Director, Quality Management – Cardiovascular Quality and Data Registries

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The Director Quality Management Cardiovascular Quality and Data Registries oversees the administration of assigned clinical quality improvement and quality management programs and initiatives inclusive of Cardiovascular Service Line and Clinical Data Registries. The incumbent provides strategic leadership in quality management clinical data registries accreditation readiness and performance improvement. This role is responsible for overseeing quality initiatives data integrity compliance and patient safety across the hospital. The incumbent ensures timely and accurate data collection analysis and reporting driving decision-making that enhances patient care outcomes.

This position collaborates with clinical operational and IT leadership to optimize registry participation improve performance on national state and locally reported measures and ensure compliance with The Joint Commission (TJC) Centers for Medicare & Medicaid Services (CMS) and other regulatory agencies.

• Oversees all aspects of clinical data registries particularly cardiac and high-impact clinical registries.

• Supports the Department of Cardiovascular Services by overseeing registry performance ensuring accurate and timely data submission for accreditation readiness and coordinating weekly Mortality and Morbidity (M&M) conferences.

• Develops and implements hospital-wide quality and performance improvement strategies aligned with national benchmarks.

• Directs evidence-based quality improvement methodologies (e.g. Lean Six Sigma Plan-Do-Study-Act).

• Ensures alignment of quality performance metrics with organizational priorities.

• Monitors changes in registry requirements to ensure timely accurate data submissions maintaining full compliance with state and national standards.

• Manages data collection validation analysis and submission for all assigned registries.

• Ensures timely and accurate data submissions for accreditation and regulatory compliance.

• Partners with clinical and operational leaders to ensure data from clinical registries drives improvements aligned with the organizations strategic priorities.

• Oversee registry data audits and compliance with national data standards.

• Develops and continuously monitors an internal reporting structure for quality management and related activities. Ensures the timely reporting of quality data to appropriate individuals through a systematic and defined multidisciplinary process.

• Maintains a comprehensive inventory of current registries and performance standings providing regular updates to leadership.

• Serves as the primary liaison for new registry requests coordinating with clinical teams IT legal and external vendors to streamline onboarding processes.

• Educates faculty administration and staff in the identification of opportunities for improvement and methods of collecting analyzing and reporting of findings and improvement strategies

• Serves as a representative and/or liaison with the various hospitals committees and departments concerning quality management related matters expediting efficiency of action to the maximum extent possible

• Coordinates agendas and prepares and delivers reports at various committee meetings including but not limited to all Performance Improvement committees Medical Executive Committee and Board of Governors

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Education:

• Requires a bachelors degree in nursing with a valid State of Florida Registered Nurse license or equivalent experience.

• Certified Professional Healthcare Quality preferred.

Experience:

• Minimum of 5 years experience in quality management leadership role reporting and analysis in a clinical or healthcare environment with strong broad clinical background.

• Must have experience leading teams responsible for healthcare analytics and clinical registries.

• Effective relationship management skills and ability to build successful collaborations across programs and multidisciplinary teams

• Excellent proficiency with Microsoft Office Suite programs Excel (pivot tables) PowerPoint Word and complex data analysis. Strong understanding of statistical software and qualitative data management.

• Advanced or expert knowledge of PC applications Microsoft Office related tools to formulate complex queries to extract system data. Has experience extracting analyze database elements develop spreadsheets word processing and other applications to present statistical data reporting trends and measuring performance. Excellent analytical and problem-solving skills required including a thorough understanding of how to interpret business and user needs and translate them into technical requirements.

Preference given to any combination of the following experiences:

• Demonstrated Registry expertise e.g. American College of Cardiology (ACC) Registries Society of Thoracic Surgery Registries and Get with The Guidelines (GWTG) Stroke and Heart Failure Registries and etc.

Knowledge Skills and Behaviors:

• Commitment to University Values: Diversity Integrity Responsibility Excellence Compassion Creativity Teamwork.

• Knowledge of business statistics quantitative methods performance analysis and development of business performance dashboards scorecards and/or KPIs.

• Excellent leadership management and performance management skills required.

• Excellent technical skills: Demonstrated excellence in computer applications inclusive of the ability to learn new applications and programs; excellent typing skills.

• Professionalism: Ability to incorporate national professional organization as well as business unit and health systems goals to improve patient safety and quality outcomes.

• Excellent interpersonal and presentation skills: Ability to promote and sustain outstanding interpersonal and customer service skills (verbal and written) while accepting responsibility to ensure all working relationships are respectful and professional.

• Ability to collaboratively communicate critical guidelines and requirements to a broad range of clinicians and non-technical staff that obtain the desired results in a collegial manner.

• Excellent analytical and problem-solving skills including a thorough understanding of how to interpret business and user needs and translate them into technical requirements.

• Ability to work independently with minimal supervision while successfully managing the prioritization and execution of multiple deadline-driven projects for a team of people and sustaining a high-level of proficiency individually and as a team.

• Proven ability to help guide programs and manage employees with a wide range of skills and experience at all levels in the company.

• Excellent attention to detail: Demonstrated ability to accurately review screen and enter data.

• Excellent communication and presentation skills: Ability to communicate questions ideas and solutions verbally clearly effectively and respectfully and in writing to a broad spectrum of specialized skill and clinical experience.

• Ability to conform to shifting priorities demands and timelines through analytical and problem-solving capabilities

• Ability to ensure consistent and accurate adherence to established workflows and processes.

• Required ability to sustain mature judgement and maintain strict confidential information and patient confidentiality as mandated by HIPAA and University policies always respect the rights and privacy of others.

• Required to maintain current knowledge and practice in compliance with standards established by external regulatory agencies that impact job performance and deliverables and maintain active licenses / certifications as deemed required by minimum requirements for position e.g. maintain sufficient knowledge of healthcare quality programs and activities to ensure hospital and medical staff activities are following regulations.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.

UHealth-University of Miami Health System South Floridas only university-based health system provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center we are proud to serve South Florida Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching research and patient care. Were the challenge youve been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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