Assistance Vice President, Patient Safety & Quality

Job Summary

The Assistant Vice President (AVP) Safety and Quality reports to the Vice President Quality and Safety at Well Star Health System. As a member of the leadership team, he / she is responsible for developing an executable plan to attain a world class patient safety & quality processes and procedures across the System. Bringing patient and clinical safety expertise, he / she will partner to identify opportunities for short and long term gains in standardization, reduction of variability and adherence to best practices.

This leader shares accountability with clinical and operational leaders in acute care facilities, and / or service lines, and / or ambulatory care sites and / or quality and safety and infection prevention departments to achieve of safe, high-quality outcomes as measured by internal and external KPIs and reports. The individual in this role will identify opportunities to optimize performance, build internal competencies and create a rigorous System approach to safety and clinical quality.

The establishment of a culture of ownership, responsibility, and accountability will be a foundational characteristic for this role. They will maintain a strong positive relationships with team members, medical staff, senior leaders, and patients. The AVP is responsible for planning and implementation of clinical safety, high reliability organizing (HRO), quality management and public reporting programs and initiatives. They will influence the policies and practices of internal and external partners to optimize Wellstar's success.

The AVP recommends and administers the overall departmental business plan and budget for safety, quality and public reporting under the direction of the VP. They will serve as a spokesperson and is generally recognized as the strategy owner and subject matter expert. The AVP Quality and Safety participates as an active part of Well Star's leadership team in developing and implementing System strategic plans and initiatives.

They will be an active leader to drive a culture change that is visible to every level in the organization, incorporating messaging that is consistent and creates ownership for safety and quality by every employee.

Effectively develops, executes, monitors and adjusts the organization's long- and short-term strategic plans relevant to the role :
* Patient Safety
* High Reliability Organizing (HRO)
* Quality Management
* Public Reporting programs related to clinical quality
* Infection Prevention
* Service line and ambulatory care quality Oversees and directly participates in the execution of the Quality Management & Improvement plan :
* Establishes standards and coordinates business unit annual Performance Improvement Plans
* Serves as an expert resource for Quality Management related metrics, definitions, dashboards and reports. Including but not limited to Wellstar's clinical benchmarking databases and dashboards.
* Maintains a current and expert knowledge of external, publicly reported measures of quality. Including methodology, results and best practices for improvement.
* Coordinates quality improvement efforts across business units, the continuum of care and shared system departments for the purposes of alignment, synergy and effectiveness.
* Oversees Wellstar's public reporting programs including data abstraction and submission to CMS, Accrediting agencies, and specialty registries. Coordinates responses and established strategies for improvement related to quality and patient safety surveys (e.g. Leapfrog and QHIP).
* Ensures compliance with CMS, State and Accrediting agency requirements related to the provision of transparent information to the governing body.
* Engages and advises senior leadership in matters related to quality management risks, opportunities and plans for improvement. Oversees and directly participates in the execution of the Patient Safety / HRO plan :
* Identifies and incorporates effective elements of a contemporary Patient Safety & HRO program into the Wellstar program and standards.
* Directs Safety Event management across the organization. Including but not…