Trinity Health

Regional Director, Clinical Quality & Safety

MMCIA - MercyOne Des Moines Medical Center Central IA Full time

Employment Type:

Full time

Shift:

Day Shift

Description:

  • Leads and oversees the programs, systems, operations, and resources of the assigned function to ensure that all activities are conducted in a timely and cost-effective manner and in compliance with organizational values, professional standards, internal policies/standards/procedures, and applicable regulatory requirements.

  • Prioritizes and implements division-wide quality improvement strategies and initiatives based on evidence-based best practices and review of clinical measures to drive performance and outcomes improvements.  

  • Ensures that quality objectives are addressed and achieved through the development of supportive culture (organization, processes, concerns voiced, seriously considered and actions taken) that facilitates a safe environment with respect the quality issues, timely and accurate clinical analytics (performance improvements, analytic platforms measuring results against benchmarks), content (evidence-based practices to operationalize standard, effective care practices) and frontline adoption of best practices (adoption includes educating clinicians and healthcare workers, engaging patients and collaborating with clinical leadership to drive best practice adoption).  

  • Develops and implements a system approach to achieving high reliability across.  

  • Develops and implements an initiative-taking, strategically based, comprehensive and sustainable quality agenda for MHN that stimulates physician engagement and interprofessional collaboration, and the identification/application of evidence-based practice/management among all facilities while differentiating Trinity Health as a “high reliability” organization on a national level.  

  • Serves as the Trinity Health clinical effectiveness consultant and educator to assist clinical and administrative leaders towards moving an agenda of quality/patient safety to the forefront of the organization and to proactively position the organization for proactively position the organization for success in incentive/penalty programs related to clinical care, patient safety and consumer experience.  

  • Facilitates a strategic solution that reduces clinical variation across MercyOne through a defined structure that aligns physicians, providers, and clinicians in achieving the goal of standardization of clinical practices in key service lines and services.  

  • Works with market clinical leadership to develop and implement education/development activities with a data-based focus on quality, patient safety, consumer experience, data utilization, continuous improvement, best practices, reporting requirements and regulatory compliance; supports the focused development of quality measures that enhance and improve the ability to evaluate and improve care.  

  • Creates a culture which has high reliability in patient safety and quality, in conjunction with clinical analytics, evidence-based practices and adoption of practices essential to achieving healthcare transformation; unites multidisciplinary teams that will work together to ensure adoption and sustained compliance with best practices.  

  • Serves as the primary liaison with MercyOne and its Members for clinical quality, patient safety, and consumer experience.

  • Works collaboratively with clinical and executive leadership to lead and guide strategic/tactical planning efforts, and to foster/reinforce a sustainable quality/patient safety-aware culture that proactively seeks opportunities for performance improvement designed to continually raise the bar on quality and consumer experience.

  • Identifies and implements unique and varied initiatives aimed at improving integrated patient care quality through leading continuous improvement programs standardized across the organization that fosters a culture of continuous improvement, operational excellence, and lean principles.

  • Designs and implements a system of care delivery that provides a sense of shared accountability and decision-making utilizing dyad partnerships across the system. Strengthens the clinical performance and outcome metrics of MHN through processes based on data-driven evidence-based standards and national indicators of excellence that places MHN at exceptional levels of performance in the industry.

  • Utilizing lean methodology, designs systems of care that reduces waste, care variations in service lines, achieving top quartile system performance through improved processes and standard work across the system enterprise.

  • Provides clinical division-level leadership in assessing, developing, implementing and evaluating strategies/initiatives/programs which address quality issues (e.g. underuse, overuse, misuse and variation in the use of health care services), expand/integrate existing operations to meet new priorities/challenges/requirements, address/alleviate gaps in current services programs/resources, maximize effective utilization of resources and enhance outcomes/service satisfaction of all identified customer groups.

General Requirements

Education:

  • Master’s degree in clinical discipline, health care administration, or business.
  • Minimum of five years of experience in clinical, quality, or related operational roles, with at least three years in a leadership capacity. Experience within a large integrated health system is preferred
  • Current nursing license; Certification as a Certified Professional in Healthcare Quality (CPHQ) is strongly preferred.

Experience: 

  • 5 years progressive managerial and operational healthcare leadership experience required.
  • Proven and extensive experience in healthcare reimbursement process, including an understanding of diagnosis and procedure coding, billing practices, payment methodologies, technical and clinical denials, payer contract terms and payer policies and procedures.
  • In depth knowledge of payer credentialing processes and requirements.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.