Vice President, Quality Management

The Vice President of Quality Management is responsible for the strategic development and implementation of Saint Joseph's Medical Center's Patient Safety and Quality Program. The quality program includes initiatives to maximize quality, improve patient safety, and mitigate risk.

In collaboration with the SJMC Senior Leadership Team, the Vice President of Quality and Risk functions as the Patient Safety Officer to develop and prioritize organizational quality initiatives to ensure that patient safety is integrated into all initiatives, whether clinical, operational, or related to improving the patient experience.

This position coordinates external regulatory surveys and data reporting to ensure organizational performance meets desired objectives.

• Serves as Patient Safety Officer.
• Promotes organizational understanding, communication, and coordination of Quality Management programs through the established quality committee structure, creating targeted work groups and ensuring state goals and objectives are met.
• Maintains and establishes indicators for monitoring and evaluating the quality and appropriateness of care and services.
• Assesses continuous improvement in monitored indicator activities.
• Monitors member satisfaction and directs initiatives for improvement while evaluating the effectiveness of interventions across the continuum of care.
• Serves as the primary contact for regulatory agencies and maintains awareness of regulatory requirements and updates.
• Develops and implements programs to improve safety and decrease risk.
• Provides primary support to the Risk Management Program, including claims management, insurance management, and regulatory reporting.
• Provides oversight of the Corporate Compliance Program, ensuring adherence to federal and state compliance requirements.
• Serves as a role model and leader to colleagues and staff throughout the organization.
• Represents the organization internally and externally as required.

• Works with leadership in organizational operations, quality, etc.
• Serves on the Audit Committee, Quality Assessment and Performance Improvement Subcommittee, Performance Improvement Safety Council, and Radiation Safety Committee.
• Has authority to retain, direct, and approve compensation of defense counsel.
• Conducts analyses to identify patterns that could result in compensable events.
• Responds to the needs of the Medical Staff and department heads regarding Risk Management.
• Develops and implements facility policies and procedures affecting liability exposure.
• Selects and utilizes consulting services, brokers, carriers, and related resources.
• Provides summary reports for incidents, claims, reserves, and claim payments.
• Complies with state and federal laws, regulations, and reporting requirements related to patient care, patient safety, and investigations.
• Reviews contracts and agreements for compliance with Saint Joseph's Medical Center insurance specifications.
• Works with defense counsel by providing required information, data, materials, and policies for active and potential claims.
• Reports and prepares written reports for the New York Patient Occurrence Reporting and Tracking System (NYPORTS).
• Prepares reports and provides NYPORTS data for the Quality Assessment and Performance Improvement Subcommittee.
• Reviews occurrence reports and prepares summaries for the Environment of Care and Audit Committees.
• Provides in-service education for facility staff.
• Reviews medical records for areas of potential liability exposure.
• Reviews occurrence reports and other reporting tools for patterns and trends that could result in compensable events.
• Manages the Institutional Review Board (IRB) as it relates to facility policies and legal requirements.
• Develops and implements facility policies and procedures to meet legal requirements.

• Manages reporting procedures, system maintenance, claim investigations, reserve establishment, legal counsel selection, claimant communications, settlements, and actuarial services.
• Ensures compliance with Medicare and Medicaid regulations related to claim settlements.
• Manages federal Section 111 SCHIP reporting for Medicare Secondary Payer requirements.
• Reports claims information to the Audit Committee.
• Directs investigative activities.
• Directs claims handling and defense preparation with attorneys and insurers.
• Projects future costs related to losses, insurance, and other risk management activities.
• Manages and resolves claims within the self-insured program in collaboration with the Chief Financial Officer, President & CEO, and Board of Trustees when applicable.

• Maintains familiarity with insurance markets.
• Plans, coordinates, and administers a comprehensive insurance program, including purchasing, consulting, self-insurance administration, and claims handling (excluding Workers' Compensation).
• Prepares data for brokers and carriers and manages insurance claims through settlement.
• Prepares specifications for competitive bidding and…