UW Health Rehabilitation Hospital is a free-standing, 50-bed acute inpatient rehabilitation facility located on the east side of Madison, Wisconsin. Our rehabilitation hospital opened in September 2015 and offers specialized programs for people who have experienced stroke, brain and spinal-cord injuries, amputations, complex orthopedic injuries and other conditions requiring inpatient rehabilitative services. Our goal is to help patients achieve their highest level of recovery with a goal of returning home as soon as able. The UW Health Rehabilitation Hospital is a partnership between UW Health, Unity Point Meriter and Kindred Healthcare.
The Director of Quality Management (DQM) assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DQM will assist the CEO/Leadership and Medical Staff to establish priorities for Performance Improvement. This position ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes. This position assures ongoing monitoring of performance to ensure that improvements are sustained. The DQM directs and assists in compliance with federal and state regulations and accreditation standards.
Provides leadership and oversight of a comprehensive, efficient and integrated organization-wide Continuous Quality Performance Improvement program.
Measures and assesses performance through collection, analyses and trending of data.
Focuses on processes and systems to improve performance.
Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety.
Investigates factors contributing to adverse outcomes in order to improve processes and systems. Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and/or outcomes.
Educates on Continuous Quality and Performance Improvement and additional hospital-wide education and training to hospital and medical staff.
Directs the functions and operations of the hospital-wide continuous quality improvement program including review of records for indicators of quality; reports findings to leadership, Medical Executive Committee,the Board of Managers and other committees as appropriate.
Annually reviews hospital-wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.
Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.
Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.
Other duties as assigned.
BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.
Registered Nurse with current licensure in the State of Wisconsin.
Certification by NAHCQ (National Association of Health Care Quality) preferred.
Current Basic Life Support/CPR Card.
Demonstrated ability to plan, coordinate, and evaluate PI activities; effective oral and written communication skills and proficiency in basic computer skills required.
Working knowledge of staff development and the educational process, quality improvement and safety/risk management standards.
Job : Compliance/Quality/Risk Primary Location : WI-Madison-CHC Payroll - Madison Rehab Hospital Organization : HRS IRFS Shift : Day