Director - Quality Services
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POST DATE 8/24/2016
END DATE 4/26/2017
West Hills, CA
JOB DESCRIPTIONJob Code: 01554-3523
WEST HILLS HOSPITAL & MEDICAL CENTER is a full-service acute care facility located in West Hills, CA, in the Western San Fernando Valley. The 225-bed facility recently completed an $80-million expansion that includes a new Emergency Department, Intensive Care Unit, Outpatient Services Unit, Cardiac Catheterization Laboratory, and The Grossman Burn Center. HealthGrades (a leading independent health care rating company) announced that West Hills Hospital has received the Distinguished Hospital Award for Clinical Excellence for 2011 & 2012, the Clinical Excellence Award for Critical Care for 2012. West Hills Hospital is also among the Top 100 Hospitals nationwide for Gastrointestinal and General Surgery. West Hills Hospital was the first Accredited Chest Pain Center in Los Angeles County, and also recently received a Certificate of Distinction as a Primary Stroke Center from the Joint Commission.
POSITION TITLE: DIRECTOR, QUALITY SERVICES
DEPARTMENT: Quality Services
REPORTS TO: Vice President Quality Services & Medical Staff Office
I. POSITION SUMMARY
Responsible for developing, implementing and managing the operations of the Quality Services department and performance improvement program of West Hills Hospital & Medical Center (WHHMC). Accountable for management of interdisciplinary performance improvement projects in consultation with staff, management, and Medical Staff, as chartered by the Quality Council. Responsible for ensuring organizational compliance with standards and other regulatory requirements. Formulates strategies for and monitors outcomes of PI. Responsible for the timely acquisition, coordination and statistical validation of all PI data. Serves as the organization s clinical data source. Responsible for responding to data requests, both internal and external, while appropriately maintaining the proper security of the PI databases. Provides integration to the organization related to patient safety. Works closely with the hospital and Medical Staff, and communicates with the Quality Council, Medical Executive Committee, Board of Directors, administrative personnel and HCA, as appropriate.
ACTIVE CA RN LICENSE
1. Master s Degree in health related field
2. Experience in statistical/data analysis
1. Minimum of 5 year s experience in health care, hospital preferred.
2. Minimum of 3 years experience in Quality Services in an acute care environment.
3. Demonstrated ability to direct and implement major performance improvement processes
4. Experience in data and financial analysis.
Last Edited: 04/10/2017