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Sr Director of Quality - TX Central


System Locations:

Ascension Seton Edgar B. Davis

130 Hays Street
Luling, TX 78648

Ascension Seton Hays

6001 Kyle Parkway
Kyle, TX 78640

Ascension Seton Highland Lakes

3201 South Water Street
Burnet, TX 78611

Ascension Seton Medical Center Austin

1201 West 38th Street
Austin, TX 78705

Ascension Seton Northwest

11113 Research Blvd
Austin, TX 78759

Ascension Seton Smithville

800 E Highway 71
Smithville, TX 78957

Ascension Seton Southwest

7900 Farm to Market Road 1826
Austin, TX 78737

Ascension Seton Williamson

201 Seton Parkway
Round Rock, TX 78665


The Senior Director of Quality functions as the liaison between the National Quality, Risk & Safety Directors and Committees and the QRSDs and Medical Directors at the individual sites.  The SDQs report to the National Director of Quality (NDQ).  The SDQs receive direct reports from the QRSDs or Medical Directors or Assistant Medical Directors (if there is no QRSD at that site). The primary responsibility of the SDQ is to ensure optimal quality performance in the Region/Division.

Job Responsibilities

National Level

  • Maintain a monthly meeting [by phone] schedule with the NDQ to discuss issues, priorities, etc.
  • Report quality metric performance regularly to the NDQ for respective Region/Division.
  • Participate in the monthly National Peer Review Meetings and, the Quarterly National Peer Review Quarterly Operations Meetings. For the NPR Monthly Meeting this includes preparation of a PP presentation covering cases, trends and priorities.
  • Participate in Quarterly Quality Presentations with Regional Presidents/VPs with NDQ and other SDQs.

Regional Divisional Level

  • Responsible for quality metric performance in respective Region/Division as established by the NDQ.
  • Develop and implement solutions to improve quality metric performance in respective Region/Division and share best practices with NDQ and other SDQs.
  • Work with Health Care System’s Senior Leadership in your Region/Division to improve and develop quality programs.
  • Ensure distribution, familiarity and use of educational tools developed at USACS throughout Region/Division

Individual Site Level

  • Disseminate national, quality, risk and safety priorities to the site leadership to include:
    • Regular meetings [at least quarterly] via WebEx with the QRSDs assigned to you
    • Distribution of the Monthly Quality Update to the QRSD
  • Support your Site QRSDs by:
    • Receiving and reviewing quality, risk & safety data from the site QRSD and synthesizing learning points for transmission to the NDQ
    • Support QRSD’s obligations to the hospital and support their efforts to develop resolutions for hospital concerns and requests
  • Monitor Incident Reporting at your sites, including frequency
    • Review of incidents reported for your sites to include scoring and comments
    • Monitor follow-up with site leadership and/or provider if required
    • Insert Level 3/4 Peer Review cases on IRP
  • Ensure that the following audit/review functions are being performed at each of your sites:
    • Peer Review Meetings where quality/safety cases are discussed
    • New provider audits
    • 72-Hour returns who are admitted
    • Focused reviews requested by hospital site administration
    • Company-wide reviews
  • Review risk management policy compliance/implementation at your sites
  • Review FailSafe compliance and review of fallouts at your sites
  • Monitor and review CEDR Metrics that are selected to measure quality, utilization or stewardship of sources. 





Seton Medical Center is the largest medical/surgical acute care center in Austin offering comprehensive diagnostic and treatment services. The facility, located in the heart of central Austin’s medical district, recently underwent a $50 million expansion project. One of four Magnet hospitals in the Seton Healthcare Family, Seton Medical Center Austin offers comprehensive diagnostic and treatment services for both inpatients and outpatients and regional specialty programs including the Seton Heart Specialty Care and Transplant Center, Shivers Cancer Programs and the Marialice Shivers Regional Neonatal Center. Seton Medical Center Austin was also one of the first two hospitals in Texas to receive certification as a Comprehensive Stroke Center.


Emergency Department

  • ED Volume: 33,000
  • ED Beds: 27 (9 monitored)
  • Patients/Hour: 1.9
  • Admission Rate: 30%
  • Coverage: 8- and 9-hour shifts with 44-53 hours of physician coverage per day
  • Qualifications: BC/BP in Emergency Medicine
  • Documentation: Cerner/CPOE and PowerNote


Austin is the capital of Texas, but it is better known to many as the “Live Music Capital of the World.” With vibrant entertainment and culture, inspiring cuisine and stunning outdoor settings, it's no wonder that Austin is one of the fastest-growing metropolitan regions in the nation. Nature trails, lakes, parks, and wilderness preserves offer exceptional recreational opportunities. The Austin area’s high-tech industry blends seamlessly with popular events such as the Austin City Limits Music Festival, SXSW, and the Formula One United States Grand Prix. The University of Texas, one of the largest universities in the nation, offers world-class arts and sporting events year round.
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