VP of Quality and Risk Management

About the role

The Vice President of Quality & Risk Management is responsible for promoting high quality, patient-centered care by overseeing aspects of the Quality Management/Patient Safety Program(s) and Performance Improvement programs across complex organizations.

Responsibilities

• Drive facility-wide standardization in targeted process improvement initiatives and evaluate success through pre-established criteria and measurement tools.
• Manage project flow and alignment to ensure milestones and key performance indicators are met within defined parameters.
• Collaborate with all stakeholders to drive care excellence across a complex organization.
• Lead in strategy development for performance improvement through system thinking and safety science application across multiple service lines and care settings.
• Develop and implement policies, procedures, and objectives.
• Review and update the Quality Improvement Plan regularly.
• Develop, implement, and review goals, objectives, and priorities to ensure alignment with hospital strategic plans and compliance with federal, state, and local regulations and standards.
• Collaborate with facility leadership in establishment of operational performance measurements and targets, as well as the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency.
• Lead and oversee the quality department with responsibility for care excellence, disease specific care, risk management, patient safety, and other aspects of performance improvement across the facility.
• Effectively manage members of the quality department team.
• Develop and monitor the department budget.
• Perform regular analysis of facility quality and risk performance data and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality.
• Ensure effective execution of all activities concerning the achievement of continuous regulatory and survey readiness.
• Ensure strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
• Maintain oversight of Quality and PI software and reporting systems to meet internal and external reporting requirements and surveys.
• Absorb and analyze cases and outcome data and collaborate with physicians to promote and improve practice and optimal patient outcomes.
• Facilitate effective communication with facility and division leadership regarding key clinical performance improvement activities and initiatives.
• Serve as a technical advisor, educator, and internal consultant to all hospital management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications.
• Ensure the selection, retention, and assignment of qualified competent staff to meet organizational needs.
• Ensure management of department productivity and work prioritization.
• Coordinate with stakeholders and oversee the development of orientation and ongoing education to staff regarding quality and patient safety initiatives; promotes competency, compliance, and performance improvement.
• Coordinate with the Patient Safety Director for event analysis, FMEA development, proactive safety activities to support development of a culture of transparency and safety science.
• Ensure participation of hospital team members, medical staff, senior leaders, and GME programs, as applicable.
• Direct and lead activities of the Quality Committee of the Board in collaboration with facility leadership.

Requirements

• Current licensure as a Registered Nurse in the state of Tennessee or compact state required.
• Bachelor’s degree in nursing or health-related field required; Master’s degree in nursing or health-related field preferred.
• 3+ years of data analysis experience in a healthcare setting required.
• 4+ years of experience in healthcare quality/risk management with demonstrated leadership required.
• Certified Professional in Healthcare Quality (CPHQ) or Certification in Healthcare Quality Management (CHCQM) required or must be obtained within 1 year of hire.

Qualifications

• TriStar Summit is a 230+ bed comprehensive facility. We serve Davidson, Wilson and surrounding counties. We include a Level III Trauma Center. We offer a full array of acute care services. These include cardiology, oncology, orthopaedics/spine, rehabilitation and women’s services. We are an Accredited Chest Pain Center with PCI. We are a Primary Stroke Center. TriStar Summit is a leading provider of emergency heart and stroke care.

Skills

• Data analysis experience in a healthcare setting.
• Leadership in healthcare quality/risk management.
• Strategic planning and implementation.
• Project management and coordination.
• Quality improvement methodologies.
• Regulatory compliance and accreditation.
• Collaborative problem-solving and stakeholder engagement.
• Performance improvement tools and techniques.
• Statistical applications and analysis.
• Effective communication and leadership.

Benefits

TriStar Summit Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• Totally Matched 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Retailer discounts and loyalty programs.
• Preferred banking partnerships.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Pay

Compensation and benefits are competitive and commensurate with experience.

Schedule

Full-time position.