Naples Comprehensive Health - NCH
Director Practitioner Quality & Professionalism
Naples Comprehensive Health - NCH, Naples, Florida, United States, 33939
Director Practitioner Quality & Professionalism
Join to apply for the Director Practitioner Quality & Professionalism role at Naples Comprehensive Health - NCH.
2 days ago: Be among the first 25 applicants.
LOCATION: 350 7th Street North, Naples, FL 34102
WORK TYPE: Full Time
WORK SCHEDULE: 8 Hour Day
About NCH NCH is an independent, locally governed non‑profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.
NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.
Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.
Job Summary The Director Practitioner Quality & Professionalism is responsible for the Naples Comprehensive Health (NCH) Practitioner Quality Programs; directing, planning and organizing all administrative, financial, and educational activities along with optimization of the program and its associated processes. Serves as an essential link and subject matter expert to organization administration, Medical Staff and Allied Health Professional Staff to promote and ensure effective peer review functions, quality, safety, and practitioner professionalism. Responsible for overseeing other members of the medical staff office including the Manager Practitioner Quality, Coordinator Practitioner Excellence RN, Coordinator Professional Practice RN, Coordinator Onboarding & Compliance.
Executive oversight of Practitioner Peer Review Programs (PPE, PEC) in accordance with organizational and regulatory requirements. Oversee and optimize Department staffing, processes, resources, and alignment across NCH. Responsible for the development and leadership of the Professional Practice Evaluation program, ensuring regulatory and organizational compliance along with collaboration with Medical Staff Leaders to develop and maintain specialty specific evaluation criteria. Responsible for establishing, driving, and maintaining continuity in the planning, development, and implementation of standards applicable to the Medical Staff and Allied Health Professional staff members related to quality, professionalism, and peer review functions. The position is responsible for system‑wide preparation, organization and follow‑up involved in maintaining and supporting organization TJC accreditation and licensure with all accrediting bodies and the mission of Naples Comprehensive Health (NCH) as each relates to peer review, professionalism, and quality regarding the Medical and Allied Health Professional staff. Monitors capital and operating budget for Medical Staff Office. Monitors staff levels to maintain productivity standards. The position oversees the programs of practitioner quality, safety, and professionalism with Quality.
Essential Duties And Responsibilities Other duties may be assigned.
Practitioner Peer Review & Professional Practice Evaluation
Executive oversight of practitioner peer review programs and professionalism matters in accordance with organization policy and Medical Staff Bylaws.
Oversees Peer Review Program including but not limited to all peer review cases, assignment to reviewers, ensures timely reviews, creation of agendas and meeting books, follow-through, notification, and referrals to chairs of departments and involved physicians and referrals to other medical center leadership as needed.
Responsible for the leadership, coordination and oversight of the Professional Practice Evaluation process and associated committees (FPPE, OPPE, Practitioner Excellence Committee, Leadership Council and Healthcare Council).
Team with quality, clinical service lines, risk management, organization and contracted facility physicians and administration leadership to ensure meaningful metrics and best practices are implemented and maintained across NCH.
Key point of contact for physician leadership and management in assigned business areas related to quality, professionalism, safety, peer review coordination for all campuses and meetings, Medical Chair leadership training and troubleshooting to support Department FPPE & OPPE processes.
Work with Professional Advocacy managing physician professionalism issues, & peer messengers, dialogue with Chiefs of Staff, and department chairs, and subsection chiefs.
Physician Professionalism
In coordination with the CMO Chief Clinical Officers, Medical Staff Leadership and Committee Chairs directs professionalism issues end to end process.
Oversee review of practitioner professionalism reports, reviews with CMO and appropriate physician leadership, consolidate professionalism data for reporting to Medical Staff leadership.
Drive practitioner culture change by using self‑assessment and strength‑based leadership training, supporting all aspects of practitioner leadership development.
Ensure follow-through; data tracked and trended.
Regulatory Compliance And Readiness
Assumes a leadership role in the enforcement and development of the Medical Staff Bylaws, Rules and Regulations, and departmental and organization policies and procedures to establish a framework for effective work streams, deliverables, and regulatory compliance across NCH.
Drives continual regulatory readiness in accordance with The Joint Commission Standards and Elements of Performance, specifically related to FPPE and OPPE activities and Practitioner Excellence. Utilization Review.
Functions as the subject matter expert with relation to ongoing regulatory requirements and compliance and liaison to the Medical Staff leaders to facilitate alignment between the independent Medical Staff and the organization.
Supports Medical Staff Leadership meetings alongside the appropriate physician leaders to ensure regulatory requirements, coordination/analysis of defining objectives, metrics, and outcomes that promote patient outcomes through provider excellence.
Ensures uniform operations conform to organization, medical group, managed care, and governmental and regulatory standards.
Responsible for organization‑wide preparation, organization and follow‑up involved in maintaining and supporting organization TJC accreditation and licensure with all accrediting bodies and the mission of Naples Comprehensive Health as each relates to the Medical and Allied Health Professional staff.
Program Optimization
Design and optimize the Practitioner Quality Program to include meaningful data analysis to drive lean process improvement and physician engagement.
Lead, design and implement process for vendor database with respect to provider specific quality data evaluation utilized for OPPE; to include continuous analysis and optimization of the data, build, and associated processes.
Support data integrity with analytics and continuous evaluation to drive clinical excellence and improve outcomes.
Support physician engagement and integration through organizational process improvement to decrease physician burnout and increase satisfaction with program requirements.
Other Duties & Responsibilities
Responsible for the overall direction, management, coordination, and evaluation within areas as assigned.
Acts as a liaison to provide effective communication and subject matter expert to the Medical Staff and Allied Health Professional staff, organization administration and governing body, NCH Medical Group, and other contracted entities.
Responsible for leading quality projects, initiatives, and departmental budget.
Performs all other tasks and special projects as assigned.
Education, Experience And Qualifications
Minimum Bachelors degree required; Masters degree preferred in Business Administration, Economics, or Healthcare related profession.
Licensed as a Registered Nurse in the State of Florida.
Minimum of 7 years’ experience in Business Administration, Economics, or Healthcare related profession.
Minimum of 5 years’ of progressive leadership experience in diversified hospital, healthcare or Medical Staff services required.
Broad knowledge of quality management, patient safety, health information technology and peer review to enhance practitioner performance and program optimization.
Certified Professional in Healthcare Quality (CPHQ) certification required or obtained within one year of hire preferred.
Flexibility, perseverance, fortitude, and excellent written/verbal communication skills.
Strong project management, knowledge of computers, database management, information retrieval and report formatting.
Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows.
Seniority level Director
Employment type Full‑time
Job function Health Care Provider
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Naples Comprehensive Health - NCH by 2x
Get notified about new Practitioner jobs in Naples, FL.
#J-18808-Ljbffr
2 days ago: Be among the first 25 applicants.
LOCATION: 350 7th Street North, Naples, FL 34102
WORK TYPE: Full Time
WORK SCHEDULE: 8 Hour Day
About NCH NCH is an independent, locally governed non‑profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.
NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.
Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.
Job Summary The Director Practitioner Quality & Professionalism is responsible for the Naples Comprehensive Health (NCH) Practitioner Quality Programs; directing, planning and organizing all administrative, financial, and educational activities along with optimization of the program and its associated processes. Serves as an essential link and subject matter expert to organization administration, Medical Staff and Allied Health Professional Staff to promote and ensure effective peer review functions, quality, safety, and practitioner professionalism. Responsible for overseeing other members of the medical staff office including the Manager Practitioner Quality, Coordinator Practitioner Excellence RN, Coordinator Professional Practice RN, Coordinator Onboarding & Compliance.
Executive oversight of Practitioner Peer Review Programs (PPE, PEC) in accordance with organizational and regulatory requirements. Oversee and optimize Department staffing, processes, resources, and alignment across NCH. Responsible for the development and leadership of the Professional Practice Evaluation program, ensuring regulatory and organizational compliance along with collaboration with Medical Staff Leaders to develop and maintain specialty specific evaluation criteria. Responsible for establishing, driving, and maintaining continuity in the planning, development, and implementation of standards applicable to the Medical Staff and Allied Health Professional staff members related to quality, professionalism, and peer review functions. The position is responsible for system‑wide preparation, organization and follow‑up involved in maintaining and supporting organization TJC accreditation and licensure with all accrediting bodies and the mission of Naples Comprehensive Health (NCH) as each relates to peer review, professionalism, and quality regarding the Medical and Allied Health Professional staff. Monitors capital and operating budget for Medical Staff Office. Monitors staff levels to maintain productivity standards. The position oversees the programs of practitioner quality, safety, and professionalism with Quality.
Essential Duties And Responsibilities Other duties may be assigned.
Practitioner Peer Review & Professional Practice Evaluation
Executive oversight of practitioner peer review programs and professionalism matters in accordance with organization policy and Medical Staff Bylaws.
Oversees Peer Review Program including but not limited to all peer review cases, assignment to reviewers, ensures timely reviews, creation of agendas and meeting books, follow-through, notification, and referrals to chairs of departments and involved physicians and referrals to other medical center leadership as needed.
Responsible for the leadership, coordination and oversight of the Professional Practice Evaluation process and associated committees (FPPE, OPPE, Practitioner Excellence Committee, Leadership Council and Healthcare Council).
Team with quality, clinical service lines, risk management, organization and contracted facility physicians and administration leadership to ensure meaningful metrics and best practices are implemented and maintained across NCH.
Key point of contact for physician leadership and management in assigned business areas related to quality, professionalism, safety, peer review coordination for all campuses and meetings, Medical Chair leadership training and troubleshooting to support Department FPPE & OPPE processes.
Work with Professional Advocacy managing physician professionalism issues, & peer messengers, dialogue with Chiefs of Staff, and department chairs, and subsection chiefs.
Physician Professionalism
In coordination with the CMO Chief Clinical Officers, Medical Staff Leadership and Committee Chairs directs professionalism issues end to end process.
Oversee review of practitioner professionalism reports, reviews with CMO and appropriate physician leadership, consolidate professionalism data for reporting to Medical Staff leadership.
Drive practitioner culture change by using self‑assessment and strength‑based leadership training, supporting all aspects of practitioner leadership development.
Ensure follow-through; data tracked and trended.
Regulatory Compliance And Readiness
Assumes a leadership role in the enforcement and development of the Medical Staff Bylaws, Rules and Regulations, and departmental and organization policies and procedures to establish a framework for effective work streams, deliverables, and regulatory compliance across NCH.
Drives continual regulatory readiness in accordance with The Joint Commission Standards and Elements of Performance, specifically related to FPPE and OPPE activities and Practitioner Excellence. Utilization Review.
Functions as the subject matter expert with relation to ongoing regulatory requirements and compliance and liaison to the Medical Staff leaders to facilitate alignment between the independent Medical Staff and the organization.
Supports Medical Staff Leadership meetings alongside the appropriate physician leaders to ensure regulatory requirements, coordination/analysis of defining objectives, metrics, and outcomes that promote patient outcomes through provider excellence.
Ensures uniform operations conform to organization, medical group, managed care, and governmental and regulatory standards.
Responsible for organization‑wide preparation, organization and follow‑up involved in maintaining and supporting organization TJC accreditation and licensure with all accrediting bodies and the mission of Naples Comprehensive Health as each relates to the Medical and Allied Health Professional staff.
Program Optimization
Design and optimize the Practitioner Quality Program to include meaningful data analysis to drive lean process improvement and physician engagement.
Lead, design and implement process for vendor database with respect to provider specific quality data evaluation utilized for OPPE; to include continuous analysis and optimization of the data, build, and associated processes.
Support data integrity with analytics and continuous evaluation to drive clinical excellence and improve outcomes.
Support physician engagement and integration through organizational process improvement to decrease physician burnout and increase satisfaction with program requirements.
Other Duties & Responsibilities
Responsible for the overall direction, management, coordination, and evaluation within areas as assigned.
Acts as a liaison to provide effective communication and subject matter expert to the Medical Staff and Allied Health Professional staff, organization administration and governing body, NCH Medical Group, and other contracted entities.
Responsible for leading quality projects, initiatives, and departmental budget.
Performs all other tasks and special projects as assigned.
Education, Experience And Qualifications
Minimum Bachelors degree required; Masters degree preferred in Business Administration, Economics, or Healthcare related profession.
Licensed as a Registered Nurse in the State of Florida.
Minimum of 7 years’ experience in Business Administration, Economics, or Healthcare related profession.
Minimum of 5 years’ of progressive leadership experience in diversified hospital, healthcare or Medical Staff services required.
Broad knowledge of quality management, patient safety, health information technology and peer review to enhance practitioner performance and program optimization.
Certified Professional in Healthcare Quality (CPHQ) certification required or obtained within one year of hire preferred.
Flexibility, perseverance, fortitude, and excellent written/verbal communication skills.
Strong project management, knowledge of computers, database management, information retrieval and report formatting.
Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows.
Seniority level Director
Employment type Full‑time
Job function Health Care Provider
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Naples Comprehensive Health - NCH by 2x
Get notified about new Practitioner jobs in Naples, FL.
#J-18808-Ljbffr