Director of Quality, Risk & Infection Prevention

Welcome to Surgical Institute of Reading
At Surgical Institute of Reading, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Our facility is accredited by The Joint Commission. 

Director of Quality, Risk & Infection Prevention Surgical Institute of Reading

• Develops and implements a performance improvement plan that meets regulatory requirements. Reviews the plan annually and modifies plan as needed.
• Assists in the aggregation and analyzing of data and reports findings to appropriate committees.
• Coordinates the Quality/Performance Improvement Committee monthly meetings. Applies recommendations into policies/procedures/practices as appropriate.
• Assists in evaluating new products, techniques and/or methods and provides appropriate feedback for improvement purposes.
• Knowledgeable of facility Performance Improvement Program, and role of department and individual employee.
• Works with facility leadership to ensure all staff are oriented and receive ongoing education regarding the Performance Improvement Plan.
• Aggregate performance improvement findings for presentation to Medical Staff and Professional Activities Committee.
• Participate on Performance Improvement teams to improve processes whenever possible.
• Implements actions, as appropriate, recommended by Performance Improvement teams.
• Knowledgeable of identification and reporting of a Sentinel Events, and other incidents via PAPSRS/internal reporting system.
• Facilitates the root cause analysis process as needed.
• Maintains knowledge of regulatory requirement (State and CMS) and accreditation standards related to Quality Assessment and Performance Improvement.
• Manages required regulatory reporting and improves compliance with those measures.
• Active participant in accreditation surveys.
• Chairs the patient experience committee.
• Performs failure mode effect analysis as required on a high risk, high volume/low volume problem prone process and implements all of the required action items.
• Models and facilitates continuous survey readiness.

Qualifications

• Bachelor’s Degree in Nursing. Master's Degree preferred.
• Five years’ leadership experience in Quality, Risk and Infection Prevention.
• Active RN license in the state of Pennsylvania.

Occupational Exposure: Category III exposure to blood borne pathogens, frequent exposure to chemical hazards

Physical demands/working conditions: Requires prolonged sitting, some bending, stooping and stretching. Requires and manual dexterity sufficient to operate a keyboard, copier, telephone, fax machine and other office equipment. Occasionally requires lifting up to 20 pounds.

What We Offer
As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

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