The Director of Nursing (Quality) oversees the daily operations of the risk management department by performing administrative and operational duties that focus on high-quality results. Assesses and identifies current and potential risks affecting patient safety and fiscal operation. Ensures delivery of patient-centered, cost-effective quality services across the continuum of care, optimal utilization of resources and compliance with applicable local, state, federal rules, regulations and security standards.
General tasks and responsibilities will include:
Leads the day-to-day operation of the department and risk management prevention and control program, following guidelines and regulatory requirements and monitors overall effectiveness of the program and departmental activities.
Partners with senior leadership and other key stakeholders to define the strategic direction and operational plan for advancing risk management programs, ensuring alignment with the System’s mission, values, and business goals.
Develops and implements quality assurance program and related services, and establishes program and service goals and priorities. Identifies problems and recommends and/or implements standard, cost effective measures for service improvement.
In consultation with appropriate staff, conducts ongoing review of existing policies and standard operating procedures to identify gaps or discrepancies and implement revisions, as necessary, and reviews and evaluates patient and public safety policies, procedures, and standards.
Oversees various committees, assessing and predicting changes in risk. Conducts research and studies to identify and analyze trends in risk and may participate in special risk studies.
Compiles, reviews and interprets risk data, and presents key findings to various committees and other stakeholders and creates strategies and recommendations for interventions and appropriate control measures.
Serves as a principal advisor and key resource to senior leadership and other parties, and as liaison between appropriate agencies, on all matters pertaining to patient and public safety, risk assessment, and other factors relating to security excellence.
Investigates accidents and incidents involving safety matters and promptly reports to the appropriate local, state and federal public health and regulatory agencies. Analyzes and documents accidents and incidents, utilizing appropriate tools and other applicable methods of analysis, to identify contributing factors and other safety concerns.
Partners with senior leadership to develop and maintain alert monitoring and reporting procedures and to create strategies and action plans to address potential risks, reduce the likelihood of these risks, and lessen the impact of risks if/when they occur.
Prepares and/or actively participates in the development of the fiscal year expense, revenue and operating budgets. Ensures operations run within budgetary guidelines, reviews budget requests for risk management services and monitors all risk management-related expenses and purchases.
Collaborates with appropriate parties to identify organizational needs; monitors staff and resource utilization and makes adjustments required to ensure that initiatives and staff are supported with appropriate resources.
Assists in the development of training programs and provides orientation, training, and guidance to staff. Routinely assesses staff learning needs, identifying gaps and evaluating the quality and effectiveness of the programs. Implements necessary changes in trainings and development to maximize productivity, effectiveness and efficiency of staff.
Provides education and information on patient and public safety protocols and prevention techniques to clinical and non-clinical staff, community members, patients and caregivers.
Ensures ongoing compliance and maintenance of the NYC Health + Hospitals policies and procedures with national standards and other applicable external regulatory requirements, guidelines and accreditation authorities, as well as safety and quality management standards. Maintains an Environment of Care under accreditation standards by ensuring ongoing maintenance of all required departmental regulatory accreditations.
Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs, and training, as required.
Performs other related duties, as directed.
Licensed and currently registered to practice as a Professional Nurse in New York State; and
A Master's Degree in Nursing Administration or an equivalent field, and a minimum of four years of high-level responsible experience in nursing administration, three years of which shall have been in a hospital; or,
A satisfactory equivalent. However, all candidates must be licensed and currently registered to practice as a Professional Nurse in New York State.
Additional Salary Information: Hire in Rate for employees new to HHC $130,000.00
Internal Number: 58630
About New York City Health & Hospitals
Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible
NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.