The Program Director, Imaging Services Quality and Patient Safety (PDIQPS) is responsible for providing the oversight, direction, coordination and integration of quality and patient safety across the EHC system with a focus on Imaging Services / Radiology.
The PDIQPS is responsible for contributing to and executing the strategic planning for Imaging Services to achieve the Emory Healthcare vision.
The PDIQPS will partner with system Imaging Services and Radiology leaders in continuously improving clinical outcomes and reducing risk.
The PDIQPS is responsible for Imaging Service enterprise infection control/prevention, regulatory accreditation/certification, patient safety, clinical quality analytics and data reporting, and process improvement.
The PDIQPS collaborates with system program directors and site Quality Directors in the EHC Office of Quality to standardize these functions across Emory Healthcare.
Facilitates the use of statistical process tools, process improvement and problem solving through Lean/EmPower methodology for continuous improvement in all care and services provided by Imaging Services/Radiology.
Collaborates with Imaging Services executives and Patient Safety Officer(s) to develop, implement and monitor the patient safety plan, with an annual review and appropriate revisions to meet organizational goals and regulatory compliance.
Supervises the event reporting system for EHC Imaging Services, Failure Mode Effect Analysis and/or Root Cause Analysis or other activities in response to events.
Coordinates continued survey readiness for entity accreditation/certification, onsite survey response and required follow up.
In collaboration with Program Director for Accreditation and Certification, coordinates and executes the Accreditation/Certification Readiness program for State, CMS and TJC, and ACR at the entity.
Serves as enterprise Imaging Services Administrator for the TJC website.
Oversees infection prevention and control assessment and improvements for imaging environment of care.
Collaborates with system leadership for a thorough investigation and reporting of an outbreak of disease.
Develops, measures, and reports metrics to drive improvement of care and processes.
Collaborates with the system data analytics team for data collection, reporting and submission to regulatory bodies: CMS, TJC and ACR and other registries as applicable. Participates in system-wide data analytics initiatives.
Other duties as assigned.
(This position reports to the VP, Imaging Services, EHC with dotted line responsibility to the Vice President, Quality, EHC and the Vice Chair of Quality, Department of Radiology & Imaging Services.)
Master's degree from an accredited college or university in Nursing, Public Health, Healthcare Administration, Industrial and Systems Engineering, other advanced degree, or, other quality related field.
(In lieu of a Master's degree, candidates with 5 years leadership experience in healthcare quality and accreditation may be considered).
Three years of experience in healthcare quality & accreditation including three years leadership experience.
Radiology/Imaging Services experience preferred. Must hold Six-Sigma and/or Lean certification and/or experience and attain CPHQ within 2 years of employment.
As the only health network in Georgia that brings together a full range of hospitals, clinics and local practices, Emory Healthcare is committed to providing patients and families with better, more collaborative care for all of their medical needs. The Emory Healthcare Network encompasses teams of providers at our locations across Georgia, including Emory University Hospital, Emory University Hospital Midtown, Emory University Orthopaedics & Spine Hospital and the Wesley Woods Center; Emory Saint Joseph's Hospital and Emory Johns Creek Hospital; Emory Clinic; and the Emory Healthcare Network physicians, ranging from primary to specialty care providers. Through our integrated, collaborative care network, we are dedicated to providing the standard of care that our patients expect and deserve. Our researchers are discovering what’s next in medicine, and our physicians and care teams are putting that research to use to improve the health of our community today. From our experts at the Winship Cancer Institute of Emory University, the state’s ONLY National Cancer Institute-designated cancer center, to the specialists at our Orthopaedics & Spine Center and our network of hundreds of primary care physicians, our team is 17,000 strong and committed to the health of our community.