Market Vp Quality

4 weeks ago

Glendale, United States California Hospital Medical Center Full time

**Overview**

The Market VP Quality & Infection Prevention role provides effective strategic vision, leadership and direction from a quality and patient safety perspective in the overall management of the Central Coast market and California region. The role collaborates with other leadership team members in the common goal of standardization, integration and enhancement of the continuum of services available within designated clinical area(s). Oversees the Market’s Performance Improvement, Patient Safety and Infection Prevention Plans, which identify opportunities for improved patient care and outcomes and reductions in harm, with the implementation of evidence
- based practices and high reliability organizational processes.

The Regional Director of Infection Prevention is accountable for the design and maintenance of a comprehensive infection prevention program and provides support in all infection prevention related activities. Provides leadership in defining, implementing and integrating acute and ambulatory care quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the market’s Operations and strategic direction. Provides leadership oversight for the market’s quality, patient safety, risk management/mitigation, infection prevention, accreditation/regulatory readiness, organizational compliance, policies and procedures and population health. Reports as directed to the Community Boards.

**Responsibilities**
**Essential Key Job Responsibilities**:

- Establishes performance improvement goals annually with relevant stakeholders. Ensures the Performance Improvement, Patient Safety, and Infection Prevention Plans and the hospital-focused projects for the year are implemented, and their effectiveness is evaluated annually to meet the market’s and region's goals and advancement. Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.
- Provides leadership in developing quality improvement, patient safety training, and infection prevention programs; coaches organizational clinical/service lines and operational/support departments in terms of quality improvement principles; Provides direction to the facility quality/infection prevention leadership.
- Oversees the facility process for the events reporting process, root cause analyses, investigations, and requests from the claims team (including management of subpoenas, Summons, and Complaints, and coordination of legal documents related to hospital liability).
- Participates in the national office initiatives and programs to mitigate risks in the region identified at other healthcare facilities, resulting in reduced costs, a decrease in adverse patient events/outcomes, and ultimately safer patient practices and care. Facilitates the advancement of High-Reliability Organizational work and patient safety efforts. Provides direction to the facility's patient safety and risk management leadership.
- Collaborates with the Medical Staff and Market/Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the market’s peer review program and ongoing and focused practitioner evaluation
- Provides leadership and oversight for accreditation, licensure, and regulatory survey readiness. This includes mock survey tracers to assess survey readiness, education to staff and providers on regulatory compliance, and identification of areas of opportunity and the corresponding actions for compliance at the facility level. Organizes required staff to develop responses to survey deficiencies and oversees response submissions to the appropriate accreditation or regulatory agency.
- Collaborates in advancing population health for the market. Actively promotes a culture of quality and safety throughout ambulatory care facilities. Focused on implementing evidence-based strategies to improve the patient care experience, healthy outcomes, and lower costs for identified patient populations.
- Strategize performance improvement initiatives that promote consistency in adoption and improved patient outcomes across facilities within the region
- Collaborate with facilities to verify accurate and timely submission of data to internal databases and external agencies
- Represent the region on strategic decisions and initiatives within the Infection Prevention Council and Supply Chain Standardization committees
- Collaborate with national, regional, and facility leaders to implement standardized Infection Prevention strategies within the region

**Qualifications**

**Education**:

- Bachelor’s degree required
- Masters trained preferred. Nursing or equivalent clinical degree preferred.

**Experience**:

- 5 years of administrative quality health care experience and relevant clinical experience required
- 3 years administra

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