Director of Performance Improvement

Evaluates the Quality and Effectiveness of Clinical Practices and Service Administration

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

Performance Improvement

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

Management of P.I. Teams

• Collaborates with clinical staff at all levels, multi-disciplinary teams, senior managers and other stakeholders in the development and implementation of P.I. teams.
• Leads regular P.I. meetings and steers individual PI teams, communicating information critical to unit functioning, safety and patient focused care.
• Participates in team building and conflict resolution to ensure hospital, unit and patient goals are accomplished according to identified standards of care and compliance with internal and external regulatory bodies.
• 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.
• Interfaces with all department heads and guides them in performance improvement initiatives.

Conduct Education Programs

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

Manage P.I. Associate

• Assures work processes are aligned with organizational needs and priorities.
• Monitors and evaluates work; provides supervision to assure developmental opportunities are met.
• Maintains compliance with all hospital policies and practices.