DescriptionServes as project leader for hospital wide, cross-functional initiatives that are intended to drive performance improvement. Collaboratively develops and implements the hospital's performance improvement program and plan. Directs the department's activities and resources to achieve departmental/organizational goals, plans and standards consistent with the clinical, administrative, legal and ethical requirements of the organization. Establishes processes for monitoring, evaluating, and resolving issues that impact the quality of patient care and service. Provides oversight of infection control and surveillance, employee health, and medical staff services. Responsible for coordinati