Director of Quality Initiatives and Improvement; DQI

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Director of Quality Initiatives and Improvement (DQI) leads all hospital-based work to eliminate preventable harm to patients, family members, and staff and to attain unsurpassed clinical and patient-reported outcomes for assigned hospital(s). Builds organization-wide participation in improvement through transparency, collaboration and mutual learning. Collaborates with leaders to achieve the Hackensack Meridian Health (HMH) quality goals and eliminate preventable harm. Facilitates the redesign of patient care processes;

leads root cause analyses process, analyzes data to inform and guide improvement efforts, and develops organizational capacity for improvement through teaching and mentorship. While directing the assessment, planning, implementation, monitoring and evaluation of best practices, this position ensures that cost effective, quality care is administered to all patients in accordance with the hospital performance improvement (PI) plan, while complying with the standards of all regulatory and accrediting agencies.

Provides leadership in the implementation and integration of the Department of Patient Care Performance Improvement Plan in addition to ensuring Joint Commission on Accreditation of Healthcare Organizations (JCAHO) & regulatory compliance. Oversees various activities of the Patient Safety and Quality Department while aligning with the Medical Center and HMH Performance Improvement Plan in assuring compliance with all Patient Safety Indicators, Quality Care Transition Teams & Nursing Quality.

Advances the integration of the science of patient safety and continuous learning throughout the organization. Furthers the objectives of Quadruple Aim including optimizing patient throughput and Length of Stay. Oversees the Nurse Practitioner service to help achieve the goals of the pillars of Quadruple Aim.

A day in the life of a Director of Quality Initiatives and Improvement (DQI) at Hackensack Meridian Health includes:

• Provides leadership to all safety and quality improvement activities at a hospital including committee meetings, medical staff peer review, root cause and apparent cause analyses, event management, morning safety report, follow up of ONELink event reports, and specific improvement cycles including optimization of STEMI care.
• Provides leadership to local high reliability organization (HRO) transformation. Engages all levels of leadership, caregivers and staff in advancing patient safety through HRO training, morning safety huddles, and joint event management with the departments of Human Experience and Risk Management.
• Oversees the Nurse Practitioner service and ensures they are deployed in an efficient manner to further improve our quality metrics, improve throughput and LOS and support patient experience improvement efforts.
• Develops and oversees organizational quality initiatives and the monitoring of quality priorities.
• Presents quality data results with analysis and recommendation to a variety of organizational committees and councils including Department of Patient Care to enhance achievement of HMH quality goals.
• Oversees all quality improvement staff and their work in quality councils, teams and committees. Ensures that their team members achieve certification by the National Patient Safety Foundation as a Certified Professional in Patient Safety (CPPS), attend conferences, and receive continuing education including presentation skills, project management, process mapping, and lean principles. Cultivates and promotes continuous learning inside and outside of the network.
• Ensures compliance with all federal and state regulatory and…