Director of Quality - Acute Care

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness -

• Lifestyle Engagement
  • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

• Access & Affordability
  • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :
The Director, Acute Care Quality establishes policy, strategic direction, and operational leadership of the Acute Care quality department including quality assurance and quality improvement. Executes strategy across ThedaCare (Froedtert ThedaCare North Region). Utilizes expertise and knowledge of quality principles, process improvement, and tools to provide leadership at ThedaCare North Region for performance measurement, data collection, management, and analytics. This role will collaboratively lead quality performance and outcomes with clinical and operational leaders with accountability for obtaining the defined quality goals and targets. Translates data to actionable information and plans to inform improvement efforts and achievement of safe, high quality clinical care. Develops clinical and operational alignment to the understanding of and leadership to achieve and comply with third party payer programs and publicly reported safety and quality performance.

Job Description:

Key Accountabilities

• Provides strategic planning, program development, labor management, and overall operational administration of the department.
• Operational accountability for the department and effectively directs team members in a manner consistent with ThedaCare policies and values. Ensures the recruitment and retention of competent team members to meet the needs of the business operations of the department.
• Oversees and ensures accuracy of time and attendance and payroll practices.
• Provides leadership, administrative and management support, strategic planning, and overall direction and guidance on program development, projects, and collaboratives that support clinical quality performance improvement.
• Works collaboratively with clinical and operations leaders in setting direction and strategic planning to develop, implement, and monitor action plans to achieve clinical and operation quality outcome success and the provision of safe, highly reliable clinical outcomes.
• Develops annual goals and objectives for the quality management program in alignment with ThedaCare clinical and operational goals and strategies to meet and exceed established program objectives utilizing external benchmarking.
• Leads the process for evaluating compliance of the quality program against internal and external requirements and is accountable for outcome performance.
• Collaborates with all appropriate resources and utilizes data for analytics to review and ensure the visibility of quality performance for ThedaCare.
• Collaborates with contract management and executive leaders to incorporate clinical and operation meaningful quality metrics into internal and external contract and incentive management that align with the achievement of ThedaCare goals and regulatory compliance.
• Collaborates with Director of patient safety activities to include sentinel/high severity event review, root cause analysis and action planning, failure mode and effect analysis, and national patient safety goal review and action planning.
• Supports and ensures the deployment and evaluation of facility-level quality assurance/quality improvement annual plans that meet all elements of regulatory compliance.
• Prepares and presents reports to executive leaders, the board of directors, providers, leaders, and team members in both written and oral formats ensuring all are fluently knowledgeable on current quality performance and opportunities.

Qualifications

• Master of Science in Nursing or other healthcare related master's degree required.
• Eight years of progressive responsibility in a leadership position to include leading teams and/or projects
• Knowledge and experience with a wide variety of computer programs including Word, PowerPoint, Excel and Outlook. Must be proficient in EPIC electronic health record
• Advanced training in process improvement methodologies including: Lean, Six Sigma and Change Management.
• Strong communication skills with the ability to build relationships with providers, leadership and clinical staff. Comfortable in clinical settings to assist teams at the point of care with problem solving or action plans related to RCAs. Presentation skills and ability to adapt/communicate relevant message to audience. Excellent written and verbal skills. Strong ability to coordinate, lead and execute on team deliverables.
• Certified Professional in Healthcare Quality (CPHQ) by the National Associate for Healthcare Quality strongly preferred or ability to obtain within 18 months of start date.
• Licensed RN in WI, a compact state, other appropriate clinical licensure.

Required Skills:

• Excellent verbal and writing skills
• Advanced interpersonal communication skills for extensive interaction with diverse healthcare professionals including nurses, physicians, administrators, and other department leaders to implement quality initiatives across acute care settings and provide effective consultation and collaboration
• Ability to organize and define problems, develop strategies, and carry out action plans
• Advanced strong analytical skills to interpret, trend and analyze complex medical data and patient outcomes
• A strong understanding of clinical practices and patient care pathways is often necessary to effectively evaluate quality issues.
• Capable of exercising sound judgment and making independent decisions
• Ability to adapt to multiple complex organizational environments

Physical Demands

• Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

Work Environment

• Normally works in climate-controlled office environment
• Frequent sitting with movement throughout office space
• Use of computers throughout work day
• Frequent use of keyboard with repetitive motion of hands, wrist and fingers
• Interaction with department members and other healthcare providers.
• When rounding, possible exposure to communicable diseases, hazardous materials, and pharmacological agents.

Scheduled Weekly Hours:
40Scheduled FTE:
1Location:
CIN 3 Neenah Center - Appleton,WisconsinOvertime Exempt:
Yes