3+ years of relevant healthcare quality and risk management experience. Excellent verbal communication skills necessary in order present quality reports. Professional knowledge of clinical practice, leadership, performance improvement and research statistics in order to conduct surveillance and prepare related reports at a level normally acquired through the completion of a Bachelors degree in related field.
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