Memorial Medical Center - Las Cruces, NM
Director of Quality
Job Summary
Director of Quality
We are looking for a registered nurse to step into the role of Director of Quality at a hospital in New Mexico. You will lead the Quality department at this almost 200 bed hospital and will report to the Chief Nursing Officer.
You will be required to have your current New Mexico RN License and a Bachelor’s Degree in Nursing is also required, though a Master’s is preferred. You will need to have at least seven years of healthcare experience with at least three years’ experience in a leadership role. Experience working in a for-profit hospital is strongly preferred and previous leadership, program development, budget and productivity, and clinical experience is required.
memorial medical center
This medical center serves more than 300,000 residents and offers a spectrum of care, including diagnostic, therapeutic, and rehabilitative services in both an inpatient and outpatient capacity. This hospital is part of a larger, nation-wide health system.
About the town
las cruces, nm
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Leapfrog Hospital Safety Scores
memorial medical center
| 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? | 0.324 | 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? | 0.507 | 4.462 | 1.077 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| Infection in the urinary tract What’s This? | 1.351 | 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? | 0.000 | 3.117 | 0.822 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| MRSA Infection What’s This? | 1.151 | 3.918 | 1.095 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| C. diff. Infection What’s This? | 0.474 | 2.066 | 0.489 | 0.000 | 2022 Leapfrog Hospital Survey | 07/01/2021 – 06/30/2022 |
| Death from treatable serious complications What’s This? | 149.92 | 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? | 1.43 | 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? * | 3.99 | 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? * | 0.17 | 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? * | 0.13 | 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? * | 2.48 | 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? * | 0.85 | 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? * | 5.95 | 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? * | 3.26 | 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? * | 3.44 | 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? * | 1.17 | 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? | 100 | 15 | 91.77 | 100 | 2022 Leapfrog Hospital Survey | 2022 |
| Safe medication administration What’s This? | 100 | 25 | 91.22 | 100 | 2022 Leapfrog Hospital Survey | 2022 |
| Specially trained doctors care for ICU patients What’s This? | 100 | 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? | 88 | 76 | 89.70 | 97 | CMS | 04/01/2021 – 03/31/2022 |
| Responsiveness of hospital staff What’s This? | 80 | 58 | 81.30 | 94 | CMS | 04/01/2021 – 03/31/2022 |
| Communication about medicines What’s This? | 69 | 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
memorial medical center - director of quality
Quality Director is responsible for directing all aspects of organizational quality. Including Regulatory Agencies (Joint Commission, CMS, State of NM etc. ), Disease Specific Certification, Leap Frog, Patient Satisfaction, public reporting and National Quality Designation. Position will manage, develop and mentor staff. They will enforce policies and procedures, prepare and maintain accreditation and accountability for the Quality budget and productivity. The position has direct reports to include all of the Disease Specific team and Infection Prevention.
Minimum Education: Must possess a Bachelor’s degree in Nursing required. MSN, Healthcare Administration, and MBA strongly preferred.
Minimum Experience: Seven years healthcare experience with at least three years’ experience in a leadership role. Experience working in a for-profit hospital strongly preferred. Previous leadership, program development, budget and productivity, and clinical experience required. Must possess strong human relations and interpersonal skills.
Licensure: Current NM RN license.
This is a full-time exempt position.
About the hospital:
Memorial Medical Center (MMC) is a LifePoint Acute Care 199-bed medical/surgical teaching hospital located in sunny Las Cruces, New Mexico with a population of 110,000 and a service area population of 300,000. Las Cruces offers a multitude of outdoor adventures, unique culinary experiences, vibrant heritage and culture, top-rated farmers markets and beautiful views of the Organ Mountains. The city is known for its safe and affordable living conditions, beautiful scenery, outstanding educational system, friendly people and high-quality health care. It is just 40 minutes from El Paso (metro population of 800,000), and El Paso International Airport with connections to worldwide destinations. For education, Las Cruces is the home of New Mexico State University, the Burrell College of Osteopathic Medicine, Doña Ana Community College, and outstanding K-12 schools.
Memorial Medical Center’s mission of “Making Communities Healthier” allows every team member to focus on the exceptional care we provide our families, friends, and neighbors. At Memorial Medical Center we strive to create places where people choose to come for healthcare, physicians want to practice and employees want to work. Our focus in these areas is evident daily as we deliver high quality patient care, support our physicians, create excellent workplaces for our employees and take leadership roles our community all while maintaining fiscal responsibility.
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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.
