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Director of Quality and Regulatory

Req #:  176383
Facility:  Good Samaritan Hospital
Department:  Management/Supervisory
City:  Downers Grove
Posting Budget Status:  Day
Shift Type:  Full Time - Permanent
Posting FTE:  1

Over its nearly 40-year history, Advocate Good Samaritan Hospital has evolved into a recognized national leader in health care. Good Samaritan Hospital has been named to the 100 Top Hospitals list six times and is the only health care organization in the state to earn the prestigious Malcolm Baldrige National Quality Award, achieving the honor in 2010. Good Samaritan Hospital features DuPage County’s only Level I trauma center, a certified Level III neonatal intensive care unit and received the American Nurses Credentialing Center Magnet® recognition for nursing excellence. A range of services are offered at the hospital, including cardiology, oncology, orthopedic surgery, neurosurgery, general surgery, gastroenterology, stroke care, obstetrics and gynecology, and low-dose diagnostic imaging. Good Samaritan Hospital is part of Advocate Health Care.

Position Requirements:

  • Masters Degree in a related field
  • Three or more years of managerial experience
  • Computer knowledge
  • Working knowledge of Quality Management
  • Excellent written and verbal communication skills required. CPHQ, Certification in Six Sigma, Lean, or Lean Six Sigma Willing to attend onsite and offsite department meetings and educational activities. Must be able to perform basic administrative director functions, participation in outside professional activities and maintain proficiency in department's software computer program
  • Ability to perform various physical tasks with a high degree of proficiency, such as articulating, hearing, viewing, and walking throughout the hospital
  • Available on a 24 hour basis and able to travel to corporate and community functions as appropriate
  • Flexible hours according to customer needs
  • Ability to work under stressful and difficult conditions

Leads and directs process and overall quality improvement activities that produce better patient outcomes and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Implements a quality management system strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the organization. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Develops and implements organizational initiatives to support accreditation and regulatory readiness. Responsible for developing, deploying, maintaining and improving a well~developed regulatory program including: all elements of a fully functional quality management system interpreting all regulatory standards promoting continuous readiness and coordinate all survey operations. Leads patient experience measurement and analytical assessments that support an organization~wide focus on providing an exceptional patient experience. Evaluates and implements strategies and initiatives that support the organizational focus on patient experience. Facilitates consistent messaging, training and measurement to create a patient~centered culture. Serves as a leader for Lean Strategy development the deployment of Lean methodology change management and problem solving. Provides input to strategic decisions that affect the functional area of responsibility. Develops budgets and is a good steward of resources. Capable of resolving escalated issues arising from operations and requiring coordination with other departments.


  1. Leads organization Regulatory and Accreditation processes
  2. Directs the activities of the Quality Improvement Department
  3. Advocate Aurora Patient Experience Site Champion
  4. Directs house~wide Operations Improvement initiatives

About Advocate Health Care


Advocate Health Care, named among the nation’s Top 5 large health systems based on quality by Truven Analytics, is the largest health system in Illinois and one of the largest health care providers in the Midwest. Advocate operates more than 250 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, the state’s largest emergency and Level I trauma network, one of the area’s largest home health care companies, and the region’s largest medical group. Advocate Health Care has 4 teaching hospitals and is a not-for-profit, mission-based health system affiliated with the Evangelical Lutheran Church in America and the United Church of Christ.