Director of Quality Integration-SMS-3772

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Under administrative supervision, the Director of Quality Integration plans, develops, directs coordinates and evaluates operating and program activities for the statewide highly specialized and essential quality improvement integration activities for the Office of Correctional Medicine. This position requires travel to, including but not limited to, correctional facilities.

25%
Plans, develops, directs, coordinates and evaluates operating and program activities for both the Clinical Review and Quality Integration Units of the OCM's Quality Integration Section; directs and evaluates the development and implementation of education and training programming for OCM staff, partners and stakeholders which includes but is not limited to mortality review, adverse event and quality integration policies and processes, continuous process improvement initiatives, and quality improvement data analysis reporting; directs and evaluates the development of policies, procedures and workflows; establishes goals and objectives of the Quality Integration section; develops, recommends and implements efficient procedures, methods, rules, regulations and systems for more effective control, operation and management of consistent, valid and reliable quality management integration between OCM and stakeholders.

15%
Directs the overall mortality review program, ensuring all relevant deaths are reviewed thoroughly using methods like root cause analysis and human factors principles; monitors mortality data and trends, developing, analyzing, and presenting reports to internal and external partner executive leadership and quality committees to highlight areas for improvement; ensures opportunities for improvement from deaths are shared across the organization to improve clinical practices; manages and facilitates Morbidity & Mortality (M&M) meetings.

10%
Serves in an advisory capacity to the Executive Director and OCM leadership on new or modified policies and procedures, performance metrics and adverse events and trends in facility performance management and operational excellence programming; may act for the Director in her/his absence; serves as a liaison providing authoritative information, assistance, and advice to departments, various constituencies, stakeholders, and individuals at all levels (including national, state, regional, community, and campus levels) and acts as a representative for the Quality Integration Section and/or executives/administrators, as requested, which includes sitting on various committees and/or attending professional conferences.

10%
Serves as the key point of contact for internal stakeholders, patients, and healthcare providers regarding safety incidents; oversees the tracking, documentation, and reporting of adverse events, including, but not limited to, sentinel events, patient incidents, and, if applicable, medical device failures.

10%
Serves as supervisor of direct reports; assigns and reviews work; provides guidance and training; approves time off and reassigns staff to meet operating needs; counsels staff regarding work performance; recommends and imposes discipline; establishes objectives and prepares performance evaluations; determines staffing requirements; manages staff to ensure that employees are complying with policies and industry and best practice health care and quality management standards when providing services on behalf of the OCM; guides larger, cross-divisional teams outside of direct span of control within the correctional facility or facilities in which OCM provides correctional quality management and performance excellence health care services; mentors and develops a team of managers and/or directors, managing work allocation, systems training, performance evaluations, and the building of an effective and efficient team dynamic; works with senior leadership to develop and implement corrective action plans resulting in required process changes and outcomes when aberrant trends are identified.

10%
Directs and evaluates the Quality Integration Section by: a) design of audit methods and instruments to measure performance and service delivery, b) trains partner staff on the implementation and understanding of OCM data outcomes, recommendations and processes; c) identification of opportunities for improvement, d) develops standardized processes and forms for partner facility quality improvement efforts; c) development of action plans for resolution of issues identified with stakeholders and correctional facility leadership and staff, d) site visits.

10%
Reviews, evaluates, develops, and interprets OCM, partner and stakeholder policies and operational procedures and communicates updates and recommendations to OCM leadership, partners, stakeholders and clients; resolves problems that require the interpretation, explanation, and justification of quality management integration and programmatic policies and procedures.

5%
Directs, evaluates and produces documents which may be proprietary or highly sensitive and confidential. Documents may include, but not be limited to, standards, corrective action plans, performance and accountability reviews, and opportunities for improvement.

5%
Performs other related duties as assigned.

Minimum Qualifications

1. Illinois Licensed Registered Nurse
2. Bachelor of Science in Nursing (BSN)
3. Experience in quality assurance, patient safety, or data analysis in a health care setting
4. Ten (10) years of progressively responsible management work experience in a private or governmental organization
5. Three (3) years supervising the work of a professional clinical administrative or direct healthcare staff
6. Experience working within a correctional healthcare system/environment at an administrative level

Desired Qualifications

1. Bilingual - Spanish or ASL

If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.

The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.

The SIU School of Medicine Annual Security Report is available online at https://www.siumed.edu/police-security. This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the

"Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."

Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.

Pre-employment background screenings required.