VP Quality

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Job Type:

Regular

Scheduled Hours:

40

Job Summary:

The Vice-President, Quality Operations is responsible for designing, developing, and implementing systems and processes which directly improve quality, patient experience, and patient safety programs within the organization. This is done in direct collaboration as a dyad leader with the VP Medical Services for Quality. This VP will be responsible for monitoring, prioritizing, and driving improvement projects across the organization as it relates to project execution. This VP also executes measurement to evaluate success of clinical program initiatives and identifies opportunities for improvement. Additionally, this VP supports and collaborates with the Vice-President, Medical Services for Quality in the engagement of medical staff, nursing staff, and other clinical staff around quality and safety improvement efforts. This VP also serves as the liaison with the executive team to escalate project risks and challenges, monitor and communicate results, and support forward-looking quality management planning.

Demonstrates respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Job Description:

Organization-Wide Strategy

• Identify and execute projects and initiatives aimed in support of the strategy set by Senior Leadership and the Board.
• Establish business unit metrics regarding service performance and ensures use of the JTE framework to improve reliability of outcomes

Operations and Regulatory

• Drive consistent application of quality and safety standards across the organization.
• Investigate Patient Safety issues in the organization in collaboration with the appropriate disciplines. Develop and implement Patient Safety best practices in collaboration across the System.
• Lead accreditation and quality-specific regulatory management. Collaborate with Risk Lead and Compliance Lead as necessary to attain these accreditations.
• Participate in investigation and follow-through of sentinel events, adverse outcomes, and root cause analyses completion.
• Escalate region-related risk, compliance, and claims challenges to respective system-led functions.
• Coordinate external peer review contracts.
• Prevent, monitor, and investigate infections within St. Elizabeth Healthcare sites by implementing infection control policies, standards and processes.
• Enforce clinical standards set by system leadership.
• Collaborate with Vice President of Medical Services for Quality to ensure affiliated providers maintain organization quality standards.
• Drive clinical integration and consistent patient experience through lifecycle of care, as applicable for each individual course of treatment.

Data Management and Reporting

• Lead an Analytics team to provide comprehensive picture of strengths and improvement opportunities to clinical and operational leadership.
• Provide direction to quality team members around data and data requests. Maintain open communication and work with St. Elizabeth Healthcare entities to provide efficient and coordinated response.
• Monitor patient outcomes and adherence to evidence-based practices, including but not limited to core measures, through a standardized set of key performance metrics.

• Collaborate with Information Services resources to leverage information technology, including electronic health records, to achieve quality and safety aims.
• Establish and generate standard quality, safety and infection reports.

Management in Collaboration with the Vice President of Medical Services for Quality Improvement and Patient Experience

• Lead and manage a portfolio of improvement initiatives simultaneously, including monitoring progress, tracking benefits and outcomes, retiring completed projects, and escalating issues or roadblocks as appropriate
• Leverage core organizational methodologies and tools in approaching improvement projects and in leading improvement teams.
• Coordinate with other system leaders’ prioritization of improvement projects with the most need.
• Manage and deploy resources within the quality improvement function to support and execute multiple improvement projects concurrently across the organization
• Establish patient grievance process.
• Ensure system-wide compliance with quality (e.g., CMS), patient safety  (e.g., accreditation) and infection control (e.g., Joint Commission) expectations.
• Establish targets for clinical outcomes.
• Deliver on clinical goals and targets.