Provides overall leadership, direction and supervision to the Quality Department to ensure that the department meets or exceeds its support obligations to the organization in the areas of: quality
measurement and improvement, risk mitigation, infection prevention, clinical informatics, education, Medical Staff peer review, regulatory compliance and survey readiness.
Guides organization and communicates changes as needed in the following: Regulatory Compliance and Survey Readiness, Quality Improvement, Clinical Informatics, Safety/Risk Mitigation, Infection Prevention, Event Reporting, and Customer Relations/Patient Complaints. Works closely with Medical Staff in medical chart review and peer review processes. Chairs meetings and leads teams as appropriate. Manages business of the department including budgets, staff and fiscal resources.