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Quality Program Lead - Quality Improvement

Job ID: 14326
Location: Florence, OR
Work Type: Full Time
Shift: Day
Shift Length: Variable
FTE: 1.00
Benefit Eligibility: Full-time benefits

Job Description


Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.

PeaceHealth is seeking a Quality Program Lead - Quality Improvement for a Full Time, Day position.


Responsible for leading the quality program for a Critical Access Hospital. Ensuring that quality departmental goals are achieved, timelines met and service excellence provided in all aspects of work. Provide subject matter expertise for remote hospital quality. Leads and supervises the community resources assigned to quality across inpatient and outpatient services. Leads the Quality Management System ensuring alignment between system goals and specific community needs. Develops strategy to implement improvements to clinical departments to reach top decile performance and outcomes. Partners effectively with community Physicians and System Quality VP, to implement Quality and Patient Safety plan. Partners with local Patient Safety and Regulatory consultants to promote patient safety and compliance. Responsible for implementing clinical improvement initiatives. Ensures that the organization designs processes well and systematically monitors, analyzes, and improves its performance to improve patient outcomes.


  • Assign work; plan and manage priorities, provide technical assistance, monitor quality of work, monitor team projects, mentor staff, provide constructive feedback, assist with staff training, ensure quality improvement, provide leadership feedback on staff performance, and assist with goal setting for the team.
  • Provides leadership and support for clinical improvement projects using standard tools and methodologies supported at the system level.
  • Serves as co-chair for Quality Management Committee. Develops and implements the annual Quality Plan using system standard tools. Monitors performance and, in partnership with process owners, institutes and documents improvement initiatives as needed to meet the goals.
  • Maintains basic level knowledge of regulatory and accreditation requirements and communicates with community leaders and network consultant about regulatory and accreditation concerns and deficiencies. Partners with regulatory consultants for internal auditing at facility and subsequent action plans. Responsible to lead unannounced surveys until regulatory resources arrive on site. 

  • Community leader responsible to partner with Patient Safety Consultant to identify, implement and oversee patient safety improvements, participating in Patient Safety reviews, to prioritization of events, assist in RCA pre work, help develop action plans and monitor effectiveness of actions. Follow best practice standards within health care environments; guide development of clinical risk reduction initiatives and methodologies.
  • Ensure that the community has well-designed and reliable processes and systematically monitors, analyzes, and improves its performance to ensure that high-quality patient care, outcomes and experience is provided in a safe and cost-effective manner.
  • Partners with system director to achieve system-wide strategic initiatives related to infection Prevention.
  • Partner with Lean Transformation Office to assure Lean approach using standard improvement methodologies and tools.
  • Participates in the budget planning process; monitors expenditures; develop and implement cost-savings procedures.
  • Perform other duties as assigned.



  • Bachelor’s degree in clinical discipline or equivalent (Healthcare Administration, Business Administration, or related field) is required. Master’s degree is preferred.
  • Clinical Roles:May require a Master’s Degree or a Bachelor’s degree according to State license requirements


  • Minimum of three years in recent quality management and/or improvement experience required. Must demonstrate experience with continuous improvement with positive outcomes.
  • Broad knowledge of patient safety, regulatory and quality improvement.
  • Minimum of one year of progressive leadership experience required.
  • Training in S.P.C. (statistical process control) methods preferred.


  • Certified Professional in Healthcare Quality (CPHQ) is required within 36 months of hire.
  • Maintain certification/licensure in clinical field.

Clinical Roles:

  • Current license/registration/certification as required by State to practice.


  • Advanced skills in QI methodologies and tools.
  • Strong communication skills
  • Demonstrated ability to prioritize and among multiple competing needs.
  • Demonstrated flexibility in working with community leaders to meet specialized needs of Critical Access Hospitals.
  • Demonstrated skill in working effectively with multiple individuals/groups both internally and externally.
  • Strong facilitation and delegation skills.
  • Must understand the use of data, data integrity and public reporting.
  • Basic level knowledge of Critical Access Hospital rules and regulations
  • Advanced knowledge of Patient Safety precepts.
  • Familiarity with research design helpful.
  • Must have excellent communication skills both written and verbal.
  • Proficient with MS Office applications

Physical and Cognitive Requirements:

  • Work requires fairly light physical exertion from up to 65% of the time.
  • Ability to lift objects weighing 30 lbs. or less.
  • Work is performed under normal working conditions with adequate lighting and ventilation.
  • Job duties frequently require intense concentration and attention to detail (up to 65% of work time).

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state, or federal laws.

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