The Director of Quality (D-Q) is responsible for establishing a corporate quality management system and team that promotes customer satisfaction and that positively impacts the financial performance of Conway Medical Center (CMC). The D-Q or assigned department representative attends all Medical Staff and hospital committee meetings where committee activities and responsibilities involve the organization’s Quality Management System (QMS). The D-Q will serve as a resource for the Medical Staff and organization regarding quality activities. Such activities include organization change management, accreditation and regulatory compliance, risk management support functions, patient satisfaction data support functions, process design and redesign, education, and use of quality principles and tools. Will direct the process of monitoring, measuring, and assessment of QMS processes to achieve desired results which are appropriate, timely, cost-effective, efficient, and safe. The D-Q will provide oversight for the hospital Quality Assessment/Performance Improvement (QAPI) program, including development, review, revision, and implementation. The D-Q will collaborate with the Medical Staff Office on the Medical Staff Quality Assessment/Performance Improvement (QAPI) program. Develop and implement QAPI plans and processes for individual services, incuding hospital-owned physician practices. Coordinate and manage abstraction, aggregation, analysis, and reporting activities for the CMS IQR/OQR programs, as well as clinical registries required for accredited and/or certified programs of the hospital. The D-Q will facilitate PI teams as requested, facilitate planning sessions as requested, and ensure facility-wide compliance with accreditation and other regulatory requirements. The D-Q will provide departmental oversight, payroll, budgets, education, schedules, supplies, policies, procedures, and job descriptions. Provide oversight and supervision for quality management related functions: Patient Safety, and Risk Management.
All organizational staff, including this position, are specifically required as a condition of continued employment to make advance preparations for their families and pets in the event of weather emergencies such as Hurricanes and flooding threats. Any staff member can be determined as essential staff required to report to the facility during these events. In many cases this means reporting and sleeping at the facility before, during and after a weather emergency. By signing this job description, the staff member accepts this responsibility of readiness to report to work during any designated emergency staffing situation. CMC staff members operate as one team meeting the healthcare needs of our communities, thus this position will on occasion complete other duties as assigned beyond those designated in this primary job description which may include “float” coverage at an alternate facility, department or assignment.
Bachelor’s Degree in Nursing, Healthcare Administration or closely related field required.
Master’s Degree preferred.
A minimum of five (5) years working in an acute care hospital setting required.
A minimum of five (5) years general Quality/Accreditation/Risk experience required.
A minimum of two (2) years leadership experience in Healthcare Quality required.
Prior experience with medical office practice Quality management preferred.
Prior experience in working under the following programs and standards required:
Centers for Medicare and Medicaid Services Conditions of Participation (CoPs);
DNVGL NIAHO standards;
ISO 9001, etc.
Current South Carolina (or compact state) licensure as RN (SCLLR) in good standing required if meeting criteria under the BSN degree.
Certified Professional in Healthcare Quality (CPHQ) preferred.
Lean Six Sigma certification by the International Association for Six Sigma Certification (IASSC) preferred.
Ability to work effectively and collaboratively with colleagues, physicians, department leadership, and members of executive leadership team required.
Demonstrated proficiency with Microsoft Outlook, Word, Excel, Publisher, Project, Visio, Explorer and PowerPoint required (with sample work provided if called for interview).
Exemplary core customer service skills strongly required.
Knowledge of base principles of management required.
Strong organizational skills required.
Strong verbal and written communication skills required.
Ability to exercise independent judgement in emergency and all situations.
Additional Salary Information: Relocation may be available.
Internal Number: 3491
About Conway Medical Center
Conway Medical Center is a trusted leader in healthcare and has served the medical needs of Horry County and surrounding communities for nearly a century.
This non-profit medical center’s roots run deep in Horry County. In the 1920s, a group of local physicians recognized the need for a hospital in the county and the application for a charter for Conway Hospital was filed with the South Carolina Secretary of State on November 7, 1928. At the time, the hospital was on Elm Street in the old Burroughs Hospital.
They soon outgrew that location. Work began on constructing and furnishing a new building on 9th Avenue with accommodations for 31 patients in single rooms and wards on three floors. An open house for the facility was held on May 30, 1930.
Then in 1982, Conway Hospital moved to its current location on Singleton Ridge Road. However, the growth did not stop. In 2001, the hospital expanded the Emergency Department, Obstetrical Department, and added a three-story medical office building. A new Patient Bed Tower opened in 2009, adding 71,000 square feet and 64 patient rooms including critical and surgical care.
Today, Conway Medical Center has 210 inpatient beds and is ...one of the county’s largest employers with over 1500 staff members. We are excited about the growth that continues at Conway Medical Center as we work to improve the overall health of our communities by being a leader in healthcare.