Vice President of Quality and Patient Safety

The VP of Quality & Patient Safety is responsible for leading performance improvement, patient safety, regulation compliance, and hospital accreditation initiatives to enhance the quality of care provided ponsible for developing and facilitating strategies for the adoption, implementation, evaluation, and sustainment that support the elimination of risk to patients, improvement in the quality of care delivery, and adherence to regulatory requirements and accreditation standards.

This position holds direct, hands-on accountability for accreditation and regulatory survey readiness, clinical risk management, and infection prevention and control programming across ANMC. Working in partnership with all clinicians, provides the focus and leadership necessary for ANMC to rise to the challenges of achieving best practice standards for effective, safe, timely, patient centered, equitable, and efficient care.

• Facilitates and coordinates ANMC’s strategic growth and organization planning, accreditation, and performance and process improvement strategies. Coordinates the development, implementation, monitoring, and evaluation of the ANMC Organizational Improvement Plan/Strategic Plan. Aligns and integrates all performance improvement activities at ANMC with the ANMC Organizational Improvement Plan/Strategic Plan and with the ANTHC Strategic Plan.
• Serves as ANMC's accountable executive for accreditation and regulatory survey readiness, including continuous survey-readiness across Joint Commission and CMS Conditions of Participation standards, leadership of mock surveys and tracer activities, and oversight of corrective action plans (CAPs) and responses to condition-level findings or immediate jeopardy citations.
• Leads ANMC's clinical risk management program, including identification and mitigation of clinical risk, facilitation of root cause analyses (RCA) and sentinel/adverse event review, advancement of high reliability organization (HRO) practices, and coordination with Risk Management, Legal, and the peer review and credentialing process.
• Provides executive oversight of the ANMC Infection Prevention and Control program, including surveillance and reporting (e.g., NHSN), outbreak identification and response, and collaboration with Employee Health, Environmental Services, and clinical leadership to reduce healthcare-associated infections.
• Supports teams to ensure quality and patient safety with approved initiatives. Ensures that processes are efficient and result in ever-improving value to patients and other customers, contributing to improved health care quality and safety.
• Ensures service line development and quality process improvements are aligned with the ANMC “Implementation Parameters” and the ANMC Organizational Improvement Plan/Strategic Plan.
• Continue ongoing “Balanced Scorecard” methodologies in measuring the effectiveness of best practices for improved and sustained high organizational performance, customer satisfaction, and clinical quality.
• Develop innovative ways to share best practices across both ANTHC and Southcentral Foundation (SCF) boundaries.
• Facilitates and coordinates redesigning of processes and systems for improvement with a central focus on patient centered care/services, customer satisfaction, resource efficiency, quality, and employee satisfaction.
• Provides assistance to senior and middle managers to design and operationalize new processes and practices. Coordinates consultants and other change agents as appropriate to plan, deploy, and evaluate best practices and processes for continuous improvement, positive outcomes, and sustainability.
• As a member of ANMC senior management team, responsible for teaching, coaching, mentoring, and challenging staff in the…