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Senior Director of Quality - Colorado


System Locations:

Littleton Adventist Hospital

7700 S. Broadway
Littleton, CO 80122-2602

Longmont United Hospital

1950 Mountain View Avenue
Longmont, CO 80501

Lutheran Medical Center

8300 West 38th Avenue
Wheat Ridge, CO 80033

Mercy Regional Medical Center

1010 Three Springs Blvd
Durango, CO 81301

Parker Adventist Hospital

9395 Crown Crest Blvd.
Parker, CO 80138-8753

Penrose Hospital

2222 N Nevada Ave
Colorado Springs, CO 80907

Porter Adventist Hospital

2525 S. Downing St.
Denver, CO 80210-5817

Saint Francis Hospital

6161 South Yale Ave.
Tulsa, OK 74136

Saint Joseph Emergency – Littleton

8515 W Coal Mine Ave
Littleton, CO 80123

Saint Joseph Emergency – Northglenn

11900 Grant Street
Northglenn, CO 80233

Southlands Parker Adventist Hospital

6159 S. Southlands Parkway
Aurora, CO 80116

St. Anthony Hospital

11600 W. 2nd Pl.
Lakewood, CO 80228

St. Anthony North Health Campus

14300 Orchard Parkway
Westminster, CO 80023

St. Francis Medical Center

6001 E Woodmen Rd
Colorado Springs, CO 80923

St. Mary-Corwin Medical Center

1008 Minneque Ave
Pueblo, CO 81004

St. Thomas More Hospital

1338 Phay Ave
Canon City, CO 81212

West Littleton ER

9670 W Coal Mine Ave
Littleton, CO 80123


General Summary:  

The SDQs function as liaisons between the National Quality, Risk & Safety Directors and the QRSDs and Medical Directors at the individual sites.  The SDQs report to the National Director of Quality (NDQ). The primary responsibility of the SDQ is to ensure optimal quality performance in the Region/Division.  

Essential Job Functions: 

National Level 

  • Maintain a monthly meeting schedule with the NDQ to discuss metrics, goals and priorities, as they pertain to quality/risk and quality.
  • Report quality metric performance regularly to the NDQ for respective Region/Division.
  • Participate in the monthly Quality Improvement Committee Meetings. 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
  • Support Site QRSD’s 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 designated sites, including frequency
    • Review of incidents reported for 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. Load the cases with a quality concern onto the Risk platform.
  • Ensure that the following audit/review functions are being performed at each site:
    • Peer Review Meetings where quality/safety cases are discussed. Presentation and discussion of cases from that site.
    • New provider audits
    • Review all 72-Hour returns who are admitted
    • Focused reviews requested by hospital site administration
    • Company-wide reviews
  • Review risk management policy compliance/implementation at the 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.  


Knowledge, Skills and Abilities

  • High level of customer service
  • Sense of urgency and follow through
  • Build effective relationships
  • Work in a deadline driven environment
  • Meet and/or exceed quantity and quality service-related driven metrics
  • Highly organized in managing one’s schedule, duties, workflows, and responsibilities  


Education and Experience

  • MD. / D.O. degree from an accredited medical school
  • Board Certification
  • 5 -7 years of experience in Quality Management in a clinical setting
  • 5-7 years of people leadership experience

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