Director of Performance Improvement

Responsibilities

Shape the future of behavioral health care throughout the Forest Park community by joining our extraordinary team at Riveredge Hospital. Bring your compassion, expertise, enthusiasm, and passion for quality to a place that cultivates wellness and inspires hope.

We are currently seeking a Director of Performance Improvement for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to come in for an interview.

The Director of P. I. develops, maintains and evaluates an environment that supports clinical performance improvement.  The Director of P.I. operationalizes the hospital mission.

EVALUATES THE QUALITY AND EFFECTIVENESS OF CLINICAL PRACTICES AND SERVICE ADMINISTRATION

1. Understands and interprets policy and procedure.
2. Identifies problems and issues related to quality and proposes courses of action to resolve issues
3. Establishes standards with which to measure the effectiveness of clinical practice and service.
4. Assures processes are in place to collect and maintain pertinent data in the organization.
5. Participates in the decision-making structure with other hospital leaders to develop REH mission, strategic plans and policy.
6. Conduct rounds and perform risk analysis .

PERFORMANCE IMPROVEMENT

1. Tracks, trends, and shares data to ensure compliance with quality care standards, internal and external regulatory requirements, and patient centered care.
2. Benchmarks best practices through external survey, data analysis and strategic planning initiatives.
3. Identifies opportunities for service and clinical improvement
4. Leads unit/organizational performance improvement initiatives including identification of indicators based on identified trends, review, and analysis of data,
5. Trends patient and referral source satisfaction and complaints contributing to action plans, implementation and evaluation.
6. Maintains survey readiness at all times

MANAGEMENT OF P.I. TEAMS

1. Collaborate with clinical staff at all levels , multi-disciplinary teams, senior managers and other stakeholders in the development and implementation of P.I. teams.
2. Leads regular P.I. meetings and steers individual PI teams, communicating information critical to unit functioning, safety and patient focused care.
3. Participates in team building and conflict resolution in order to ensure hospital, unit and patient goals are accomplished according to identified standards of care and compliance with internal and external regulatory bodies.
4. Maintains and shares updated knowledge related to mental health legislation, patient rights, discharge process, interventions, annual training in Protective Intervention and CPR and eligibility criteria for services at Riveredge Hospital.
5. Interfaces with all department heads and guides them in performance improvement initiatives.

CONDUCT EDUCATION PROGRAMS

1. Instruct staff in the use of standardized formats to create universally understood quality improvement and reporting tools.
2. Provides educational support to all REH departments with regard to performance improvement, accreditation standards and other regulatory standards.
3. Contributes to clinical management education and professional development of staff, students and colleagues.
4. Fosters an understanding of the effective use of organization, management, and clinical theories and research.

MANAGE P.I. ASSOCIATE

•  
1. Assure work processes are aligned with organizational needs and priorities
2. Monitor and evaluate work; provide supervision to assure developmental opportunities are met
3. Maintain compliance with all REH  polices and practices.

Qualifications

EDUCATION

• Illinois Licensed Professional Nurse, with a minimum Bachelor Degree or Masters-prepared clinician in psychology or related field.
• A minimum of 4 years of management experience, preferably in a Hospital based behavioral care.
• Has expert knowledge of Joint Commission standards, CMS, OSHA regulations and all other relevant state and federal regulatory standards.