Land O' Lakes, Florida, Description All the benefits and perks you need for you and your family: - Benefits from Day One - Paid Days Off from Day One - Student Loan Repayment Program - Career Development - Whole Person Wellbeing Resources Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: Full Time Shift : Days Location: 9441 Health Center Drive Land O' Lakes, Florida 34637 The community you’ll be caring for: AdventHealth Connerton · Specialty hospital for medically complex patients · Pulmonary and Vapotherm Center of Excellence · Staff consists of all Registered Respiratory Therapist, 65% BSN or above RN’s, Current staff certifications include CCRN, PCCN, CNML, WCNC, NEA-BC, and RN-BC · Onsite BSN completion program partnership with South University with staff discounted rate · Simulation Lab and Clinical Transition Pilot Program · Free prep courses for national certifications · Robust atmosphere for Clinicals - partnerships with multiple nursing, pharmacy, therapy and respiratory schools. · Preceptorship and residencies for Respiratory and Nursing · Opportunities to participate and lead in culturally diverse programs (Diversity, Equity & Inclusion, Employee Activity Committee, Spiritual Ambassadors) · Open-door campus culture promoting direct relationships with leadership and c-suite. · Full time chaplain on staff · Team Member rewards and recognition programs to include: Daisy (RN), Employee of the Quarter, Phil (Respiratory), Service Awards, TWCE as Nice The role you’ll contribute: Develops, implements and maintains the hospital-wide comprehensive quality assessment and performance improvement program. Provides leadership and direction for implementation, review and revision of the hospital Patient Safety and Performance Improvement Plan. Maintains and administers a framework for continuously monitoring and improving the quality of care and service provided to patients. The Director also assumes shared responsibility, accountability and direction for the patient safety transformation, along with the Director of Patient Safety & Risk Management, in developing a culture of safety and identifying opportunities and initiatives to enhance high reliability and patient safety. The value you’ll bring to the team: · Provides planning, implementation, integration and evaluation of the hospital-wide quality assessment and performance improvement program. · Provides planning, implementation, integration and evaluation of activities relative to achieving high reliability organizational goals, including robust process improvement, just culture and culture of safety standards. · Provides planning, implementation, integration and evaluation of the continuous accreditation readiness program including standards and regulatory compliance including project management related to action plans to AHCA/CMS and Joint Commission. · Monitors compliance with evolving quality measures including, TJC Reporting, CMS’s National Hospital Quality Measures, and other benchmarking reporting requirements. · Monitors Joint Commission standards, Federal and State regulations, and professional standards and maintains compliance with all clinical regulatory reporting requirements. Qualifications The expertise and experiences you’ll need to succeed : Bachelor’s degree in healthcare-related field Minimum five (5) years clinical experience in acute care setting, preferably tertiary setting Minimum five (5) years experience in quality and performance improvement Leadership experience with working knowledge of Joint Commission Standards, State and Federal regulations, and professional standards and practice issues. Evidence of experience in successful leadership of organizational quality management programs. Master’s degree in nursing or healthcare-related field preferred Evidence of experience in successful performance improvement and/or project management. Licensed as RN in State of Florida Certified Professional in Healthcare Quality (CPHQ) or other nationally recognized certification in quality and/or patient safety programs preferred Certified Project Manager (CPM) preferred Lean and/or Six Sigma Certification preferred This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.