The Director plans, manages and reports on all activities associated with the daily operations and coordination of the Engineering Department. Formulates and initiates strategies to improve the Engineering Department responsiveness and accountability to accredited customers and the public. Systematically evaluates departmental performance, surveyor variability, and standards effectiveness and leads the efforts to improve the same. The director provides direction and leadership to surveyors addressing interpretation of standards and survey processes. Participates as a consultant in the development and revision of standards and survey process and in support of ongoing accreditation services and special projects. Serves as faculty for surveyor and field education programs and represents the Joint Commission at speaking engagements and in media interviews. Provides leadership and oversight to educational needs identified and offerings provided to the division through in-services/classes, conference calls, FR newsletter, and the annual training conference. Provides leadership and direction to the Healthcare Environment: Technical Advisory Council (HE:TAC).
The director also provides updates and recommendations to Joint Commission leadership regarding emerging trends that impact the healthcare environment. Participates in meetings and forums with federal agencies, national code promulgation associations and other agencies in coordination with the DC Office.
- Manages all departmental activities to include: Planning, managing and implementing departmental activities that respond to the Corporate Strategic Initiatives including preparation of the departmental budgets and capital and other special requests for resources.Directing and planning the allocation of all human resources and technical resources to support the priority activities of the departments which include standards interpretation, accreditation committee support, the periodic performance review/intracycle monitoring process, post survey processes, timely accurate response to all submitted inquiries, educational needs of the field staff and central office staff, not limited to AEC, remote learning, NFRO, etc. Provides specific technical training to the Life Safety Code Specialist (LSCS) regarding the healthcare environment. Curriculum and on-going support coordinated to ensure consistent interpretations during survey activities. Assures training meets the learning needs of the individuals to achieve favorable survey results. Provides support to LSCS by serving as a mentor, coach and leader, providing positive and constructive feedback as indicated.Establishes periodic assessment and metric to measure department performance and evaluates performance against those measurement strategies. Assesses performance through a variety of management data, feedback from other departments and customers, and direct observations. Develops quality control process to ensure consistent interpretations among the Engineering Department team. This would include evaluating written responses, equivalencies and survey scans.
- Establishes standards for the effective job performance of Engineers and evaluates performance against those standards. Assesses performance through a variety of management data, feedback from other departments and customers, and direct observations.
- Works with staff in the formulation of SOPs for the department including the development and implementation of those SOPs. Communicates and assures implementation of departmental and Joint Commission policy, procedures, and standards. Coordinates SOPs with Standards Interpretation Group as indicated.
- Manages interviewing and hiring and when necessary discipline and discharge of personnel. Continually assesses departmental resource needs and makes adjustments as indicated.
- Participates in education activities supporting internal and external customers. Internal customers, such as surveyors, will receive support during AEC, technical support and general information. External customers, such as those affected by Joint Commission accreditation, will be supported using different venues, including FAQs, Media Relations, Speaker Bureau, advocacy partners, Joint Commission Resources (including articles and educational events) as well as other opportunities. Provides appropriate support to those accredited organizations affected by emergency events.
- Develops advocacy relationships and represents the Joint Commission to other agencies including CMS, ASHE, AAMI, NFPA, AIA, etc. providing standards knowledge and expertise. Actively develops and maintains liaison relationships with various groups and organizations as part of the Liaison Network.
- Working in conjunction with the Director of Federal Relations: Establishes effective working relationships with the CMS Life Safety Code engineers to promote good communication, understanding of CMS expectations, and an appreciation/respect for TJC’s standards and survey process and positive. Takes the lead on reconciliation of any discrepancies between government validation surveys of Joint Commission accredited organizations and Joint Commission findings in the area of Physical Environment and Life Safety Code. Conducts periodic risk evaluations, as appropriate, of the discrepancies with CMS on Physical Environment and Life Safety findings to make recommendations to leadership on the need for improved Joint Commission survey processes, surveyor education, or other programmatic enhancements. Accompanies the Washington Office, or represents The Washington Office as appropriate, at national meetings involving governmental bodies where Engineering expertise is required, such as in the areas of physical environment, Life Safety Code, or emergency preparedness. Assists in the development of tools or guidance as a collaborative with the federal government for Medicare programs recognized by governmental bodies, such as updating the joint CMS-TJC Checklist for re-opening of hospitals after a catastrophic engineering systems failure.
- Manages and leads multiple divisional and cross-divisional projects. Plans, develops, administers, and monitors all facets of the project to ensure that the goals and objectives of the project are achieved. Leads staff from within the division and across Joint Commission divisions in completing the project. Facilitates resolution of issues/problems that can affect the completion of the project. Reports periodically to senior management on the project’s progress.
- Coordinates intra and inter departmental and interdivisional operations to facilitate effective interactions. Works closely with SIG, DSSM and OQM leadership specifically to promote coordination of shared processes and projects.
- Manages the Engineering Department work flow in conjunction with the SIG Department to ensure seamless customer support. Collaborates with the SIG leadership to ensure consistency between departments and all SIG support functions.
- Serves as primary contact for surveyor’s onsite when determinations need to be made regarding the triggering of potential decision rules including but not limited to immediate threat to health and safety.
- Manages and participates in the preparation of position papers and ad hoc reports for the Board of Commissioners, its various committees, senior management and governmental agencies, concerning all aspects of the accreditation process and emerging trends in national venues affecting healthcare engineering.
- Participates in the organization and dissemination of standards interpretation and survey process development and testing reports to both internal and external audiences including Joint Commission developed publications and external publications.
- Develops, participates in and provides leadership to a Healthcare Environment: Technical Advisory Council (HE:TAC) focused on the healthcare environment (life safety, environment of care and emergency management). Solicits input and membership from both the Joint Commission enterprise and leaders in the healthcare community. Creates a process to disseminate the information arrived at by this council internally to the Joint Commission and externally as appropriate.
- Leads, develops, coordinates and monitors activities to improve the consistency of life safety, environment of care and emergency management interpretations across the enterprise.