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Executive Director Quality

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Providence

3mo ago

  • Job
    Full-time
    Expert Level
  • Healthcare
  • Orange

AI generated summary

  • You must have a Master's or clinical degree, 7 years in clinical leadership, 5 years in senior management, experience with quality programs, and strong strategic and interpersonal skills.
  • You will lead quality initiatives, enhance patient care safety and outcomes, implement efficient strategies, monitor trends, and coordinate clinical excellence across the service area.

Requirements

  • Master's Degree in Nursing, Public Health, Business Administration, Medical Management, or a related field; or M.D. or, D.O.; or equivalent educ/experience
  • Education/Experience Equivalencies - The position requires a leader with an advanced degree, clinical degree is preferred (MD, RN, DO)
  • Upon hire: California Registered Nurse License (preferred)
  • 7 years of experience Clinical Leadership
  • 5 years of senior Management experience in a large health care organization with responsibility for leading clinical quality improvement functions is required, including experience as a clinical leader with responsibility for clinical quality and clinical leadership development and education; experience in a complex, multi-site health system; experience with The Joint Commission accreditation and DNV processes and standards
  • The Executive Director Quality has highly-effective interpersonal skills and a motivational approach to leadership which will 1) create excitement for the potential associated with achieving a higher standard in clinical excellence; 2) leverage existing leadership, resources, knowledge base, and best practices, and 3) serve as a thought leader in conceptualizing, communicating, and delivering on the myriad opportunities associated with clinical excellence
  • Demonstrated competence in:
  • Developing and managing a quality program in a hospital setting
  • Program development and design of clinical care systems with measurable results
  • Service and clinical quality improvement
  • Clinical Risk Patient Safety program implementation
  • Infection Control
  • Tools development to support process improvement and clinical excellence
  • Care experience encompassing caregiver/culture and patient experience
  • Developing trusting relationships with physician and ministry leaders
  • Utilization of data and reporting to drive urgency for change and improvement
  • Understanding and communicating culture of safety program concepts and tools
  • Facilitating process improvement and clinical excellence
  • Understanding the drivers for and improving patient experience
  • Executing on strategic objectives at multiple ministries
  • A strong commitment to the mission of Catholic healthcare
  • A leader who strategically, politically, instinctively, and operationally understands and can communicate concerns and issues within a highly-matrixed organization.
  • A strategic systems thinker, accompanied by the orientation and presence to analyze and interpret complex data situations and relationships in a manner which envisions future delivery models/approaches. In addition, proven ability to partner with others in operationalizing highly conceptual and innovative health management strategies and achieving successful outcomes in the ministries in their service area

Responsibilities

  • Knows, understands, incorporates and demonstrates the Providence St. Joseph Health Mission, Vision and Core Values in leadership behaviors, practices and decisions. Inspires physicians and others to reflect the mission, vision, and core values.
  • Champions the continuous improvement of patient care to advance safety and quality outcomes, satisfaction, and efficiency initiatives across their service area and region.
  • Act as clinical dyad for their service area in southern California region
  • Develop and implement strategies to ensure cost effective, efficient care delivery for optimal quality, safety, experience outcomes.
  • Work with local ministries leadership to develop a cost effective structure and develop required services and governance to redesign care and improve clinical outcomes.
  • Create a compelling vision for clinical excellence and value that helps position PSJH as a leading provider in the region.
  • Coordinate with local efforts in regulatory compliance.
  • Assess and benchmark the current PSJH quality, safety, and clinical performance improvement processes, initiatives, resources, and outcomes against that vision.
  • Ensure that the operational and clinical systems, resources, and processes are in place to meet PSJH Quality and Patient Safety Goals. In this effort, deploy clinical program improvement across the ministries in the service area and region.
  • Identify and integrate best practices within and outside the system to create unified programs and knowledge-sharing tools that encourage front-line physician participation, engagement, and ownership in quality, safety, and clinical improvement initiatives and outcomes, as well as support the movement to value.
  • Coordinate, integrate, and communicate clinical excellence initiatives in a manner which values the contributions of physicians and staff currently working in the quality, safety, and clinical improvement arena, while ensuring consistency of outcomes across the service area and region.
  • Connect and integrate regional and facility-level resources in order to streamline systems and goals for effectively monitoring and reporting quality and safety in the ministries.
  • Ensure the existence of state-of-the-art scorecards and systems for tracking, evaluating, and communicating patterns in care delivery, patient safety, and health status.
  • Monitor patient safety data for trends, recommend changes, as appropriate, and interface with risk managers to support patient safety and clinical loss prevention strategies, including the provision of expert consultation for patient safety/clinical loss prevention issues, as appropriate.
  • Monitor care experience data for trends, recommend changes and support initiatives to improve care experience and reduction of grievances, supporting the cultural work related to caregiver experience.
  • Co-Lead with the Regional CQO all Clinical Effectiveness initiatives with a goal to decrease cost per case and improve care efficiency.
  • Participate in the on-going evolution of information systems for the purposes of tracking the effectiveness of quality and safety initiatives.
  • Participate in PSJH Clinical Council meetings representing service area in the Region, in collaboration with the Regional CQO.
  • Provides leadership and support for all clinical leaders in the acute care ministries in their service area, participate in MOR meetings to support their service area teams, as well as quality and improvement committees in their respective service area ministries.
  • In collaboration with CQO, provides leadership and direction in identifying, developing and refining region-wide patient safety, quality improvement and reporting systems in a manner which ensures quality measures are included, properly analyzed and reported in internal and external PH&S reports and documents.

FAQs

What educational qualifications are required for the Executive Director Quality position?

A Master's Degree in Nursing, Public Health, Business Administration, Medical Management, or a related field is required; alternatively, an M.D. or D.O. is acceptable.

Is clinical experience necessary for this role?

Yes, 7 years of experience in Clinical Leadership and 5 years of senior management experience in a large healthcare organization are required.

What is the primary reporting structure for this position?

The position reports to the Regional Chief Quality Officer (CQO) Southern California, with a dotted line report to the ministry Chief Medical Officer (CMO).

What kinds of functions will the Executive Director Quality be overseeing?

The role involves oversight for quality, performance improvement, analytics, clinical risk, patient safety, regulatory compliance, peer review, infection prevention, care experience, and patient grievances and complaints.

What programs or initiatives is the Executive Director of Quality expected to champion?

The Executive Director will champion continuous improvement in patient care, safety and quality outcomes, and efficiency initiatives across their service area and region.

Will the Executive Director Quality be involved in regulatory compliance?

Yes, the position includes coordinating and ensuring local efforts in regulatory compliance.

What is the work environment like for this position?

The position is on-site at St. Joseph Hospital in Orange, California.

What is the pay range for this role?

The pay range for the Executive Director Quality position is $70.31 - $122.95, with potential additional compensation available.

Are there specific patient safety programs that the Executive Director will be working on?

Yes, the role includes responsibilities related to patient safety programs, high reliability organizations (HRO), root cause analysis, and failure modes and effects analysis.

Does this role involve collaboration with other clinical leaders?

Yes, the Executive Director Quality is expected to provide leadership and support to all clinical leaders in the acute care ministries in their service area and participate in various quality and improvement committees.

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Providence

Science & Healthcare
Industry
10,001+
Employees
1856
Founded Year

Mission & Purpose

Every day, 119,000 compassionate caregivers serve patients and communities through Providence St. Joseph Health, a national, Catholic, not-for-profit health system, driven by a belief that health is a human right. Rooted in the founding missions of the Sisters of Providence and the Sisters of St. Joseph of Orange, courageous women ahead of their time who brought health care and other social services to the American West when it was still a rugged, untamed frontier, we share a singular commitment to improve the health of all. From our earliest days, we’ve met new challenges by pioneering new solutions. Today, with 51 hospitals, 829 clinics and a comprehensive range of services, we strive to meet the needs of communities across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington through a diverse family of Catholic, other faith-based and mission-driven secular organizations. Now, as we face a new frontier—a changing health care landscape—we draw upon their pioneering and compassionate spirit to plan for the next century of health for a better world, especially for the poor and vulnerable.

Culture & Values

  • Compassion

    We reach out to those in need and offer comfort as Jesus did. We nurture the spiritual, emotional and physical well-being of one another and those we serve. Through our healing presence, we accompany those who suffer.

  • Dignity

    We value, encourage and celebrate the gifts in one another. We respect the inherent dignity and worth of every individual. We recognize each interaction as a sacred encounter.

  • Justice

    We foster a culture that promotes unity and reconciliation. We strive to care wisely for our people, our resources and our earth. We stand in solidarity with the most vulnerable, working to remove the causes of oppression and promoting justice for all.

  • Excellence

    We set the highest standards for ourselves and our ministries. Through transformation and innovation, we strive to improve the health and quality of life in our communities. We commit to compassionate, safe and reliable practices for the care of all.

  • Integrity

    We hold ourselves accountable to do the right things for the right reasons. We speak the truth with courage and respect. We pursue authenticity with humility and simplicity.