Director Quality and Risk

Overview

Founded in 1887, Dignity Health
– California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles.

The hospital offers a full complement of services including a Level II trauma center, the Los Angeles Center for Women’s Health, obstetrics and pediatric services, and comprehensive cardiac and surgical services.

The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. 

Responsibilities

Position Summary:

Responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identify opportunities for improved patient care, incorporate evidence-based practices, and improve patient outcomes.

Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.

Principal Duties and Accountabilities:

• Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually.

• Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.

• Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning.

Assures data is managed appropriately and disseminated to appropriate leadership staff.

• Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.

Qualifications

Education and Experience: 

• Bachelors degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.

• Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program.

• Minimum of two (2) years of clinical, patient care experience or equivalent.

• Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.

• Knowledge and expertise in specific performance improvement/CQI methodologies (e.g.

Six Sigma, LEAN).

• Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g.

state, federal, local regulations; Joint Commission, etc.).

Licensure: 

• Current State License in a clinical field (five (5) years experience in Quality Management can be used in lieu of state license).

• Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.