Job Description

Physician - Quality and Patient Safety Officer
Job CategoryProfessional
ScheduleFull time
Shift1 - Day Shift


Quality and Patient Safety Officer provides oversight, direction, and coordination of the quality improvement, patient safety, and regulatory and accreditation processes. Develops and implements the TMC Patient Safety program; appointed as Patient Safety Officer.


Quality and Patient Safety Officer has primary direction and oversight of the hospital and professional staff quality and patient safety initiatives. This leadership role will direct others within the organization towards process improvements that will support identified standards for safe, quality, and timely patient care and facilitate the reduction of medical errors and integration of evidence based practice. Serves as the advocate for patient safety by developing and managing programs for hospital staff and management and development of a proactive risk reduction program. Additionally, the officer will coordinate process design/redesign activities within the organization. 



Develops and directs organization-wide best practices through a solid understanding of quality management methodologies and controls, risk mitigation techniques, and industry trends; disseminates consistent, reliable information throughout the organization.

Provides clear short- and long-term direction, leadership, and guidance on quality initiatives to staff, management, executives, physicians, customers, and other related stakeholders; provides leadership and direction to functionally related teams.

Sets agenda and organizes the Quality and Safety Council in collaboration with the CMO and COO; takes direction from and provides minutes for Quality Council.

Develops programs, policies, procedures, and controls to ensure the delivery of quality service to internal and external customers while developing and maintaining effective working relationships.

Models continuous business partnering in collaboration with the CMO and the TMCH Board Quality Care Committee in determining TMCH quality goals, objectives, and measures in support of mission, vision, and values.

Develops and implements a patient safety program designed to consistently and comprehensively provide safe care to the patients at TMC.

Develops clear goals for the patient safety program and risk and action plan for meeting goals.

Stays current on best practices for patient safety, including TJC Sentinel Event Alerts, NQF Safe Practices, IHI initiatives, etc.

Reviews patient incident trends and directs the development of action plans to reduce exposure and recurrence.

Directs the activities of the Patient Relations staff, and monitors timely grievance investigation and response.

Represents TMC Healthcare in a professional, knowledgeable manner, successfully establishes partnerships, communicates effectively, and promotes the mission and vision.

Responsible for establishing, communicating, modeling, and measuring TMC Healthcare standards of excellence within the organizational structure and externally within local/national/international forums.

Participates in professional organizations and attends events, conferences, seminars, etc. to determine best practices and progressive concepts within the field of healthcare quality management.

Prepares and presents actionable information regarding adverse events, data and metrics that will support improvement in patient experience, remove waste, eliminate defects and reduce variation; and ensures the successful implementation of the quality strategic initiatives.

Supervises compliance efforts related to applicable federal, state, and local regulatory requirements and responsible for coordinating organizational response to applicable regulatory inquiry.

Directs professional team in collection of data using a variety of data collection methods, analyzes data, takes action to continuously improve quality and performance within TMC Healthcare, and communicates information appropriately.

Directs staff within Department of Quality; interviews, hires and trains; develops standards of performance, evaluates performance, and resolves performance problems appropriately; delegates work assignments effectively.

Develops, manages and directs Quality Department budgets, monitors performance, analyzes variances, and takes appropriate action to achieve financial goals.

Develops contingency plans and responds to unforeseen circumstances utilizing planned resources.

Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.

Performs related duties as assigned.

Application Instructions

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