Central Carolina Hospital - Sanford, NC
Director of Quality, risk management, and patient safety
Job Summary
Director of Quality, risk management, and patient safety
We are looking for a registered nurse to step into the role of Director of Quality, Risk Management, and Patient Safety at a 130+ bed acute care hospital in North Carolina. You will be managing multiple departments and reporting directly to the Chief Executive Officer.
You will be required to have your North Carolina RN license, as well as a Bachelor’s Degree in Nursing and at least five years of experience in integrated case management, quality management, change management, or outcomes management. An ideal candidate will also have a Master’s degree in a health related field, community hospital experience, and a CPPS or CPHQ certification.
Central carolina hospital
This hospital offers an impressive degree of medical expertise, usually found only in larger cities. It is associated with a larger renowned academic health system. The many departments offer a wide range of specialties; including but not limited to cardiology, general surgery, obstetrics, gynecology, hematology, urology, emergency medicine, and pulmonary medicine and wound care.
About the town
sanford, nc
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Leapfrog Hospital Safety Scores
central carolina hospital
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Dangerous object left in patient’s body What’s This? | 0.000 | 0.352 | 0.015 | 0.000 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.358 | 0.001 | 0.000 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Patient falls and injuries What’s This? | 0.539 | 2.229 | 0.437 | 0.000 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Infection in the blood What’s This? | 0.705 | 4.462 | 1.077 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| Infection in the urinary tract What’s This? | 0.000 | 3.516 | 0.862 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| Surgical site infection after colon surgery What’s This? | Not Available | 3.117 | 0.822 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| MRSA Infection What’s This? | Not Available | 3.918 | 1.095 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| C. diff. Infection What’s This? | 0.363 | 2.066 | 0.489 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| Death from treatable serious complications What’s This? | Not Available | 186.71 | 143.23 | 73.88 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Harmful Events What’s This? | 1.19 | 2.70 | 0.98 | 0.50 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Dangerous bed sores What’s This? * | 1.18 | 9.62 | 0.59 | 0.01 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Collapsed lung What’s This? * | 0.18 | 0.39 | 0.19 | 0.08 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Falls causing broken hips What’s This? * | 0.07 | 0.33 | 0.08 | 0.01 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Blood Leakage What’s This? * | 2.30 | 4.73 | 2.38 | 1.29 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Kidney injury after surgery What’s This? * | 1.29 | 3.06 | 0.92 | 0.27 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Serious breathing problem What’s This? * | 8.82 | 46.91 | 6.73 | 1.15 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Dangerous blood clot What’s This? * | 3.54 | 7.74 | 3.40 | 1.11 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Sepsis infection after surgery What’s This? * | 5.28 | 8.70 | 4.15 | 1.53 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Surgical wound splits open What’s This? * | 0.76 | 1.98 | 0.81 | 0.30 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| Accidental cuts and tears What’s This? * | 0.95 | 3.13 | 1.04 | 0.32 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021 |
| * This measure is a part of the Harmful Events Composite and is not used for scoring. | ||||||
Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Doctors order medications through a computer What’s This? | 70 | 15 | 91.77 | 100 | 2022 Leapfrog Hospital Survey | 2022 |
| Safe medication administration What’s This? | 75 | 25 | 91.22 | 100 | 2022 Leapfrog Hospital Survey | 2022 |
| Specially trained doctors care for ICU patients What’s This? | 50 | 5 | 67.47 | 100 | 2022 Leapfrog Hospital Survey | 2022 |
| Effective leadership to prevent errors What’s This? | 120.00 | 9.23 | 116.86 | 120.00 | 2022 Leapfrog Hospital Survey | 2022 |
| Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 115.87 | 120.00 | 2022 Leapfrog Hospital Survey | 2022 |
| Enough qualified nurses What’s This? | 100.00 | 0.00 | 98.13 | 100.00 | 2022 Leapfrog Hospital Survey | 2022 |
| Handwashing What’s This? | 100 | 15 | 71.64 | 100 | 2022 Leapfrog Hospital Survey | 2022 |
| Communication with nurses What’s This? | 88 | 75 | 89.81 | 97 | CMS | 04/01/2021 – 03/31/2022 |
| Communication with doctors What’s This? | 89 | 76 | 89.70 | 97 | CMS | 04/01/2021 – 03/31/2022 |
| Responsiveness of hospital staff What’s This? | 79 | 58 | 81.30 | 94 | CMS | 04/01/2021 – 03/31/2022 |
| Communication about medicines What’s This? | 78 | 48 | 74.21 | 87 | CMS | 04/01/2021 – 03/31/2022 |
| Communication about discharge What’s This? | 83 | 61 | 85.07 | 95 | CMS | 04/01/2021 – 03/31/2022 |
Hospital Leadership
MEET THE staff
Official job description
central carolina hospital - Director of Quality, Risk Management, and Patient Safety
Facilitates and coordinates hospital wide quality management programs to ensure compliance with Joint Commission and other regulatory requirements. Facilitates compliance with core measures. Facilitates Hospital Patient Safety/Quality Council meetings. Prepares and presents quality reports for Medical Executive Committee and Hospital Governing Board. Facilitates hospital risk management activities to include root cause analysis as required. Responsible for hospital complaint and grievance process. Manages hospital occurrence reporting process. Prepares and presents complaint and occurrence analysis reports for Hospital Quality Council, Medical Executive Committee and Governing Board. Coordinates Medical Staff Peer Review process. Develops and manages the department budget.
Required: RN, BSN, Minimum of 5 year experience in integrated case management, quality management, change management, or outcomes management.
Desired: Master’s degree in a health related field is preferred, Community hospital experience preferred, CPPS and/or CPHQ desirable
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Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating.
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Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus.
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In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
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