Director, Quality and Patient Safety at BID Plymouth Hospital

Location: Jabez Corner

Plymouth, MA
• Beth Israel Deaconess Hospital Plymouth
• Full-time
• Day When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Description:

Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization. It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care.

Position Summary:

Reporting to the Chief Medical Officer, the Director of Quality, Risk and Patient Experience provides strategic and operational leadership for quality improvement, patient safety, risk management, regulatory compliance, patient experience, infection prevention, quality analytics, and interpreter services at Beth Israel Deaconess Hospital-Plymouth (BIDP).Working collaboratively with clinical, operational, and administrative leaders, the Director advances the hospital's Quality and Safety Plan by leading initiatives that improve clinical outcomes, patient safety, service excellence, regulatory performance, and operational effectiveness.

This role promotes a culture of continuous improvement, innovation, accountability, and patient-centered care through the application of LEAN principles and evidence-based quality methodologies.

The Director serves as a key advisor to hospital leadership and partners closely with Beth Israel Lahey Health (BILH) quality and patient safety leadership to implement systemwide priorities, achieve organizational performance goals, and ensure regulatory readiness.

This is an on-site leadership position requiring regular rounding throughout the organization and engagement with clinical and operational teams.

Duties/Responsibilities:

Quality, Safety, and Performance Improvement Provide strategic and operational leadership for Quality Improvement, Quality Analytics, Patient Experience, Risk Management, Infection Prevention, and Interpreter Services.

Lead the development, implementation, monitoring, and evaluation of quality, patient safety, and performance improvement initiatives.

Utilize LEAN, Six Sigma, change management, and project management methodologies to improve clinical outcomes, patient experience, operational performance, and patient safety.

Monitor organizational performance through quality metrics, benchmarking data, and public reporting programs, including BILH quality goals.

Promote a culture of patient safety, continuous improvement, accountability, and Just Culture principles.

Support the collection, analysis, and interpretation of quality and patient safety data to identify trends, opportunities, and corrective actions.

Facilitate communication, knowledge sharing, and best-practice adoption across clinical and operational leadership teams.

Regulatory and Accreditation Oversight Direct organization-wide readiness efforts for surveys conducted by The Joint Commission, CMS, the Massachusetts Department of Public Health, and other regulatory or accrediting bodies.

Oversee compliance programs and continuous regulatory readiness activities to ensure adherence to applicable standards and requirements.

Partner with administrative and clinical leaders to embed regulatory preparedness into daily operations and clinical practice.

Develop and implement education and training programs related to regulatory, quality, and patient safety requirements.

Risk Management and Peer Review Provide executive oversight of the hospital's Risk Management program, including event reporting, safety investigations, claims support, corrective action planning, and organizational learning.

Lead collaborative case reviews and other risk mitigation activities…