Chief Quality Officer; CQO Job Papillion area,Nebraska USA,Healthcare

Position: Chief Quality Officer (CQO)

General

Summary of Responsibilities:

Provides clinical and administrative leadership and direction to the quality division and other assigned departments. Facilitates development, implementation, delivery and evaluation of services within the assigned areas through collaboration with the clinical/medical staff, nursing leaders, and other managers. Assures achievement of goals and adherence to policies, procedures, and standards set forth by state, federal, and hospital regulatory agencies. Creates an environment of innovation and creativity.

Accountable for establishing operational mechanisms and quality leadership structures which facilitate safe and quality patient care and working environment.

Essential Job Functions:

Communication and Relationship Management

Builds collaborative relationships:

Communicates organizational vision, mission and values

Demonstrates effective written, oral communication and presentation skills

Builds effective physician/provider and administrative leadership teams

Strategic Leadership

Sets the overall direction for Infection Control, Quality and Employee Health Program:

Encourages a high level of commitment to the purpose and values of the organization

Participates in the creation of a performance-based culture that maximizes employee potential and fosters high ethical standards in meeting BBGH’s vision, mission and values

Establishes key performance indicators and benchmarks to measure and monitor progress in achieving quality goals, driving accountability and transparency across the organization

Explores opportunities for the growth and development of the organization on a continual basis

Provides strategic direction and leadership in the development, implementation and evaluation of quality initiatives, leveraging data-driven insights and best practices.

Works directly with nursing leadership to communicate, guide and support patient care through data analysis

Plans for leadership succession

Professionalism

Acquires and stays current with the professional body of knowledge

Mentors, advises, coaches and develops all assigned managers.

Networks with colleagues

Quality Assurance and Improvement

Oversees and guides the system-wide quality program, including data collection, analysis, policy maintenance, and reporting to key stakeholders, such as Senior Leadership, Medical Staff, and the Board of directors:

Focuses on improving healthcare value and quality across various dimensions, including clinical outcomes, patient experience, safety, costs, revenue, and employee satisfaction, leveraging performance metrics and continuous feedback mechanisms.

Co-Manages and supports physician peer review process.

Oversees the grievance process and works with department managers to resolve complaints

Leads and supports development and review of policies, procedures and standards of practice that align with federal, state and accreditation agencies

Maintains role, focus, intensity and persistence, even under adversity

Patient Safety and Risk Management

Designs, coordinates, and maintains patient safety and risk management programs, proactively identifying and mitigating risks to enhance patient safety and minimize adverse events.

Leads the development and oversight of systems for event reporting, near‑miss reporting, and root cause analysis

Develops and implements a division vision that integrates hospital and program goals, priorities and values

Ensures timely investigation, analysis, documentation, and follow up of adverse events, sentinel events, and high‑risk occurrences

Promotes and supports a Just Culture framework that supports transparency, accountability and learning

Delegates and oversees regulatory reporting

Knowledge of the Healthcare Environment

Demonstrates knowledge of corporate compliance laws and regulations (e.g. HIPAA, billing and coding practices, antitrust, conflict of interest, etc.)

Demonstrates an understanding of global healthcare issues, trends and perspectives (e.g. population health, insurance costs, malpractice crisis, healthcare workforce shortages, etc.)

Demonstrates an understanding of the regulatory and administrative environment in which the organization functions (e.g. Stark laws, accreditation, etc.)

Professional Expectations

Functions as the hospital’s Corporate Compliance Officer and Risk Manager

Maintains responsibility and oversight for the areas of Quality Management, Corporate Compliance, Risk Management, Utilization Management, Infection Control, Accreditation, Behavioral Health, and Occupational Health programs.

Serves as the chief spokesperson for patient grievance and patient satisfaction processes.

Coordinates hospital Ethics Committee activities, hospital safety program, and employee safety program.

Arranges for and provides education to medical and hospital staff regarding policies, standards, regulations, laws, current protocols, and best practice guidelines.

Collaborates with other executives in the organization in making decisions about health care services, settings, and…


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