Director, Quality

Overview

At UF Health Spanish Plaines Hospital, we are committed to providing the Central Florida community with leading-edge patient care, clinical training and research programs. Our teams of physicians and clinical staff work together to offer specialty services, advanced technology and clinical studies, bringing world-class, quality health care closer to you and your loved ones.

UF Health Spanish Plaines Hospital provides many medical services and amenities for our patients and their families and visitors. As part of the UF Health network, patients now get more access, more services, more specialized care, improved experiences, faster treatment and as a result, everyone rises and moves forward together.

Responsibilities

Serves as Director for Quality Management and Infection Control Departments for UF Health Spanish Plaines Hospital. Coordinates quality performance improvement activities across the campus to achieve performance goals. Monitors quality outcomes for the campus, provides necessary reporting to Executive Team as needed. Collaborates with Directors of Quality across the UF Health Enterprise for coordination of standards and processes across the organization.

Attends and participates in selected Department/Division Meetings, Quality Committees, Medical Staff meetings, and MCE. Collaborates with Manager of Accreditation and Patient Safety to ensure and maintain survey readiness. Attends Physician Peer Review process as needed. Manages Infection Control team and monitoring, and adherence to IC standards for the campus.

Qualifications

Education

Graduate degree required; or Bachelor’s degree required with willingness to obtain a master’s degree within two years of hire. Licensure/Certification/Registration Clinical healthcare experience required. Lean Six Sigma Black Belt preferred. Certified Professional in Healthcare Quality (CPHQ) preferred. Special Skills/Qualifications/Additional Training Must be able to read, write, speak, and understand English.

Proficiency with computers, Excel, quality metrics, and statistics. Knowledge of The Joint Commission (TJC) surveys, AHCA complaints and surveys, QualityNet, team facilitation, data presentation and explanation, and NDNQI. Knowledge of Leapfrog and CMS rating requirements and best practices for achieving top ratings. Experience Required Five or more years of quality assurance experience in a leadership role within a healthcare setting.

Acute care experience preferred. Serves as Director for Quality Management and Infection Control Departments for UF Health Spanish Plaines Hospital. Coordinates quality performance improvement activities across the campus to achieve performance goals. Monitors quality outcomes for the campus, provides necessary reporting to Executive Team as needed.

Collaborates with Directors of Quality across the UF Health Enterprise for coordination of standards and processes across the organization. Attends and participates in selected Department/Division Meetings, Quality Committees, Medical Staff meetings, and MCE. Collaborates with Manager of Accreditation and Patient Safety to ensure and maintain survey readiness.

Attends Physician Peer Review process as needed. Manages Infection Control team and monitoring, and adherence to IC standards for the campus.

Education

Graduate degree required; or Bachelor’s degree required with willingness to obtain a master’s degree within two years of hire. Licensure/Certification/Registration Clinical healthcare experience required. Lean Six Sigma Black Belt preferred. Certified Professional in Healthcare Quality (CPHQ) preferred. Special Skills/Qualifications/Additional Training Must be able to read, write, speak, and understand English.

Proficiency with computers, Excel, quality metrics, and statistics. Knowledge of The Joint Commission (TJC) surveys, AHCA complaints and surveys, QualityNet, team facilitation, data presentation and explanation, and NDNQI. Knowledge of Leapfrog and CMS rating requirements and best practices for achieving top ratings. Experience Required Five or more years of quality assurance experience in a leadership role within a healthcare setting.

Acute care experience preferred.