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Executive Director, Quality and Safety

Company: Yale NewHaven Health
Location: New Haven
Posted on: September 23, 2022

Job Description:

OverviewTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.Directly reports to the Medical Co-Directors of Quality Improvement Support Services (QISS) and works collaboratively with members of the Senior Operations Group, management teams and Medical Staff leadership. He/she has responsibility for providing direction, planning, implementation, evaluation and consultation to ensure that Performance Management, Patient Safety and Infection Control/Epidemiology requirements are met (e.g., CMS, DPH, TJC, CDC) across both campuses of Yale-New Haven Hospital and all outpatient sites. This involves working to improve key processes, policies and procedures in a collaborative manner with stakeholders across the organization aligned with the mission, vision, values and strategic goals of the organization. He/she serves as YNHH's primary contact for communication with CMS-governed data management systems (i.e., QualityNet, CDAC) as well as Yale-New Haven Health System's Performance Management measurement systems (i.e., VIPER, Premier). He/she is primarily responsible for coordination of all QISS reports and projects that support process improvement for performance management, patient safety and infection control which include, but are not limited to NHSN reporting of hospital acquired infections, CMS CORE and Value Based Purchasing Measures, Medical Staff monitoring committees and Healthcare Performance Improvement (HPI) patient safety initiatives. This work requires extensive knowledge, skills and expertise in change and performance management.
This position will lead a diverse group of staff skilled in assisting the organization in achieving success in mission critical initiatives through project management, process improvement, consultation, facilitation and collaboration. This will require departmental management of staff (recruiting, hiring, managing, evaluating and disciplining), employee engagement activities (surveys, staff meetings, education planning, succession planning, etc.), and management of departmental budget.EEO/AA/Disability/Veteran Responsibilities

  • 1.In collaboration with the Senior Vice President, Performance Management, manages Performance Improvement (PI) Plan implementation for YNHH.
    • 1.1Develops yearly PI plan with input from stakeholders and effectuates such plan over the course of the fiscal year
    • 2.In collaboration with Co-Directors, directs and manages QISS operations
      • 2.1Evaluates and modifies department goals and action plans annually and as necessary.
      • 3.Direct all aspects of required data reporting for performance management requirements to all regulatory and accrediting bodies.
        • 3.1Facilitates and serves on various committees to assure regulatory and accrediting body readiness in terms of data collection, display, benchmarking and action planning.
        • 4.Serves as the main contact for assigning, directing and managing resources for quality improvement, patient safety and infection control projects.
        • 5.Manages all aspects of the patient safety program including the Great Catch Award, HPI initiative (SSE calculation and review, morning safety report and rounding to influence program) and incident reporting system.
        • 6.Performs other assignments as required and/or directed by Senior Vice President, Performance Management, Chief of Staff and/or Chief Executive Officer.
        • 7.Enhances knowledge in the field of infection prevention, clinical quality improvement, healthcare quality monitoring, federal and state regulatory guidelines, standards, and practices by attending meetings, visiting other sites, reading, reporting and disseminating relevant literature. QualificationsEDUCATION Master Degree in Public Health, Nursing, or related field with an emphasis in epidemiology and/or health services. EXPERIENCE Five to seven years experience in health care environment, including two (2) years experience in project management, research and evaluation of healthcare outcomes and three (3) to five (5) years of management/supervisory experience. LICENSURE RN licensure preferred but not required. SPECIAL SKILLS Excellent interpersonal, communication and leadership skills. Ability to work collaboratively and independently; demonstrated personal maturity and good judgment. Expertise in data collection and process improvement techniques. Expert knowledge of information systems and external databases associated with accreditation and regulatory requirements for quality of care, treatment and service evaluation and public reporting. PHYSICAL DEMAND Walking and travel between campuses and delivery networks is required. YNHHS Requisition ID53129

Keywords: Yale NewHaven Health, New Haven , Executive Director, Quality and Safety, Executive , New Haven, Connecticut

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