Director Quality
Primary Location Los Angeles, California
Facility West Los Angeles Medical Center
Job Number 1214435 Date posted 08/24/2023
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Description:
Develops, implements and directs the comprehensive quality programs for KFH/Health Plan Service Area. Director may have oversight over one or more of the following: quality assessment and improvement, patient safety, risk management, professional staff services or accreditation, regulatory and licensing. Works with the medical center leadership team to ensure that the programs effectively measures, assesses and continuously improves the quality of care and service provided.
Job Summary:
Develops, implements and directs the comprehensive quality programs for KFH/Health Plan Service Area. Director may have oversight over one or more of the following: quality assessment and improvement, patient safety, risk management, professional staff services or accreditation, regulatory and licensing. Works with the medical center leadership team to ensure that the programs effectively measures, assesses and continuously improves the quality of care and service provided.
Essential Responsibilities:
- Directs the Service Areas quality program in order to meet the organizational goals.
- Facilitates departmental activities so as to meet the requirements of customers and regulatory and accrediting agencies to include peer and departmental reviews
- Mitigates medical/legal liability through development of a program which links risk management activities with those of continuous performance improvement.
- Serves as a critical link in the identification and resolution of issues which affect the organizational image.
- Works closely with designated Chiefs of Service and Department Administrators to address patient care issues with a goal toward resolution while maintaining confidentiality.
- Determines strategy for changing existing processes to meet regulatory requirements and translating external demands into program goals.
- Works closely with the medical, nursing, and support staff to enhance compliance and patient safety.
- Provides education and technical support to the Service Area in developing, implementing and maintaining quality improvement activities.
- Facilitates performance improvement throughout the continuum of care to improve the care, treatment and services provided.
- Manages the creation and maintenance of provider-specific quality profiles to be used for credentialing.
- Develops and maintains relationships and effective communication with all levels of Service Area. Collaborates with various stakeholders on projects, initiatives and facilitates spread of best practices. Prepares reports as required to Quality Committee from KFH to the Kaiser Permanente Board of Directors.
- Contributes to the management of the accreditation, regulation, and licensing activities to include communicating the programs/processes to providers and medical staff, preparing of surveys and inspections, and completing assessments, response plans and measures of success.
- Responsible for the completion of annual evaluations and revisions to the Quality Program.
- Directs human resources management processes: hires, fires, promotes, demotes, manages and evaluates staff performance and development. Develops, monitors, and controls department budgets.
- Makes recommendations regarding the need for staff, space and other resources.
- May be expected to perform other duties as assigned.
- Ensures annual evaluation of Health Plan facility contracts for quality assurance.
- Works collaboratively with Regional and Service area departments to promote and implement quality patient care through appropriate measurements of care.
- Patient Safety:Accountable to promote an organizational culture of safety and ensure appropriate patient safety standards and guidelines are implemented consistently in the delivery of health care to our patients, including but not limited to: TJC, National Quality Forum, and Leapfrog. See Patient Safety Management Accountabilities Addendum for job specific accountabilities. (My HR Forms).
Basic Qualifications:
Experience
- Minimum five (5) years of experience in Quality Improvement in a health care setting.
- Minimum three (3) years program management/supervisory experience.
Education
- Bachelors degree
License, Certification, Registration
- Registered Nurse License (California)
Additional Requirements:
- Experience designing, developing, and implementing physician peer review.
- Demonstrated knowledge of governmental accreditation and other regulatory standards, requirements, and guidelines related to quality performance.
- Strong working knowledge of ongoing monitoring processes (including criteria development and statistical analysis); medical care delivery in hospital and outpatient settings; performance improvement principles, tools, and techniques.
- Effective communication, negotiation and leadership skills.
- Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
- Clinical nursing experience preferred.
- Total Quality Management certification or Certified Professional of Healthcare Quality (CPHQ) preferred.
- Bachelors degree in Nursing or Health Care related field or business administration preferred
- Masters degree preferred in Nursing or Health Care related field or Business Administration.
Primary Location: California,Los Angeles,West Los Angeles Medical Center
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:30 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee
Job Level: Director/Senior Director
Department: West LA Medical Center - Hosp Adm-Quality Improvement - 0806
Pay Range: $157900 - $204270 / year
The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 5 % of the Time
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
