The Director, Quality Management (DQM) is accountable for the development, management and coordination of the Hospital-Wide Performance Improvement and Safety Program to include Risk Management, Infection Control/Employee Health and Staff Education for the hospital with a patient population experiencing medically complex conditions, general medical-surgical conditions with rehabilitation and wound care needs.  

The Director, Quality Management (DQM) duties include:

• Management of services delivered by the QM Department (Quality, PI, Infection Control, EOC Safety, Patient Safety, Regulatory and Accreditation Surveys) based on the hospital mission, vision and facility goals.

• Identifying cost effective systems needed to support the business of the department relative to business trends, resource availability and change in customer groups and needs.

• Establishes effective working relationships through collaboration and coordination of programs and processes with physicians and other hospital employees.

•  Identifies and remedies operational problems while continuously searching for performance improvement of systems and operations.

• Maintains effective communication.

• Develops and recommends policies, procedures and/or programs and processes to improve or enhance the quality, efficiency and effectiveness of outcomes.

• The fundamental components of the program include measuring performance through data collection, assessing current performance ad improving performance.

• responsible for the coordination of the hospital’s accreditation, certification
  and licensure processes.
• Supervises the Clinical Quality Coordinator, the Data Analyst(s), Infection Control Employee Health/Worker’s Compensation Nurse, and the Risk Manager/Compliance Officer/Patient Safety Officer.
• Perform additional duties as assigned

Education and/or Experience: 

• Minimum of a RN or related healthcare related degree. 

• Minimum five (5) years clinical experience in an acute-care facility, two (2) years management experience.

• Two (2) years in Performance Improvement in acute care facility.  

Certificates, Licenses, Registrations: 

• Current nursing license in good standing for state of employment.  
• Current certification in Healthcare Quality preferred.