Assumes responsibility for the planning, organization, facilitation of Quality Management Plan and activities within Medical and Clinical Affairs (MCA).

Essential Responsibilities and Duties

1. Facilitates development of strategic quality initiatives, goals and objectives . Tracks progress and prepares status reports for MCA Administration. 2. Prepares reports that support executive management decision-making for improving management, clinical and education outcomes. 3. Directs and coordinates MCA Risk Management strategy and activities. 4. Coordinates and supports hospital accreditation activities within MCA. 5. Responsible for coordination of MCA quality management activities, including development of performance improvement indicators and policies and procedures. 6. Consults, facilitates and participates in MCA/hospital-wide performance improvement activities (e.g. Performance Improvement projects, clinical pathways, best practice, benchmarking) . 7. Networks with other areas to identify opportunities to improve joint issues. 8. Participates in the education and training of nursing, MCA staff in quality management/performance improvement concepts, principles, and methodologies . Assists in the evaluation of performance improvement class curriculum. 9. Participates on committees, task forces and teams as requested . 10. Follows all Hospital related policies and procedures. 11. Participates in self and other's education, training and development, as applicable.

Education