VP Quality

SPECIFIC ELEMENTS AND ESSENTIAL FUNCTIONS*:
1. Responsible for the administrative and operational oversight of all hospital (enterprise) Performance Improvement, Quality Outcomes, Patient Safety Risk Reduction/Mitigation, Infection Control and Prevention, Professional Practice Evaluation Program, Patient Safety Program, Regulatory Management Operations, Clinical Documentation Integrity Program and Medical Staff Office. *
2. In collaboration with the Quality Management Committee, Executive Officers, Medical Executive Committee, and Board of Trustees, responsible for the development of the hospital’s quality and patient safety
strategy and annual goals. *
3. Leads the Quality Management and Patient Safety Department in the development and application of quality management and patient safety/risk reduction strategies throughout the hospital. *
4. Assumes responsibility for communication and education regarding quality and patient safety/risk management activities in the organization, as well as the medical community and governing body, and serves as a resource. *
5. Responsible for and provides direction to the QM Department, as well as QM Committee, Professional Practice Evaluation Program (Peer Review), Infection Control and Prevention,,Clinical Excellence, and Clinical Patient Safety Committees. *
6. Leads the QM/Patient Safety Department within defined financial parameters. *
7. Plans, coordinates and monitors comprehensive Medical Staff Quality Management programs as indicated. *
8. Plans, coordinates and monitors comprehensive hospital Quality Management/ Patient Safety program representing the facility at the Division and Corporate level. *
9. Plans, coordinates and monitors hospital quality incentive programs. *
10. Interacts with Executive, Administrative, and Medical Leaders to gain support for Quality Management/Patient Safety activities. *
11. Coordinates and directs activities related to survey readiness including JC accreditation, and in collaboration with hospital leadership, ensures that survey deficiencies are addressed and resolved. *.
12. Works to expand knowledge of quality and patient safety bringing new ideas and concepts to LGMC.

2+ to 5 years experience
Management Experience Required - No
Minimum Education - Bachelor's Degree
Willingness to Travel - Occasionally
SKILLS AND CERTIFICATIONS
CPHQ

Nursing BSN

Quality Control

Experience working in a quality role at a 500+ bed facility

IDEAL CANDIDATE Must have worked their way up in a hospital setting and have nursing degree.

All your information will be kept confidential according to EEO guidelines.