Assists with the development, implementation and maintenance of a strong Consortium wide Quality and Accreditation Plan, ensuring that all sites have quality programs that support the overall PI Plan while being integrated into the needs of the various sites. Facilitates and promotes PI/ QI measures and initiative. Ensures compliance is monitored and reported in an appropriate and timely manner. Offers feedback, suggestions and problem solving to ensure that the PI Plan and programs guide SEARHC improvement efforts. Uses skills in data analysis, chart reviews, and other PI tools/methodologies to carry out an effective Quality and Accreditation Plan. Develops, maintains and utilizes sound working knowledge of accreditation and regulatory standards (TJC/ CMS/ GPRA/ UDS) and serves as primary resource for interpretation and application of standards as they pertain to SEARHC - Remains actively involved in continuing education/training/conferences to keep abreast of standard changes. Facili...Manager, Performance, Improvement, Improvement, Healthcare, Leader, Technology