Vice President, Quality & Patient Safety

Overview

WHERE YOU MATTER AS MUCH AS THE WORK YOU DO Join Emory Healthcare (EHC) if you’re looking for an opportunity with one of the nation's leading Atlanta hospitals in cardiology and heart surgery, cancer, neurology, and more! EHC is where those around you are dedicated to the power of teamwork, fostering an environment where you can learn, grow, and innovate with similarly passionate professionals.  Work with us to improve the quality of life throughout Georgia through partnerships with the U.S. Centers for Disease Control and Prevention, Georgia Institute of Technology, and other organizations and make a bigger, greater impact than you ever thought possible. 

Description

JOB DESCRIPTION:

The Vice President of Quality and Patient Safety provides oversight, development and administration of systemwide quality management, performance improvement, and regulatory compliance activities, to achieve Emory Healthcare (EHC) goal of clinical excellence. Supports the EHC Chief Quality Officer (CQO) with development and implementation of quality improvement activities.  Serves as the system lead for infection prevention, patient safety, performance Improvement/process improvement and clinical innovation Oversees data analysis for support of physician peer review and professional performance evaluations, quality education, and quality management of affiliate hospitals.

 

Primary Duties and Responsibilities:

• Collaborates with the EHC CQO to execute the EHC QPS plan and EHC strategic priorities by developing and by using Lean principles and other approaches to improve clinical and process outcomes related to patient safety, infection prevention, and other key quality performance metrics that are used to determine incentive and potential penalties as measured by CMS, private payers, and public benchmarking of EHC performance.
• Develops, plans, coordinates, and implements strategic and day-to-day quality (clinical improvement) programs across Emory Healthcare.
• Coordinates and oversee all survey activities, policy management, and regulatory reporting to ensure that full accreditation, certification, and licensure are maintained in all facilities.
• Collaborates with local hospital operating unit leaders and Emory University academic departments to ensure integration of clinical quality management, regulatory compliance, patient safety, and risk management efforts across EHC.
• Manages the Quality & Patient Safety staff in adherence with EHC policies and standards with the responsibility for hiring, development, coaching, mentoring and performance management of staff.
• Supports the Patient Safety Quality Committee of the Board of Directors of the hospitals of EHC
• Participate in organizational committees at both the hospital and system committees as assigned or needed.

 

Quality: Anticipates national trends and initiatives in performance improvement, clinical quality, health care informatics, and the use of clinical technology for improvement efforts. Develops and implements programs to ensure EHC and its entities are well positioned for local, state and national clinical regulatory programs, value-based purchasing methodologies, and comparison ratings.

 

Regulatory Accreditation and Certification: Provides leadership regarding regulatory standards and compliance: regulatory body hospital wide review/surveys (the Joint Commission, DCH, etc.) as well as surveys for Stroke and Bariatric hospital certifications. Monitors and promotes actions to achieve compliance with all relevant city, state and federal laws, government regulations, accrediting agency standards, and health system policies. Ensures compliance with all regulatory requirements regarding practices policies and monitoring functions. Interprets, educates and assures hospital compliance with rules/regulations of The Joint Commission, CMS and any other regulatory agency with regards to quality of care and patient safety.

 

Policy Management: Provides oversight and administrative direction for the system-wide management structure and policy repository tool; maintain and lead regular reviews and updates of all EHC policies and procedures.

 

Infection Prevention: Provides oversight of the Infection Prevention program and efforts.

 

Patient Safety: Leads the patient safety efforts across EHC in partnership with the Patient Safety Officer to become a high reliability organization. Implements and maintains patient safety event reporting system, RCAs, ACAs, FMEAs, and state reporting for review of all reported patient safety events. Fosters an environment that supports a Just Culture, in which staff members