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San Antonio Behavioral Healthcare Hospital

Director of Quality Improvement/ Risk Management/ Performance Improvement

San Antonio Behavioral Healthcare Hospital, San Antonio, Texas, United States, 78201

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Director Of Qi, Risk Management & Pi

The Director of QI, Risk Management & PI is responsible for the development, planning, coordination and administration of a systematic program designed to reduce risk and injury. Also, responsible for developing, implementing and monitoring of a quality review program. Essential Duties: Directs the collection, measurement and presentation of data required for monitoring quality indicators. Identifies and assesses quality management problems and refers to staff for action. Serves as resource to medical staff and facility committees regarding quality issues. Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with JCAHO standards, its interpretation, methods of data collection display and statistical analysis. Monitors compliance with JCAHO and other regulatory standards. Manages the identification, analysis and assessment of loss potential throughout the facility. Identifies legal risks related to professional and comprehensive general liability for the prevention and control of losses due to these legal risks. Analyzes, evaluates and communicates patterns and trends or professional and comprehensive general liability claims experience to the administrative and medical staff. Makes recommendations concerning facility operation to reduce exposure to liability and insurance claims. May represent the organization in litigation matters and coordinates with attorneys. Carries out the personnel management activities associated with direct staff supervision, including screening and selection, orientation training and development, performance management, and employee relations functions. Performs related duties, as requested. Upholds the Organization's ethics and customer service standards.