Associate Vice President Quality, Safety and Regulatory

## Associate Vice President for Quality, Safety and Regulatory Apply:
Hybrid 3-4 Working Caregiver (Onsite 3 - 4 days):
Worcester, MA University Campus:
Full time:
Posted Yesterday:
R#
** Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health?  to apply through your Workday account.
**** Exemption Status:
** Exempt
* * Hiring Range:**$ - $(based on a full time schedule of 40 hours per week).Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.
** Schedule Details:
** Monday through Friday
** Scheduled

Hours:

** 40
* * Shift:
** 1 - Day Shift, 8 Hours (United States of America)
*
* Hours:

** 40
* * Cost Center:
** 10030 - 6212 Office Quality Patient Safety This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.# #
** Everyone Is a Caregiver
** At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

Reporting to the Chief Quality Officer, the Associate Vice President for Quality, Safety and Regulatory (AVP QSR) works collaboratively with the UMMMC/UMMMG Center for Quality and Safety (CQS) leadership team to develop and oversee the implementation of the quality and safety strategy for UMMMC and UMMMG. The AVP QSR will create and maintain a structural framework and manage systems supporting innovative, quality, safety, regulatory and accreditation processes for ongoing sustained improvement, ensure compliance with public reporting and licensing regulations set forth by external agencies such as Centers for Medicare and Medicaid, Joint Commission, and the Massachusetts Department of Public Health;

provide leadership and coaching to the Quality, Safety and Regulatory Directors and serve as a resource to those who have similar departmental responsibilities within the Medical Center and enhance collaboration of quality and safety work across the system. The AVP QSR works with the Director(s) and members of the CQS team to promote a safety culture that supports UMMMC caregivers as well as improving clinical outcomes and reducing patient and caregiver harm.
** I. Major Responsibilities:
** 1. Design and continuously enhance system readiness for The Joint Commission or other accreditation organizations regarding compliance, survey readiness and self-assessments, including tracer rounds with defined tools and processes that include feedback from the patient and/ or family, rounds with Senior leadership, and other unit/service specific tracers. Ensures systems to export tracer and other data is automated and standardized for efficient follow up.2. Works collaboratively to establish Quality and safety goals that meet or exceed national standards.
3. Evaluate and improve standard work processes and widespread communication for quality and safety improvements that support the organization’s Strategic plan. Focus includes but not limited to; SAFER Teams, Zero Harm Journey, Diversity Equity Inclusion and Belonging, and the Culture of Safety.
4. Create internal and external support networks to connect departmental and facility specific quality,…