Vice President - Quality & Safety

SUMMARY:

The Vice President of Quality, Safety and Patient Experience is responsible for strategic leadership, oversight, and implementation of an integrated approach toward driving excellence in quality, safety, and patient experience outcomes across TMC Health. This position serves as the dyad partner to the entity Chief Medical Officers across the system.  Works collaboratively with all levels of leadership across the organization to build a culture of high reliability through a comprehensive, coordinated, and integrated approach.

ESSENTIAL FUNCTIONS:

Strategic Leadership:

• Develop and implement strategic plans and goals related to quality, safety, and patient experience, aligning with the organization’s overall mission and vision.
• Lead and coordinate efforts across departments to improve clinical quality, patient safety and patient experience.
• Stay current on industry trends, best practices, and regulatory changes to ensure the organization remains at the forefront of quality and safety initiatives.
• Inspire and guide colleagues through change while maximizing efficiency and effectiveness. Foster a culture of flexibility, innovation, and continuous learning, ensuring teams can adapt to evolving challenges.
• Shares strategic quality information and plans across the organization; communicates a clear and compelling rational for goals and decisions.

Quality Improvement:

• Identify opportunities for improvement in clinical processes, patient care delivery, and patient experience.
• Develop and implement quality improvement initiatives, using data and evidence-based methods.
• Monitor and evaluate the effectiveness of quality improvement programs, making adjustments as needed.
• Lead the development and implementation of quality metrics and performance indicators.
• Define and implement long-term quality goals that align with the organization’s mission while effectively managing resources and navigating challenges.
• Lead quality initiatives and participates in cross-functional teams to focus on TMC Health-wide quality priorities.
• Anticipate future trends, inspire innovation, and unify teams around a shared quality transformative vision.
• Establish and monitor key performance indicators across the organization. Oversee the collection, analysis, assimilation, and reporting of quality data to drive improvement.

Patient Safety

• Champion a culture of safety and accountability throughout the organization.
• Develop and implement policies and procedures to prevent medical errors and adverse events.
• Investigate and analyze adverse events, identifying root causes and implementing corrective actions.
• Ensure compliance with organization’s incident reporting system (sentinel events) in a timely and accurate manner.
• Ensure compliance with regulatory requirements related to patient safety.

Regulatory Compliance

• Ensure compliance with all applicable laws, regulations, and accreditation standards.
• Lead the organization’s preparation for regulatory surveys and accreditation visits.
• Develop and maintain relationships with regulatory agencies and accrediting bodies.

Leadership

• Develops a coaching and mentoring relationship with direct reports that is purposefully aimed at enhancing their professional growth, development and independent decision-making.
• Builds a trusting, team-oriented environment by fostering open communications and meaningful employee involvement within the department.
• Conducts regular, planned and valued (by those in the department) staff communication sessions/department meetings.

Develops and monitor’s budget; achieves budget targets.

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

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:   Master’s degree in public or health administration, Nursing or related field.

EXPERIENCE:  Ten (10) years of healthcare experience, and six (6) years in a leadership role, including background in quality management.

LICENSURE OR CERTIFICATION:  Certified Professional in Healthcare Quality (CPHQ) certification preferred.

KNOWLEDGE, SKILLS, AND ABILITIES:

·       Positive, future-oriented mindset; proactive, curious, self-directed, intuitive.

·       Ability to manage multiple priorities, projects, and display flexibility in a fast paced and changing work environment.

·       Demonstrated expertise in quality methodologies, high reliability principles and Vizient Safety and Mortality metrics.

·       Thorough knowledge of health care quality best practices.

·       Skill in building relationships with leadership, clinical and medical staff.

·       Ability to make decisions that support system quality objectives and strategies.

·       Ability to provide clear short- and long-term direction and guidance for staff. 

·       Ability and willingness to change managerial methods and processes when required to implement the organization’s change strategies. 

·       Ability to analyze inter- and intra- entity and departmental practices or processes and recognize opportunities to gain reliability. 

·       Ability to read, analyze, and interpret requirements for publicly reported quality data. 

·       Ability to write reports, correspondence, and procedures. 

·       Ability to effectively present information and respond to questions from groups of leaders, clinicians, physicians, and the general public. 

·       Ability to work with concepts including probability and statistical variances. 

·       Ability to define problems, collect data, establish facts, and draw valid conclusions.