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. Serving as a key advisor to executive leadership and the Board the Director sets vision and priorities, directs improvement initiatives, and ensures accountability, transparency, and sustainable results throughout the organization.

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; serving as a resource for Just and Accountable Culture principles; and promoting 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.
• 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.
• Fosters interdisciplinary collaboration to identify gaps in care, remove barriers, and implement evidence-based best practices that drive measurable improvement.
• Maintains alignment of 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 evidence-based practice adoption with physicians, nursing, and operations leaders.
• 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.

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.

Qualifications

• Clinical background.

Skills

• Strategic leadership.
• Expert consultation on quality systems, patient safety practices, and national performance standards.
• Leadership experience in acute care quality, patient safety, and/or performance improvement.
• High reliability skills training deployment and patient safety program.
• Overseeing the AH Reporting and Learning System; root cause analysis and action; rapid response to high-risk events; and proactive risk assessments.
• Facilitating multidisciplinary collaboration to identify gaps in care, remove barriers, and implement evidence-based best practices.
• Regularly monitoring, analyzing, and reporting organizational performance data.
• Aligning performance improvement initiatives with organizational goals and national benchmarks.
• Recruiting, mentoring, and developing Quality and Patient Safety staff.
• Promoting evidence-based practice adoption with physicians, nursing, and operations leaders.
• Partnership with System Quality and Patient Safety to oversee data systems that capture, analyze, and report quality, safety, and performance improvement outcomes.
• Partnership with System Quality and Patient Safety to ensure accurate and timely submission of required reports to internal committees, external registries, and regulatory agencies.
• Presentation of actionable insights and recommendations to leadership and the Board.

Benefits

• Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable.
• Medical and religious exemptions may apply.
• Adventist Health participates in E-Verify.

Pay

N/A

Schedule

N/A