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Quality Director

Company: Covenant Healthcare
Location: Saginaw
Posted on: June 2, 2021

Job Description:

Covenant HealthCare


8:00 AM - 4:30 PM, MONDAY - FRIDAY



The Director of Patient Safety & Quality demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.

This Director reports to the Chief Transformation Officer and is responsible for leading all areas of Patient Safety and Quality across the care continuum including the High Reliability Organization (HRO) Culture of Safety and promotes the Safety Leadership Behaviors. This individual is responsible for developing strategy, directing personnel, operations, and financial activities of the department. This Director ensures the development of goals, objectives, policies and procedures, and budgets in accordance with hospital, governmental, and licensing requirements. This individual directs, implements, and ensures compliance with the highest standards of practice. This individual is accountable for achievement of continuous performance improvement and patient satisfaction goals. This Director is responsible for continuous achievement of hospital accreditation


Mentors subordinates for personal growth and development as well as future positions in Covenant HealthCare.

Builds effective working relationships with management, physicians, staff and other partners, and fosters a spirit of teamwork in areas of responsibility within Covenant. Actively supports the achievement of Patient Safety and Quality goals throughout the organization.

Prepares departmental operating budgets and manages their financial performance, projects volume/activity, manages net income and controls expenses.

Provides ongoing reassessment of departmental cost effectiveness and productivity.

Analyzes and reports financial information and incorporates information into decision making.

Analyzes historical, current, and benchmark data to project impact of CMS and payer-specific penalty and incentive programs. Incorporates analysis into priority action plans, e.g. LOS, Readmissions, Patient Safety, Complications, etc.

Adopts prudent financial practices such as inventory control, cost ratio's, and cost benefit analysis.

Develops major equipment and project five year forecasts, capital budgets, and pro-forma statements.

Effectively manages human resources (i.e., hiring, motivating, communicating, coaching, appraising, disciplining), while adhering to policies, standards, and pertinent regulations.

Evaluates and identifies opportunities, and drives improvements to organization, hospital departments, and providers to reduce variation and improve processes, impacting achievement of financial and clinical process and outcome goals; e.g. LOS, Readmissions, Mortality, Infections, etc.

Collaboratively formulates departmental and organizational targets and goals, and creatively provides the leadership to accomplish them.

Demonstrates the ability and understanding of data and business analytics, including the ability to design and collect data, use business analytics tools, predictive analytics and forecasting/modeling tools to drive performance and continuous improvement. Shows the ability to effectively communicate data with both management, staff, physicians, and outside agencies

Achieve planned results for productivity and quality in accordance with Strategic Plan, Quality Improvement Priorities, and Departmental Goals. Collaborates with Leadership to develop these goals

Measures and reports quality monitoring data, establishes and leads performance improvement teams, develops and implements action plans to address deficiencies, and incorporates best practice benchmarks into target goal setting.

Works collaboratively and influentially across departmental boundaries to accomplish work. Plans, develops, leads, facilitates and coordinates projects and programs in accordance with strategic plan and priorities to improve process and outcome of care, reduce errors impacting patient safety, improve efficacy and efficiency of care (LOS, Readmissions), reduce variation (system, process, and provider), and promote coordination across continuum of care (internal and external to hospital)

Adopt a strategic attitude towards departmental portfolio, proactively plan for the future and is aware of opportunities and potential advantages for reorganizing/restructuring, acquisition, service expansion and/or contracting.

Promotes marketing opportunities for business units.

Establishes and maintains collaborative relationships with medical staff to foster enhanced patient care.

Actively participates in projects and enhances relationships to improve quality, safety, and continuity of care, e.g. providers, ECF, home care, payers, hospitals

Serves as a liaison with CMU Residency Program for Clinical Learning Environment Review (CLER) Program. Provides oversight, access, and documentation of resident engagement in patient safety, quality improvement, and transitions of care.

Ensures compliance to standards through ongoing measurement and monitoring regularly with developmental action plans to improve performance.

Assures organizational and departmental knowledge and compliance with applicable laws and regulatory agency requirements; e.g. CMS Conditions of Participation, CMS IPPS and OPPS, HFAP standards

Other information:


Bachelor Degree in Business/Management, Nursing, or related field

Master Degree (e.g. MSN, MBA, MSA, MPH) or willingness to obtain within 3 years of date of hire

Certified Professional in Healthcare Quality (CPHQ) or willingness to obtain within 1 year


LEAN or similar Process Improvement certification

Project management Certification


Demonstrates Leadership Skills

Ability to communicate effectively through verbal, written, and presentation skills with both individuals, and small and large groups

Demonstrated achievement in a healthcare managerial/executive leadership position of at least 3-5 years

Demonstrated ability to plan, organize, and lead across the care continuum

Experience in developing and implementing innovative care delivery systems.

Demonstrates ability to establish and maintain effective interpersonal relationships and communication

Demonstrates ability to accept and implement change.

Demonstrates ability for problem solving

Strong organization skills with the ability to work independently and take initiative as well as lead and empower teams


Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards

Constant Hearing, Visual Accommondation and Color Vision. Frequent lifting up to 10 lbs

Frequent Standing, Walking, Sitting, Reaching, Handling, Talking, Near Vision, Midrange Vision, Far Vision, Depth Perception and Field of Vision.

Occasion lifting up to 25lbs

Occasional Lifting, Carrying, Pushing, Pulling, Climbing, Balancing, Stooping, Kneeling, Crouching, Squatting, Crawling, Twisting, Fingering, Feeling, Tasting/Smelling.



It has been determined that Covenant HealthCare cannot provide a latex safe or latex free work environment at any of its facilities. Unfortunately, that means that any individual, including an applicant or an employee, is likely to be exposed to latex while on Covenant's premises. Therefore, latex tolerance is considered to be an essential function for any position with Covenant.

Keywords: Covenant Healthcare, Saginaw , Quality Director, Other , Saginaw, Michigan

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