Chief Quality and Safety Officer

The Chief Quality and Safety Officer has system responsibility for quality, safety, quality reporting compliance, infection prevention and performance improvement related activities. Reporting to the President, VCU Medical Center, the individual in this role will work closely with senior leaders across the enterprise to continuously improve the quality and safety of care delivered to all Health System patients.
The Chief Quality and Safety Officer (CQSO) collaborates with senior leaders and other appropriate members in establishing and executing the systems strategic priorities around quality, safety, and performance improvement. The CQSO oversees and serves as the accountable chief champion and spokesperson for quality, safety, performance improvement system wide. With VCU Health System senior leadership, medical staff, and clinical areas, the CQSO deploys evidence-based medicine into clinical practice.
The Chief Quality and Safety Officer is responsible for leading efforts to educate VCUHS team members and execute priorities in the principles of performance improvement, safety, and high reliability, and will promote the incorporation of these principles into care delivery processes. The CQSO will work closely with VCUHS senior leadership to create an integrated quality and safety program crossing all clinical domains within VCU Health System.
Finally, this role ensures all VCU Health System clinical safety and quality protocols, policies and procedures both comply with and are aligned with the VCU Health Systems policies and procedures.  
 
 
Performance Expectation: Quality and Safety
 
Design, implement, evaluate, and refine the mission, vision, and strategic plans of VCUHS Safety and Quality Departments and Programs.
Ensure compliance with required reporting of quality and safety metrics to governmental and regulatory agencies.
Ensure that quality and clinical safety training programs are aligned with high reliability concepts, and are created, delivered, and managed according to internal and external guidelines.
Establish measurements for internal stakeholders and assure reporting of relevant quality and clinical safety metrics to all required external entities, including federal and state. 
Champion and lead quality and outcomes management initiatives across VCU Health that incorporate best practices, create efficiencies, reduce variation and decrease cost.
Guide and define methodologies for quality and clinical safety improvement.
Foster implementation of best practices for patient safety and quality.
Implement and lead evidence-based practice and programs to drive continual quality and clinical safety improvement.
Oversee the dissemination of meaningful clinical safety and quality reports to key stakeholders.
Closely collaborate with Health System leadership and clinicians while ensuring a multidisciplinary and organized approach to care practices.
Oversee identification and analysis of serious safety events and implementation of corrective actions.
Utilize systems thinking, human factors, complexity science, principles of epidemiology and performance improvement to prevent and mitigate risks to patients and team members.
Oversee the development and implementation of surveillance programs and databases that track hospital acquired infections (HAI) and other adverse outcomes.
Oversee the design and implementation of data-driven, cost-effective interventions to reduce HAIs and occupational exposures.
Ensure that quality and clinical safety programs and interventions are based on sound principles of epidemiology and offer meaningful potential to improve clinical outcomes and ideally, decrease costs.
Promote a culture that supports timely reporting of errors and near-miss events, open discussion of health care-associated failure events at all organizational levels, and the value of approaching these events as learning opportunities. 
Support quality education and consultation to patients, families, visitors and healthcare teams.
 
Demonstrate personal ownership and accountability for quality and clinical safety.
Support Health System reporting of events and near misses. Facilitate timely evaluation of clinical safety events and implement planned corrective actions.
Promote safe behavior within the VCU Health System; take caution to ensure that VCU Health System team members apply safe behaviors to their everyday work.
Establish a Health System environment in which staff are encouraged and supported to speak up for safety. Look beyond human and team behavior to consider problems with technology, policies, systems, and clinical environments as possible contributors to medical errors and adverse events. Proactively identify quality and safety problems and take effective action to address them.
 
Performance Expectation: Develop guidelines and procedures for the management of Safety and Quality leaders to ensure the mission and vision of VCUHS is supported and enhanced.
Supervise and evaluate quality leaders in collaboration with VCUHS business leaders.
Provide oversight/input into the quality and clinical safety performance of the clinical medical directors, in conjunction with the CMO.
Assist staff in developing awareness/appreciation skills to address cross-cultural issues.
 
Performance Expectation: Evaluate and advise senior leadership on the potential impact of proposed programs/strategies and regulatory action on quality and clinical safety at VCUHS.
Partner with VCUHS Leaders, to conceive, shape and drive effective initiatives to improve quality and clinical safety.
Foster an environment of continuous quality improvement, innovation, and agility.
Translate strategic and tactical business plans into effective clinical safety and quality initiatives.
Work candidly and collaboratively with VCHUS CEO and senior leadership team.
 
Performance Expectation: Able and willing to participate or lead special projects in support of VCUHS and the incumbents Department.
Education/training Required:
Medical degree (MD or DO)
 
Diversity, Equity, and Inclusion certification preferred
 
 
Required: 10 years of progressive leadership experience in a complex academic medical center or Council of Teaching Hospital member institution; or demonstrated quality leadership in a non-academic healthcare setting, but with a strong professional publication record.
Preferred: 15 years of related leadership experience to include executive level experience specific to functional area. 
 
Experience establishing mid- and long-term strategic and operational goals for quality and clinical safety that align with organizational goals.
Experience strengthening and reinforcing a culture of quality, clinical safety, and value across organizations.
Demonstrated and measurable track record of leading and significantly improving quality and clinical safety in a hospital/system by using efficient and lean methodology.
Experience in working with medical staff and all staff in areas of compliance, performance improvement, or clinical safety.
Demonstrated and measurable experience in improving physician engagement and developing quality leadership.
Demonstrated and measurable experience in strategic planning, team building, and financial stewardship.
Strong expertise in quality data metrics and the ability to translate data to actionable items.
Excellent written and verbal communication skills, computer proficiency, team building, relationship management, and conflict negotiation (problem-solving) skills.
Comprehensive knowledge and understanding of clinical effectiveness, evidence-based medicine, high reliability, and quality improvement tools and principles.
Proficiency in utilizing healthcare information systems and data analytics tools.
A commitment to fostering a cultural of continuous improvement, patient safety, and accountability.
 
Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.

 
Peer reviewed publications and/or professional presentations relevant to quality and safety strongly preferred.

 
General office environment
Required to car travel to off-site locations, occasionally in adverse weather conditions
Long-distance or air travel as needed - not to exceed 10% travel
Manual dexterity (eye/hand coordination), Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity near, Acuity far