Responsible for direction, coordination, and oversight of quality improvement, patient safety, and performance improvement functions for all System Affiliates, including two hospitals, one of which is the John H. Stroger, Jr. Hospital of Cook County; an ambulatory and community health network comprised of multiple clinics; an infectious disease ambulatory center, a correctional healthcare facility, and the Cook County Department of Public Health. The mission of the System is to provide high quality, safe care to the residents of Cook County regardless of ability to pay.
This position is exempt from Career Service under the CCH Personnel Rules.
General Administrative Responsibilities
Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
Participate in collective bargaining negotiations, caucus discussions and working meetings
Document, recommend and effectuate discipline at all levels
Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
Direct and effectuate CCH management policies and practices
Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Contribute to the management of CCH staff and CCH’ systemic development and success
Discuss and develop CCH system policy and procedure
Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Work with Labor Relations to discern past practice when necessary
Responsible for directing all quality management, performance improvement and patient safety activities including accreditation standards, regulatory requirements and organizational performance improvement. This professional will have a working relationship to the Clinical Leadership throughout CCHHS and specifically have responsibility for:
Establishing and maintaining efficient and reliable mechanisms for monitoring, analysis and reporting of quality outcomes and clinical performance improvement initiatives, in alignment with regulatory standards and healthcare best practices for quality improvement and patient safety initiatives
Providing a planned, efficient, system-wide approach to identifying, designing, measuring, prioritizing and monitoring all quality improvement and patient safety
Collaborating with medical staff and operational leadership to develop and facilitate evidence-based quality and patient safety initiatives
Reporting to Executive Leadership and the Quality Committee of the Board
Supporting the CCHHS' Quality Performance Council
Engaging staff at all levels as participants in a continual pursuit of improvement opportunities
Providing leadership and focus on performance excellence for patient satisfaction and regulatory compliance
Establishing appropriate reporting tools for clinical and medical staff services
Preparing and interpreting reports, summaries and statistical data including system-wide performance improvement summaries to identify trends and make recommendations for improvement, including but not limited to sentinel events, Root Cause Analysis and Failure Modes and Effect Analysis (FMEA) processes
Assuring a common standard of care and service throughout the System
Graduation from an accredited college or university with a Master's degree in Healthcare Administration or other health related field
Minimum of five (5) years of experience in progressively more responsible healthcare leadership positions
Experience in an academic or large teaching facility that incorporates both hospital and ambulatory sites
Demonstrated knowledge of federal, state and local requirements
Experience in managing and working towards achieving quality related awards (i.e. Magnet, Baldridge, etc.).
Ten years of experience in progressively more responsible healthcare leadership positions
Certified Professional in Healthcare Quality (CPHQ) or Health Care Quality Management (HCQM)
Knowledge, Skills, Abilities and Other Characteristics
The ability to consistently support quality and patient safety by maintaining confidentiality, protecting the assets of the System, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements and System policies and procedures
Experience in directing/leading a quality improvement program in a multi-site health system or equivalent setting
Demonstrated knowledge and experience with hospital regulatory and accreditation requirements
Demonstrated experience in performance improvement techniques, leading and training in performance improvements
Working knowledge and expertise with Root Cause Analysis development
Excellent communication skills to prepare written materials and to correspond with administrative personnel, System personnel and the general public
Highly developed interpersonal skills
Skilled in Microsoft Office Suite
Physical and Environmental Demands
This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.
For purposes of the American with Disabilities Act, “Typical Duties” are essential job functions.
Interested Candidates should send a CV and cover letter to: firstname.lastname@example.org
Cook County Health is an equal opportunity employer.
Internal Number: 8019
About Cook County Health
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER