One of the nationâ€™s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the Worldâ€™s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of Americaâ€™s Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
Mission Statement: To provide individualized, quality behavioral health care, in a safe and secure environment where dignity and respect are upheld by our team of dedicated, caring, professional staff, in a cost-effective manner.
Havenwyck HospitalÂ is a 243 bed, Joint Commission accredited and licensed psychiatric and substance abuse facility. WeÂ specializing in providing behavioral health and substance abuse treatment and are located in Auburn Hills overlooking Lake Galloway.Â
Havenwyck HospitalÂ provides a continuum of individualized treatment to children, adolescents and adults needing psychiatric and/or substance abuse treatment.Â Havenwyck strives to create a customized treatment plan for each individual based on level of maturity, life experiences, needs and other factors. Patients at Havenwyck are treated by a qualified multi-disciplinary team, including, but not limited to, a psychiatrist, registered nurses, social workers and recreational therapists, in a warm, supportive environment. Havenwyck Hospital's Residential TreatmentÂ CenterÂ isÂ aÂ secure treatment program for children and adolescents ages 8Â to 17, with emotional and/or behavioral impairments that require them to be in a secure, 24-hour supervised therapeutic living situation.Â For more information, please visit our website atÂ havenwyckhospital.com.Â
Havenwyck Hospital is seeking a dynamic and talented licensed Director of Quality, Outcomes and Regulatory to join our team of compassionate, dedicated professionals.
Duties include but are not limited to:
Collects, coordinates and maintains informational reports from all departments and committees as outlined in the Performance Improvement (PI) Plan.
Coordinates and monitors the hospital wide PI Plan in order to maintain compliance with The Joint Commission, CMMS, and other regulatory agencies.
Evaluates and improves the systems, forms, procedures, methods, and motions used in accomplishing all PI work.
Prepares reports for all Board of Director meetings, Medical Executive Staff meetings, and Medical Staff meetings.
Assists Medical Staff in evaluating the quality of patient care and in developing criteria and methods for such evaluation.
Provides ongoing communication, resources, education, and aggregated data/information to all department managers, related to issues involving quality, safety, and survey readiness.
Assist with annual evaluation (and revision if necessary) of the PI Plan.
Plans, develops, and presents in-services relevant to PI and survey readiness as necessary.
Responsible for the review, development, and implementation of the department policies and procedures.
Serves as the facilityâ€™s Compliance Officer.
Ensures the hospitalâ€™s environment is safe, clean, and well organized.Â Makes recommendations for resources and adequate space.Â Submits requests for repairs and for required equipment.Â Conducts quarterly safety rounds.
Maintains knowledge and understanding of The Joint Commission (CAMH, CAMBH) and CMMS Standards and strategies for compliance. Acts as the facility liaison during the survey process including other applicable state and federal regulatory agencies. Ensures timely response and oversees development and implementation of any required corrective actions. Assigns tasks as necessary to other departmental managers to assist in overall regulatory compliance.
Reviews and analyzes root causes, patterns, or trends in data collection and informs applicable Facility management staff; helps to identify and implement corrective action and performance improvement processes.
Provides continuous support in the analysis of performance improvement initiatives and re-establishing requirements which will facilitate continuous improvement. Fosters the development and tracking of performance indicators at the departmental level; encourages a facility-wide team effort in meeting performance improvement goals.