Director, Quality & Patient Safety; BHS

Summary

Reports to the Chief Quality Officer of Beacon Health System. Responsible for leading, coordinating, and advancing quality, patient safety, regulatory readiness, accreditation, and performance improvement activities across assigned Beacon Health System entities, including Memorial Hospital of South Bend, Beacon Children's Hospital, Memorial Epworth Hospital, Beacon Granger Hospital, and Bremen Community Hospital.

Reports to the Chief Quality Officer of Beacon Health System. Responsible for leading, coordinating, and advancing quality, patient safety, regulatory readiness, accreditation, and performance improvement activities across assigned Beacon Health System entities, including Memorial Hospital of South Bend, Beacon Children's Hospital, Memorial Epworth Hospital, Beacon Granger Hospital, and Bremen Community Hospital.

MISSION:
We deliver outstanding care, inspire health, and connect with heart.

VALUES:
Trust. Respect. Integrity. Compassion.

SERVICE GOALS:
Personally connect. Keep everyone informed. Be on their team.

• Determining short- and long-term quality, patient safety, regulatory, and performance improvement objectives consistent with Beacon Health System priorities and assigned entity goals.
• Developing and executing strategic quality plans for Memorial Hospital of South Bend, Beacon Children's Hospital, Memorial Epworth Hospital, Beacon Granger Hospital, and Bremen Community Hospital.
• Providing leadership, guidance, and accountability for entity-based quality management, patient safety, accreditation, regulatory readiness, and performance improvement activities.
• Promoting a culture of safety, continuous improvement, high reliability, and accountability across assigned hospitals and associated business entities.
• Serving as the primary quality advisor to hospital presidents, executive leadership, nursing leadership, physician leaders, medical staff committees, and department directors.
• Supporting system-wide standardization of quality and patient safety processes while addressing unique needs of the assigned entities, including acute care, children's hospital, inpatient behavioral health, micro-hospital, and critical access hospital environments.

• Conducting interviews and hiring qualified candidates for open budgeted positions.
• Establishing performance expectations and evaluating performance of assigned associates.
• Coaching, mentoring, and supporting professional development, succession planning, and bench strength for quality management associates.
• Counseling employees as necessary and interpreting Beacon Health System and departmental policies and procedures.
• Ensuring assigned team members have the skills, tools, and support necessary to provide effective quality, safety, regulatory, and performance improvement services.

• Advising the Chief Quality Officer regarding entity quality status, priorities, risks, resource needs, and opportunities for improvement.
• Participating in department directors' meetings, hospital leadership meetings, medical staff committees, quality committees, system committees, and other meetings as assigned.
• Establishing and maintaining effective communication and working relationships with medical staff, hospital presidents, nursing leadership, operational leaders, department directors, and other Beacon Health System leaders.
• Supporting medical staff quality committee activities, performance improvement presentations, and quality monitoring results as needed.
• Serving as a quality liaison to system committees requiring quality outcome data, regulatory information, performance improvement support, or patient safety expertise.
• Coordinating or initiating correspondence, action plans, and quality improvement plans with regulatory bodies, payers, and outside agencies as assigned.

• Leading or participating in improvement work in patient safety, clinical quality, patient experience, regulatory compliance, and clinical operations.
• Utilizing and sharing high reliability and performance improvement tools, methods, and approaches with leaders, physicians, and teams.
• Facilitating projects, workshops, and interdisciplinary teams to support improvement in outcomes and sustainment of gains.
• Serving as a change agent in efforts for…