Executive Director Hospital Quality

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Job Summary: 

Hospital Quality and Innovation (HQI) is a UNC Health department with the overarching goal of improving patient care. This position directs the development, implementation and evaluation of system-wide clinical hospital quality improvement initiatives. The position is responsible for planning and directing all HQI activities. This position establishes and maintains the objectives and strategy for the department in order to effectively contribute to executing the overarching HCS strategic plan. The System Executive Director is the primary department contact with quality leaders and improvement departments at all entity hospitals to facilitate Health Care System improvement initiatives and data reporting. 

Description of Job Responsibilities: 

1. Health Care System Quality Leadership- Leads the execution of the system-wide hospital-focused strategic quality plan. Coordinates with system, hospital and ambulatory leadership to develop strategic plan. Leads relationship building initiatives and quality improvement opportunity assessment with administrative and clinical leadership at all system entities. Ensures compliance with CMS and commercial payer incentive programs (e.g. Meaningful Use - Eligible Hospitals) for system hospitals using Epic. Leads the process to establish hospital quality and safety organizational quality goals and provides information to senior management. Monitors key quality and safety measures in order to implement appropriate measures to improve processes and outcomes. Collaborates with senior management to develop and implement innovative improvement models geared towards improving patient care, and efficiency. Ensures effective and efficient delivery, communication, and administration of all related programs. 

2. Leading People- Leads people toward meeting the organization's vision, mission, and goals. Ensures that department goals match those of the organization and that resources are allocated to meet priorities. Establishes an environment that creates effective teamwork centered on improving clinical quaity. Articulates common goals and communicates how individual roles contribute to team success. 

3. Leading Change- Acts as a catalyst for organizational change. Influences others to translate vision into action. Brings about strategic change, both within and outside the organization, to meet organizational goals. Establishes an organizational vision and implements it in a continuously changing environment. Is open to change and new information and rapidly adapts to new information, changing conditions, or unexpected obstacles. Deals effectively with pressure and remains optimistic and persistent, even under adversity. Learns from sub-optimal outcomes to drive improvement. Formulates objectives and priorities, and implements plans consistent with the long-term interests of the organization. Capitalizes on opportunities and manages risks. Takes a long-term view and builds a shared vision with others. 

4. Results Driven- Exceeds organizational goals and customer expectations. Makes decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Delivers high-quality services and is committed to continuous improvement. Fosters a culture of safe and compassionate patient care. Makes well-informed, timely decisions, even when data are limited or solutions produce unfavorable results. Positions the organization for success by identifying new opportunities and builds the organization by developing and improving services. Leads the budgeting process. Uses cost-benefit thinking to set priorities, monitors expenditures in support of programs and policies, and identifies cost-effective approaches. 

5. Financial Focus- Leads efforts to maximize performance in CMS and commercial payers financial at risk and publicly report programs including CMS's Meaningful Use (Eligible Hospital), Value-based Purchasing, Hospital Acquired Conditions, Readmission Reduction and 5-Star Rating and the Leapfrog Survey and Hospital Safety Score. Lead development of strategic plans and reporting models. Provides information to senior leadership. 

Qualifications

Education Requirements:
●  Bachelor’s degree in relevant field. Master’s degree preferred.
Professional Experience Requirements:
● Ten (10) years of experience in healthcare improvement with at least seven (7) years in a management role.
Knowledge/Skills/and Abilities Requirements:

• Detailed knowledge and experience with health care incentive and public-reporting programs including CMS's Meaningful Use (Eligible Hospital), Value-based Purchasing, Hospital Acquired Conditions, Readmission Reduction and 5-Star Rating and the Leapfrog Survey and Hospital Safety Score.
• It is critical that individual has the ability to earn trust and build/develop relationships with others at all levels of the health care system. 
• Self-starter, who demonstrates initiative, works independently in an unstructured fast-paced environment and has the ability to manage multiple priorities with only general supervision on assigned projects and activities.
• Must be highly analytical and possess a strong grasp of both quantitative and qualitative data necessary to find creative solutions to difficult and complex problems, many of which are abstract in nature. 
• Extensive experience in health analytics including data analysis, reporting, relational database design, development of predictive analytic models, etc.
• Detailed understanding of hospital, clinical staff, medical supplies, department functions, and experience with hospital information systems including decision support desirable. Experience with project management processes with demonstrated ability to initiate and complete projects. 
• Ability to solve practical problems, interpret a variety of data, test model assumptions and instructions furnished in written, oral, diagram, or schedule form. 
• Demonstrates a high degree of management competency, including but not limited to leadership, collaboration, coaching, teaching, negotiation, motivational skills and conflict resolution. Demonstrates computer expertise using Microsoft Office and database software applications.
• Excellent written, verbal communication and presentation skills and be able to make effective oral presentations to a variety of audiences. 
• Demonstrates tack and diplomacy in situations of conflict and controversy.

Job Details

Legal Employer: STATE

Entity: Shared Services

Organization Unit: Hospital Quality & Innovation

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC: Morrisville

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.