Associate Vice President Quality/Patient Safety Officer

Purpose & Scope

The Associate Vice President (AVP), Quality & Patient Safety serves as the organization’s Patient Safety Officer (PSO) and is responsible for leading, coordinating, and advancing the hospital’s quality, safety, performance improvement, and regulatory readiness strategies within the hospital and associated VHC Medical Group Practices. This executive leader partners closely with clinical, operational, nursing, medical staff leadership, and risk management to ensure delivery of safe, high-quality, patient-centered care aligned with CMS, Joint Commission, Leapfrog, and other regulatory and accreditation standards while supporting the hospital’s strategic objectives related to quality, safety, and patient experience.

About the Role

This is a pivotal executive role with system-wide influence, driving the strategy that ensures every patient experience reflects the highest standards of quality and accountability. Reporting to the Chief Medical Officer, the AVP partners closely with nursing, medical staff, operations, service line leaders, and risk management to translate vision into measurable results.

Responsibilities

• Translate vision into measurable results through collaboration with nursing, medical staff, operations, service line leaders, and risk management.
• Set the direction for enterprise-wide quality and safety initiatives aligned with CMS Conditions of Participation, Joint Commission standards, Leapfrog measures, and national benchmarks.
• Elevate performance in CMS Star Ratings, accreditation readiness, clinical outcomes, and patient experience.
• Ensure delivery of safe, high-quality, patient-centered care aligned with CMS, Joint Commission, Leapfrog, and other regulatory and accreditation standards.
• Support the hospital’s strategic objectives related to quality, safety, and patient experience.

Requirements

• Master’s degree in Healthcare Administration, Nursing, or Public Health is required.
• Graduation from an accredited school of nursing is preferred.
• Five years of healthcare, nursing, or patient care experience is required.
• Demonstrated leadership ability is required.
• Data Interpretation/presentation Experience Is Required.
• Certified Professional in Healthcare Quality (CPHQ) Lean/Six Sigma certification preferred.
• Licensed as a Registered Nurse by the Virginia Department of Health Professions or Compact State Licensure in Nursing is preferred.

Qualifications

• Executive presence and exemplary communication skills.
• Strong analytical capability.
• Ability to manage conflict in safety investigations.
• Systems thinking.
• Change management expertise.
• High emotional intelligence.
• Demonstrated success improving CMS Star Ratings and regulatory performance.
• Deep knowledge of CMS Conditions of Participation, Joint Commission standards, Quality measurement methodologies.

Skills

• Strategic foresight.
• Regulatory expertise.
• Leadership ability.
• Data interpretation/presentation experience.
• Systems thinking.
• Change management expertise.
• Emotional intelligence.
• Improving CMS Star Ratings and regulatory performance.
• Knowledge of CMS Conditions of Participation, Joint Commission standards, Quality measurement methodologies.

Benefits

VHC Health offers a comprehensive benefits package, including medical, dental, and vision coverage (subject to eligibility requirements), as well as additional wellness and retirement benefits designed to support our employees and their families.

Pay

No portion of compensation is considered earned until it is vested and determined in accordance with the terms of applicable policies and benefit plans. The availability and amount of any bonuses, incentives, or other benefits are subject to the terms of those plans and may be modified at the sole discretion of VHC Health, in accordance with applicable law.

Schedule

VHC Health maintains a drug-free workplace. The unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited at all VHC Health locations.