HR management

Performance improvement director job description

Job purpose of Performance improvement director

To provide leadership and direction for improvement services that support the clinical providers, and for contracted. Plan, direct, organize and control of the daily operations of the departments of quality, medical staff support, risk management, infection control and clinical documentation management. Provide leadership and support for the risk management program, serving as a liaison between medical and hospital staff, and legal counsel in resolution of claims or other incidents.

Key duties/responsibilities of Performance improvement director:

1. Assure the integrity and confidential treatment of all credentialing, re-appointment, performance improvement, and peer review functions that are coordinated through the department.
2. Provides oversight for patient safety, reviewing incident/near miss events as appropriate, and when necessary, conducts additional root cause or sentinel event analysis.
3. Facilitates multidisciplinary process improvement teams for the root cause analysis or sentinel event investigations.
4. Consult with internal and external resources/members/customers to define project scope, design and implementation strategy.
5. Maintain industry knowledge on quality and performance excellence and innovation.
6. Provide developmental and operational leadership for the complaint documentation management program, promoting effective relationships between quality personnel and medical providers.
7. Develop systems, methodologies and procedures for data and information collection and data mining.
8. Create and deliver presentations, reports, analysis, and advises member on strategic recommendations.
9. Oversee key performance improvement initiatives, including black belt leadership of lean six sigma projects.
10. Develop detailed plans for increasing the visibility and utilization of PI offerings.
11. Develop and produce proposals, deliverables, i.e. analysis, presentations, reports and case studies.
12. Develop metrics to drive operational efficiencies while enhancing staff satisfaction and customer service.
13. Utilize best of class leading practices, tools and data to communicate performance improvement opportunities with member executives, physicians, management and other leaders on the opportunities for clinical and/or operational effectiveness.
14. Demonstrate the value of utilizing and adopting leading practice portal as well as focus on rapid adoption networks, including operations and the coordination and integration of methodology.
15. Identify and lead resources required to successfully execute projects.
16. Collaborate with national staff and staff from other regional offices on PI activities and in integrating system-wide clinical strategies.
17. Develop and maintain strong relationships with member leaders and engage members to drive clinical improvement processes and systems.
18. Maintain expertise in medical staff related accreditation and regulatory requirements, to include state and federal regulation.
19. Coordinate claims investigation and litigation management with designated agents from the hospitals defense counsel and the insurance company claims personnel.
20. Direct resources and participants in clinical and operational improvement projects and accreditation activities to assist members in improvements of their economic and clinical performance and serves as the leader of PI initiatives for designated member organizations.
21. Direct and coordinate clinical quality programs, assuring timely submission of data to regulatory and accrediting programs. Assures the accuracy of data submitted.
22. Assures that incidents are sent to the appropriate regulatory or accrediting agencies.
23. Provides leadership and support for any necessary action plans related to the incident.
24. Provide leadership and support for joint commission activities, assuring organizational compliance to accreditation standards.
25. Direct the risk management program to minimize the Hospitals potential for liability.

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