The Administrative Director for Quality Services is responsible for the planning and execution of YRMC’s overall Quality and Performance Improvement activities hospital-wide (including outpatient departments) . He/she will have oversight of Infection Prevention, Medical Staff and Nursing Peer Review, Clinical Documentation Improvement Management, Quality Measure collection, abstraction and submission, and strategic initiatives to achieve the highest quality, satisfaction and safety of care for our patients with the goal of national recognition in these areas. He/She will assure collaboration and cooperation between Quality, Risk, Safety and Utilization Management functions. This position reports to the Chief Nursing Officer with direct reports. Excellent oral and written communication skills, computer literacy and diplomacy are essential. Requires ability to analyze and present data in a clear and logical manner. Provides education to medical staff, hospital staff and Governing Board around quality initiatives. Also essential is significant performance and quality improvement experience using various models, in particular Lean and Six Sigma. Familiarity and experience with Critical Event Review, Root Cause Analysis and Failure Mode Effect Analysis is highly desirable. Competency with MIDAS data collection and aggregation system is preferred.