Director of Quality

Founded in 1926, Glendale Memorial Hospital and Health Center is a 334-bed, acute care, nonprofit, community hospital located in Glendale, California.  The hospital offers a full complement of services, including its award winning heart center, the colorectal surgery institute, a gastrointestinal program, and is a Los Angeles County approved primary stroke center.  The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. 

Position Summary:
 
Responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identify opportunities for improved patient care, incorporate evidence-based practices, and improve patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.
 
Principal Duties and Accountabilities:
Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually.
Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.
Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.

Required Education and Experience: 
Bachelor's degree in a healthcare-related field or an equivalent combination of education and experience.
Minimum of five (5) years of progressive management responsibility in an acute care setting, three (3) of which is related to managing an organization’s Quality Improvement Program preferred.
Minimum of two (2) years of clinical, patient care experience or equivalent.
Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.
Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN).
Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).
Intermediate word processing (e.g. MS Word), presentation (e.g. MS PowerPoint), spreadsheet (e.g. MS Excel) and database knowledge.

Required Licensure: 
Current State License in a clinical field (Five years experience in Quality Management can be used in lieu of state license) and Certification as a Certified Professional in Healthcare Quality (CPHQ). Certification within 2 years of employment is required