Chief Quality Patient Safety Officer

3 weeks ago


Hollywood FL, United States Memorial Healthcare System Full time

Summary: This leadership role is critical to the success in clinical outcomes in quality, performance improvement, patient safety and compliance with accreditation & licensure to ensure alignment with the mission, and pillars of the Memorial Healthcare System. Responsible for overseeing all quality improvement and driving quality results for the area of responsibility. Coordinates Medical Affairs Office operations and resources across MHS, working in collaboration with Hospital CMOs and medical affairs personnel. This role is considered a "hands on" position that is highly integrated into the operations of the healthcare system.

Memorial Healthcare System is one of the largest public healthcare systems in the United States. A national leader in quality care and patient satisfaction, Memorial has ranked 11 times since 2008 on nationally recognized lists of great places to work – in Modern Healthcare magazine, Florida Trend magazine and Becker’s Hospital Review, just to name a few.

Memorial’s facilities include its flagship, Memorial Regional Hospital, one of the largest in Florida; Memorial Regional Hospital South; Joe DiMaggio Children’s Hospital, the only freestanding children's hospital in Broward and Palm Beach counties; Memorial Hospital West; Memorial Hospital Miramar; Memorial Hospital Pembroke; and Memorial Manor, a US News five-star-rated nursing home.

Memorial’s work environment has been rated by employees and physicians alike as an open-door, inclusive culture that is committed to safety, transparency and, above all, outstanding service to patients and families.

Responsibilities: Serves as a senior physician leader for healthcare system initiatives related to care coordination and clinical effectiveness. Takes a leadership role in educating staff and physicians on key safety and quality issues. Acts as a resource as needed related to compliance with regulatory/accreditation standards. Oversees the development and implementation of policies and procedures that guide business processes, support the delivery of services, and ensure a culture of quality, safety, and satisfaction. Monitors and evaluates operations to ensure compliance with established professional, compliance, and organizational standards/requirements. Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Coordinates Medical Affairs Office operations and resources across MHS, working in collaboration with Hospital CMOs and medical affairs personnel. Serves as a senior physician leader for healthcare system initiatives related to, laboratory medicine, pharmacy and infection control. Assesses and reports quality indicator outcomes as appropriate to the facility and line of service. Designs education as needed to enable areas of responsibility to utilize and quality data. Leads or participates in key quality and safety activities to ensure that all federal, state, NCQA, Joint Commission and payor requirements are met including but not limited to, such as Code 15 reviews, Root Cause Analyses, FMEA's, QI registries or other activities as appropriate.

Education and Certification Requirements: Medical Doctor: Doctor of Medicine (Required) Medical Doctor License (ME LICENSE) - State of Florida (FL).

Work Experience: 10 years of experience in healthcare, including robust medical staff and physician leadership experience required. Relevant experience with Physician direct reports is highly desirable.

Other Information: Required ongoing clinical duties – at least 50% time commitment to clinical duties.

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