Director of Quality

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.