Quality Management Director

At Yoakum Community Hospital, we are committed to delivering the highest quality of patient care, and we are seeking a passionate and dynamic Quality Management Director to lead our quality improvement initiatives. If you are a driven healthcare professional with a keen eye for detail and a heart dedicated to enhancing patient outcomes, this is the role for you!

Drive excellence as our Quality Management Director , where you will lead the implementation of evidence-based programs and ensure strict adherence to regulatory standards. In this high-impact role, you will collaborate across departments to analyze performance metrics and spearhead safety initiatives. We are looking for a visionary leader to champion a culture of continuous improvement and elevate the patient experience throughout our hospital and community.

Reporting to the Chief Executive Officer, the Director, Quality Management leads and directs all quality management activities for the hospital including risk management, infection control, employee health, compliance, workers compensation and housekeeping.

MAJOR RESPONSIBIILTIES:

Consistently demonstrates behavior which reflects that working as a team is more important than self-interest

Complies with the Hospital’s core values of R.I.S.E.

Attends Leadership, Performance Improvement Program Review Committee, Infection Control Committee, Safety, and other meetings as well as in-services when necessary

Develops and maintains Policy and Procedure Manuals for all areas of responsibility

Reports to Administration and Chief Nursing Officer all reportable situations

Assures that Risk Management variance reports are completed by Hospital employees.  Assists      in securing all data

Maintains OSHA log and annually posts summary as required by State and Federal agencies

Completes and submits forms for insurance policy renewals and notifies appropriate agencies of changes in property or equipment for effective insurance coverage

Keeps apprised of appropriate regulatory agency requirements

Coordinates the reports from the Clinical and Ancillary Departments for Performance Improvement Program Review

Reviews and evaluates patient medical records

Establishes and maintains the Hospital-wide Performance Review Program and documentation

Evaluates all aspects of infection control within the Hospital as well as the healthcare team

Assesses culture reports weekly to determine 1) infections present, b) Healthcare Associated Infection (HAI), c) infections community acquired

Maintains log of all Healthcare Associated Infections (HAIs)

Maintains current knowledge concerning principles of epidemiology and infection control

Serves as Hospital Compliance Officer with responsibilities for oversight of development, implementation, and daily operations of the Compliance Program

Serves as Employee Health Nurse

Directs the Housekeeping Staff in maintenance of a clean, orderly, sanitary, and aseptic environment for the patients, public, and hospital staff within established safety guidelines

Assures that all tasks performed are in compliance with related State and Federal guidelines, rules, and regulations

Performance of other duties, as assigned

Abides by Hospital policies and procedures as set forth in the Personnel Handbook