Network Director, Quality & Patient Safety

About the role

Provides strategic leadership to advance organizational excellence in safety, quality, performance, and clinical outcomes. Oversees programs that prevent harm, strengthen a culture of high reliability, promote continuous learning, and drive measurable performance improvement across the organization. Partners with executive leadership, physicians, clinical staff, and system-level teams to deliver a unified approach to patient safety, performance improvement, and quality outcomes.

Responsibilities

• Promotes integrity, transparency, and continuous improvement in organizational performance.
• Champions the Patient Safety Plan, Patient Safety Program, and Safety Event Review Team.
• Led deployment of high reliability skills training and patient safety programs.
• Oversight of the AH Reporting and Learning System; root cause analysis and action; rapid response to high-risk events; and proactive risk assessments.
• Fosters a culture of safety by overseeing the Culture of Safety Survey results and action plans; serves as a resource for Just and Accountable Culture principles; and promotes health equity, patient and family engagement in safety, the Communication and Resolution Program and the Care for the Caregiver program.
• Develops and monitors safety goals and associated metrics, including the aspirational goal of zero preventable harm.
• Prioritizes and directs improvement projects to drive results.
• Assists Regulatory and Accreditation leaders to promote continuous readiness for accreditation and regulatory surveys.
• Leads QAPI and other organization-wide performance improvement initiatives.
• Establishes structures, processes, and accountability mechanisms that ensure consistent application of performance improvement methods across departments and service lines.
• Advances Lean, Six Sigma, and other performance improvement methodologies by delivering training, coaching leaders and staff, and overseeing the execution of improvement projects from design through sustainability.
• Facilitates multidisciplinary collaboration to identify gaps in care, remove barriers, and implement evidence-based best practices that drive measurable improvement.
• Maintains regular monitoring, analysis, and reporting of organizational performance data to identify trends, benchmark against national standards, and inform executive decision-making.
• Aligns performance improvement initiatives with organizational goals and national benchmarks.
• Recruits, mentors, and develops Quality and Patient Safety staff to build internal expertise and leadership pipelines.
• Promotes interdisciplinary collaboration with physicians, nursing, and operations leaders to drive evidence-based practice adoption.
• Presents actionable insights and recommendations to leadership and the Board, driving accountability for results.

Requirements

• Education and Work Experience: Bachelor's degree in Health Care Administration, Nursing, Public Health, or related field or equivalent combination of education/related experience.
• Seven years' of health care or related experience.
• Five years' leadership experience in quality, patient safety, performance improvement, or healthcare administration.
• Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) certification or Lean Six Sigma Green Belt: Required within two years of hire.
• Certified Professional in Healthcare Quality (CPHQ) or CPPS or Lean or Six Sigma Green Belt (LGB): Required.

Qualifications

Required: Bachelor's degree in Health Care Administration, Nursing, Public Health, or related field or equivalent combination of education/related experience. Seven years' of health care or related experience. Five years' leadership experience in quality, patient safety, performance improvement, or healthcare administration. Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) certification or Lean Six Sigma Green Belt: Required within two years of hire. Certified Professional in Healthcare Quality (CPHQ) or CPPS or Lean or Six Sigma Green Belt (LGB): Required.

Skills

Expert consultation on quality systems, patient safety practices, and national performance standards. Champions integrity, transparency, and continuous improvement in organizational performance. Leads deployment of the Patient Safety Plan, Patient Safety Program, and Safety Event Review Team. Directs high reliability skills training deployment and patient safety program, including oversight of the AH Reporting and Learning System; root cause analysis and action; rapid response to high-risk events; and proactive risk assessments. Fosters a culture of safety by overseeing the Culture of Safety Survey results and action plans; serves as a resource for Just and Accountable Culture principles; and promotes health equity, patient and family engagement in safety, the Communication and Resolution Program and the Care for the Caregiver program. Develops and monitors safety goals and associated metrics, including the aspirational goal of zero preventable harm. Prioritizes and directs improvement projects to drive results. Assists Regulatory and Accreditation leaders to promote continuous readiness for accreditation and regulatory surveys. Provides leadership for QAPI and other organization wide performance improvement initiatives designed to reduce preventable harm, improve patient outcomes, streamline workflows, and optimize operational efficiency. Establishes structures, processes, and accountability mechanisms that ensure consistent application of performance improvement methods across departments and service lines. Advances Lean, Six Sigma, and other performance improvement methodologies by delivering training, coaching leaders and staff, and overseeing the execution of improvement projects from design through sustainability. Facilitates multidisciplinary collaboration to identify gaps in care, remove barriers, and implement evidence-based best practices that drive measurable improvement. Regularly monitors, analyzes, and reports organizational performance data to identify trends, benchmark against national standards, and inform executive decision-making. Aligns performance improvement initiatives with organizational goals and national benchmarks. Recognizes and celebrates achievements to reinforce a culture of continuous improvement and accountability. Recruits, mentors, and develops Quality and Patient Safety staff to build internal expertise and leadership pipelines. Fosters interdisciplinary collaboration with physicians, nursing, and operations leaders to drive evidence-based practice adoption. Partners with system and facility leaders to deliver education on quality and safety standards. Partners with System Quality and Patient Safety to oversee data systems that capture, analyze, and report quality, safety, and performance improvement outcomes. Partners with System Quality and Patient Safety to ensure accurate and timely submission of required reports to internal committees, external registries, and regulatory agencies. Presents actionable insights and recommendations to leadership and the Board, driving accountability for results.

Benefits

The estimated base pay for this position is $153,251 to $229,877. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Pay

The estimated base pay for this position is $153,251 to $229,877.

Schedule

Shift Length: 8 Hours