CHN Community Hospital East - Indianapolis, IN
Director of Quality
Job Summary
Director of Quality
We are looking for a candidate to step in as the Director of Quality for CHN Community Hospital East in Indianapolis, Indiana. You will report to the Executive Director of Quality and will manage the quality program, as well as 1-3 direct reports, for CHN’s main hospital.
You will need 7+ years of nursing experience with 3 years of progressive quality management administrative experience in a healthcare setting. You will also need your BSN with master’s level knowledge OR Doctor of Pharmacy, from an accredited college of pharmacy, OR LCSW, OR Radiation Technologist with required certifications and licensures. You will be required to get your CPHQ within 3 years of hire.
Community Health Network
As a non-profit health system with more than 200 sites of care and affiliates throughout Central Indiana, Community’s full continuum of care integrates hundreds of physicians, specialty and acute care hospitals, surgery centers, home care services, MedChecks, behavioral health and employer health services. Community Health Network puts patients first while offering a full continuum of healthcare services, world-class innovations and a focus on population health management.
Indianapolis is the state capital and most-populous city of the U.S. state of Indiana. Start your day off with breakfast at farm-to-table restaurants, where your meal is sourced just steps away in Indiana’s rich farmland. Explore over sixty pieces of public art, catch a show at Fountain Square, take a stroll down Georgia Street, or dine at the infamous 1933 Lounge above the legendary St. Elmo Steakhouse.
About the town
Indianapolis, IN
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Leapfrog Hospital Safety Scores
Community Hospital East
| 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 | 0.359 | 0.02 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.036 | .0004 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Patient falls and injuries What’s This? | 0.727 | 1.778 | 0.42 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Infection in the blood What’s This? | 0.605 | 3.420 | 0.81 | 0.000 | CMS | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Infection in the urinary tract What’s This? | 1.043 | 2.644 | 0.75 | 0.000 | CMS | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Surgical site infection after colon surgery What’s This? | 0.539 | 2.887 | 0.80 | 0.000 | CMS | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| MRSA Infection What’s This? | 1.209 | 3.055 | 0.84 | 0.000 | CMS | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| C. diff. Infection What’s This? | 0.386 | 1.949 | 0.54 | 0.000 | CMS | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Death from treatable serious complications What’s This? | 160.10 | 206.08 | 159.67 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 0.84 | 3.35 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.14 | 8.80 | 0.58 | 0.04 | CMS | 07/01/2018 – 12/31/2019 |
| Collapsed lung What’s This? * | 0.20 | 0.48 | 0.23 | 0.12 | CMS | 07/01/2018 – 12/31/2019 |
| Falls causing broken hips What’s This? * | 0.09 | 0.16 | 0.09 | 0.07 | CMS | 07/01/2018 – 12/31/2019 |
| Blood Leakage What’s This? * | 2.71 | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | 1.56 | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | 7.62 | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 2.54 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | 3.62 | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | 0.83 | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 1.31 | 3.97 | 1.21 | 0.37 | CMS | 07/01/2018 – 12/31/2019 |
| * 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? | 45 | 5 | 85.77 | 100 | Imputation Model Applied | Not Applicable |
| Safe medication administration What’s This? | 45 | 5 | 83.25 | 100 | Imputation Model Applied | Not Applicable |
| Specially trained doctors care for ICU patients What’s This? | 5 | 5 | 62.82 | 100 | Imputation Model Applied | Not Applicable |
| Effective leadership to prevent errors What’s This? | Declined to Report | 46.15 | 116.85 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Staff work together to prevent errors What’s This? | Declined to Report | 0.00 | 116.49 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Enough qualified nurses What’s This? | Declined to Report | 17.65 | 98.16 | 100.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Handwashing What’s This? | Declined to Report | 15 | 74.36 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Communication with nurses What’s This? | 93 | 73 | 91.10 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Communication with doctors What’s This? | 93 | 80 | 91.00 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Responsiveness of hospital staff What’s This? | 88 | 60 | 84.38 | 94 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about medicines What’s This? | 82 | 53 | 77.66 | 92 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about discharge What’s This? | 89 | 67 | 86.51 | 96 | CMS | 01/01/2019 – 12/31/2019 |
Official job description
Quality Director - Community Hospital East
The Director of Quality position is located at Community Hospital East in Indianapolis, IN.
Job Duties:
The Director of Quality is responsible for the coordination and successful execution of all quality activities which include performance improvement, registries, accreditation and regulatory compliance survey processes, and infection prevention programs. The Director collaborates and participates with hospital leadership and risk management, and communicates to VP Quality & Risk, Network CMO, Executive Physicians, Regional President, Administrator / Chief Nurse Executives, and other local leaders.
Experience:
Seven (7) or more years of nursing experience with a minimum of three (3) years of progressive quality management administrative experience in a healthcare setting required.
Pharmacist or LCSW or Radiation Technologist experience is also acceptable.
Experience with accreditation and regulatory compliance survey processes preferred.
Education:
BSN and master’s prepared or level of knowledge equivalent to that ordinarily acquired through completion of a master’s degree, preferably in a healthcare related field;
OR Doctor of Pharmacy, from an accredited college of pharmacy;
OR LCSW;
OR Radiation Technologist with required certifications / licensures.
License:
RN or RPh, or required certifications / licensures as dictated by healthcare discipline such as LCSW, radiation technologist, etc.
Within three (3) years from hire Certified Professional Healthcare in Quality (CPHQ)
Skills:
Knowledge of and ability to apply Quality / Performance Improvement philosophy, principles, and technology.
Knowledge of data, statistics and analytic principles and tools.
Ability to demonstrate and provide examples of continuous personal development and improvement in each of the essential functions.
Understanding of external / internal customer’s needs. e.g., Nursing, regulatory and compliance.
Cohesive team building skills and effective leadership skills.
Effective interpersonal skills.
Effective written and verbal communication skills required. Critical thinking, conflict resolution and strong organizational skills needed. Systems knowledge; Ability to identify and improve organization-wide priorities.
Keywords:
CPHQ, Quality, Nurse Leader, LCSW, PharmD, Radiation Technologist.
Additional Information:
Community Health Network embraces a servant leadership philosophy by putting the needs of patients, employees, and the community above our own. We strongly believe to provide exceptional healthcare services we need exceptional leaders. A Community leader humbly puts the needs of others first and provides focus and direction to those they have the privilege of leading. They demonstrate compassion in all interactions and are deeply invested in the growth and development of others.
A representative and diverse workforce
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. Caregivers play a vital role in our mission as they fulfill our PRIIDE values: Patients First. Relationships. Integrity. Inclusion. Diversity. Excellence.
Community is proud to be an equal opportunity employer, ensuring caregivers feel welcomed, comfortable and respected in our environment at all times. We value different perspectives by actively seeking a diverse workforce that is inclusive and equitable to all.
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FAQ
Most frequent questions and answers
Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating.
Yes. We will prep you for every interview you take. 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.
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.
Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible.
Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.
First, everything we offer to our candidates is completely FREE.
We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.
If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles.
We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.
Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.
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.
In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.
Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way; we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.
Once you accept an offer, our work doesn’t stop. We’ll be there to talk you through your resignation and prepare you for how to handle a counter offer, along with all other complications that may arise.
We have a large in house sourcing team that collects information from various databases online including LinkedIn, certification boards, and professional associations.
