Job Snapshot

  • Job Schedule
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Family
    Quality/Clinical Effectiveness
  • Travel
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth North Pinellas

Job Description


Director of Quality AdventHealth North Pinellas

Location Address: 1395 S Pinellas Avenue, Tarpon Springs, Florida 34689

Top Reasons to Work At AdventHealth North Pinellas

  • Great Culture
  • Top Quality outcomes
  • Nurse Excellence Committee (NEC)/Governance
  • Leadership is accessible
  • Located on the Gulf of Mexico

Work Hours/Shift:

Full Time/Days

You Will Be Responsible For:

  • Provides planning, implementation, integration and evaluation of the hospital-wide quality assessment and performance improvement program.
  • Provides planning, implementation, integration and evaluation of activities relative to achieving high reliability organizational goals, including robust process improvement, just culture and culture of safety standards. 
  • Provides planning, implementation, integration and evaluation of the continuous accreditation readiness program including standards and regulatory compliance including project management related to action plans to AHCA/CMS and Joint Commission.
  • Monitors compliance with evolving quality measures including, TJC Oryx Reporting, Leapfrog, CMS’s National Hospital Quality Measures, and other benchmarking reporting requirements.
  • Monitors Joint Commission standards, Federal and State regulations, and professional standards and maintains compliance with all clinical regulatory reporting requirements.
  • Provides planning, implementation, integration and evaluation of an enterprise project management office for coordinating projects across all FHT service areas.
  • Oversees preparation of summary reports, dashboards and other data analytic tools that inform the organization including analyses of data, interpretation of findings, final conclusions and appropriate recommendations.
  • Promote delivery of high quality care through leadership and development of organizational quality and patient safety goals.
  • Maintains oversight for ongoing compliance with on-line database of Institutional Policies and Procedures and Patient Care Services policies and procedures relative to timely updates and change management.
  • Participates in Root Cause Analysis teams and FMEA teams to provide recommendations for improvement and/or correction.
  • Provides oversight for the continuous improvement, integration and evaluation of the Medical Staff peer review, OPPE and FPPE programs.
  • Ensures timely and accurate data available to the Medical Staff Office as required for credentialing and peer review activities.
  • Other duties as assigned.


What You Will Need:

  • Bachelor’s degree in healthcare-related field
  • Minimum five (5) years clinical experience in acute care setting, preferably tertiary setting
  • Minimum five (5) years experience in quality and performance improvement
  • Leadership experience with working knowledge of Joint Commission Standards, State and Federal regulations, and professional standards and practice issues. 
  • Evidence of experience in successful leadership of organizational quality management programs.
  • Licensed as RN in State of Florida

Job Summary:

Develops, implements and maintains the hospital-wide comprehensive quality assessment and performance improvement program.  Provides leadership and direction for implementation, review and revision of the hospital Patient Safety and Performance Improvement Plan.  Maintains and administers a framework for continuously monitoring and improving the quality of care and service provided to patients. The Director also assumes shared responsibility, accountability and direction for the patient safety transformation, along with the Director of Patient Safety & Risk Management, in developing a culture of safety and identifying opportunities and initiatives to enhance high reliability and patient safety.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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