Director of Performance Improvement and Patient Experience- 82100

Admin Nursing - 60101
Req #
Job Type
Full Time (exempt)
# of Openings
Budgeted Hours Per Pay Period

Summary of Duties

Manages and coordinates organization-wide efforts to ensure that patient experience and quality improvement programs are developed and managed using a data-driven focus that sets priorities for improvements aligned to ongoing strategic imperatives for the organization.  Directs and supervises Tuality Healthcare’s organization-wide systems and staff for the departments of Quality Improvement, Infection Prevention, Chaplaincy program and Risk Management.  Oversees operations of the stated areas, directs and leads regulatory compliance including the Joint Commission (TJC) preparation and survey for accreditation, State and Federal agencies, external reporting agencies for quality data, credentialing, continuing medical education, (CME), and peer review.  Participates in sentinel event root cause analysis and Confidential Occurrence Report investigation when it applies to a quality of care issue. Collaborates with affiliated partners in OSHU’s quality improvement, regulatory and patient experience activities.

Hiring Competencies

a)     Education: Master’s degree in Nursing, Hospital or Business Administration. A copy of your highest academic diploma or transcript required upon hire.

b)     License: Current license as an RN from the Oregon State Board of Nursing required; Certified Professional in Healthcare Quality (CPHQ) preferred.

c)     Minimum 10 years hospital or healthcare experience. Must also have 5 years in management supervising employees. Preference for candidates to have 10+ years progressive leadership.

d)     Knowledge of medical staff organization, quality and risk management, and TJC required.

e)     Must have knowledge and experience with Core Measures, HCAHPS, patient satisfaction, CMS, state regulatory requirements, and current concepts in quality assessment and improvement standards.

f)      Ability to work with mathematical concepts required.

g)     Planning and budgeting skills required.

h)     Excellent written, verbal and interpersonal skills essential.

i)      Excellent presentation skills required.

j)      Ability to implement ideas and programs required.

k)     Demonstrated leadership and management skills required.

l)      Ability to resolve problems required.

m)    Self-directed and motivated to work with minimal supervision.

n)     Strong analytical skills essential.

o)     Personal appearance makes a first good impression.

p)     Must have experience and working knowledge of Microsoft Word/Excel and electronic communication programs i.e. Microsoft Outlook (e-mail).

q)     Knowledge in statistics, data collection and quality improvement tools.

r)      Excellent customer service skills required.

s)      Microsoft Visio experience/skills preferred.

t)      Bilingual skills a plus.


At Tuality Healthcare, an OHSU Partner, it's an honor and a privilege to serve those near us. That's why since our beginnings in 1918, and as we expand our strong network of services through our clinical affiliation with OHSU, we continue to be committed to providing the best health care possible and a valued community partner.  Our affiliation with OHSU brings the advanced medical resources of Oregon’s only academic health center, which allows local providers to receive guidance from some of the country’s top specialists and pass that expertise on to Tuality patients where they can be cared for in their community. 


Tuality’s many awards showcase our position as one of the Portland metro area’s premier healthcare providers, including 5th straight year in Top 10 Healthiest Employers in Oregon from The Portland Business Journal, Tuality’s 6th straight Gold Plus Award from the American Heart Association, and 2016 #1 Nationwide Best Hospital IT Department to work for according to Healthcare IT News.


Here at Tuality our employees care about making a difference.  In fact, they care so much that in our most recent employee satisfaction survey we had an 80% participation rate!  Tuality is truly unique because of the relationships we build and as individuals we are seen and heard.  Come be part of our team, and let your voice be heard!

Additional Posting Information

Tuality Healthcare believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.


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