Executive Director Hospital Quality Risk Management Infection Control

Overview

• Lead strategic planning and implementation of Quality Improvement, Patient Safety, Risk, and Infection Prevention programs.
• Oversee daily operations of quality improvement, patient safety, and infection prevention initiatives.
• Collaborate with hospital leadership to ensure regulatory compliance and survey readiness.
• Develop and implement educational programs to prevent healthcare-associated infections.
• Manage personnel, fiscal, and material resources for program effectiveness.
• Support staff development and continuous process improvement initiatives.
• Provide recommendations to enhance infection control and patient safety practices.
• Analyze statistical reports and monitor performance metrics for program effectiveness.

Key Responsibilities & Duties

• Direct quality improvement programs and evaluate process changes for effectiveness.
• Conduct incident reviews and root cause analyses to address patient safety concerns.
• Supervise infection control goals, including facility design and sterilization practices.
• Ensure compliance with accreditation and regulatory standards.
• Collaborate with medical staff leadership on peer review program design.
• Develop and oversee educational initiatives to reduce infection risks.
• Manage program-related databases and IT systems for accurate reporting.
• Advocate for continuous improvement and superior patient care standards.

Job Requirements

• Bachelor’s degree required; Master’s degree in relevant field preferred.
• Minimum five years of experience in quality, patient safety, or infection prevention.
• Three years of acute clinical care experience required.
• Certified Professional in Healthcare Quality (CPHQ) and Patient Safety (CPPS) preferred.
• Proficiency in statistical process control and data analytics.
• Strong leadership and management skills to foster team engagement.
• Effective communication and collaboration with diverse organizational levels.
• Ability to prioritize tasks and execute goals effectively.