Manager, Quality Improvement

Job Summary

Provides strategic and operational leadership for quality improvement initiatives. Leads a portfolio of complex, hospital-wide initiatives focused on improving patient outcomes, regulatory compliance, operational performance, and financial stewardship. Partners with leadership, physicians, nurses, ancillary departments, and frontline teams to identify priorities, implement evidence-based interventions, and sustain measurable improvement. Supervises and mentors staff while serving as an expert consultant in quality improvement, high reliability, and regulatory readiness.

Drives achievement of organizational goals, pay-for-performance programs, patient safety indicators (PSIs), mortality, hospital-acquired conditions, and other strategic priorities.

Provides strategic and operational leadership for quality improvement initiatives. Leads a portfolio of complex, hospital-wide initiatives focused on improving patient outcomes, regulatory compliance, operational performance, and financial stewardship. Partners with leadership, physicians, nurses, ancillary departments, and frontline teams to identify priorities, implement evidence-based interventions, and sustain measurable improvement. Supervises and mentors staff while serving as an expert consultant in quality improvement, high reliability, and regulatory readiness.

Drives achievement of organizational goals, pay-for-performance programs, patient safety indicators (PSIs), mortality, hospital-acquired conditions, and other strategic priorities.

Provides strategic and operational leadership for quality improvement initiatives. Leads a portfolio of complex, hospital-wide initiatives focused on improving patient outcomes, regulatory compliance, operational performance, and financial stewardship. Partners with leadership, physicians, nurses, ancillary departments, and frontline teams to identify priorities, implement evidence-based interventions, and sustain measurable improvement. Supervises and mentors staff while serving as an expert consultant in quality improvement, high reliability, and regulatory readiness.

Drives achievement of organizational goals, pay-for-performance programs, patient safety indicators (PSIs), mortality, hospital-acquired conditions, and other strategic priorities.

• Lead and direct complex, multi-disciplinary quality improvement initiatives across both the Downtown and Midtown Campuses, ensuring alignment with organizational strategy, Annual Operating Plan (AOP) priorities, and the Quality Assurance and Performance Improvement (QAPI) program.
• Provide direct leadership, coaching, and oversight for Quality Improvement staff, including assigning work, developing staff capabilities, monitoring performance, and ensuring timely completion of high-priority strategic initiatives.
• Partner with executive leaders, department chairs, physician leaders, nursing leaders, and operational teams to identify, prioritize, and implement high-impact strategies that improve patient outcomes, patient safety, operational performance, and financial stewardship.
• Analyze, interpret, and synthesize clinical, operational, financial, and regulatory data to identify trends, performance gaps, and opportunities for improvement across service lines and campuses, with responsibility for the hospital’s performance in PSIs, mortality, hospital-acquired complications, Vizient, state pay-for-performance programs, and other strategic measures.
• Design, facilitate, and sustain multidisciplinary improvement teams using advanced performance improvement methodologies, including Lean, Six Sigma, Root Cause Analysis, Failure Modes and Effects Analysis, and Plan-Do-Study-Act cycles to achieve measurable and sustainable results.
• Collaborate on, implement, and monitor enterprise dashboards, scorecards, clinical practice guidelines, standardized workflows, corrective action plans, and executive-level reports to support accountability, reduce variation, and improve organizational performance, and communicate progress to senior leadership, medical staff committees, and governing bodies.
• Collaborate with regulatory, accreditation, and operational leaders to ensure ongoing readiness for surveys by The Joint Commission, Centers for Medicare & Medicaid Services, and other external agencies.
• Lead special projects and strategic initiatives that have significant organizational impact, including initiatives involving multiple departments, campuses, or…