Vice President of Quality and Clinical Excellence
: Job Details :

*Job Description*OverviewThe Vice President of Quality and Clinical Excellence is responsible for the vision and development of anexecutable plan to attain exemplary patient safety & quality processes and procedures across the ARH HealthSystem. Bringing patient and clinical safety expertise, he/she will partner to identify opportunities for short- andlong-term gains in standardization, reduction of variability and adherence to best practices. This leader sharesaccountability with clinical and operational leaders to achieve safe, high-quality outcomes as measured byinternal and external KPIs and reports. The individual in this role will identify opportunities to optimizeperformance, build internal competencies and create a rigorous System approach to safety and clinical quality.The establishment of a culture of ownership, responsibility, and accountability will be a foundationalcharacteristic for this role. He/she maintains strong positive relationships with team members, medical staff,senior leaders, and patients.*Responsibilities*Effectively develops, executes, monitors and adjusts the organization's long- and short-term strategic plansrelevant to the role:−Patient Safety−High Reliability Organization (HRO)−Quality Management−Public reporting programs related to clinical quality and patient experience*Oversees and directly participates in the execution of the Patient Safety/HRO plan:**−Identifies and incorporates effective elements of a contemporary Quality and Patient Safety program into the**ARH program and standards.**−Establishes and incorporates safety and HRO training as appropriate and in partnership with Human Resources**and other key stakeholders. Audience for the curriculum includes all levels of leadership, team members and**providers.**−Collaborates with the Data Science team and subject matter experts to identify, analyze and report relevant**data with actionable insights**−Incorporates best practices for building and sustaining a fair and just culture of safety and performance**excellence**−Identifies and supports high priority patient safety initiatives across the continuum of care**−Assesses program/initiative effectiveness and reports routinely to senior leadership regarding progress, risks**and barriers*Oversees and directly participates in the execution of the Quality Management & Patient Safety plan:−Establishes standards and coordinates individual departmental Performance Improvement Plans−Serves as an expert resource for Quality Management related metrics, definitions, dashboards and reports.Including but not limited to ARH's clinical benchmarking databases and dashboards.−Demonstrates a relentless pursuit of excellence and an ability to motivate others through highly developedinfluential leadership skills.−Maintains a current and expert knowledge of external, publicly reported measures of quality. Includingmethodology, results and best practices for improvement.−Coordinates quality improvement efforts across business units, the continuum of care and shared systemdepartments for the purposes of alignment, synergy and effectiveness.−Oversees ARH's public reporting programs including data abstraction and submission to CMS, Accreditingagencies, and specialty registries. Coordinates responses and established strategies for improvement related toquality and patient safety surveys (e.g. Leapfrog and HRIP, CMS Stars Rating).−Ensures compliance with CMS, State and Accrediting agency requirements related to the provision oftransparent information to the governing body.−Engages and advises senior leadership in matters related to quality management risks, opportunities and plansfor improvement.*Participates in annual budgeting process. Monitors and adjusts expenditures to manage within the approved**departmental budget.*Evaluates, coaches, mentors and manages the workforce for optimal individual and team contribution*Other managerial duties (recruitment, hiring, evaluations, departmental policy development, etc.)*Complies with all ARH System policies, standards of work and code of conduct*Performs other duties as assigned** Complies with all policies and standards*Qualifications**Education*7-10 years of progressive quality improvement experience and a minimum of 5 years ofprogressive managerial experience in healthcare is required*Knowledge, Skills and Abilities*Comprehensive understanding of performance improvement, quality assessment, regulatory and risk management, patientsafety, and program management.Quality experience in a healthcare system ( including hospitals, clinics and home health) is highly preferred.Knowledge and experience with managing performance improvement teams and workgroups.Experienced in financial and data analysis; national, state, and local quality improvement initiatives, regulations, andaccreditation requirements.Demonstrated experience and knowledge of CMS and state and federal healthcare regulations, RequiredDemonstrated ability to improve publicly reported rankings that measure quality and patient safety.Familiar with quality improvement tools and techniques (PDSA, Lean Thinking, Six Sigma, robust process improvement, etc.).Experience in fair and just culture programs.Extensive knowledge and experience with public reporting, pay-for-performance, national quality improvement initiatives andperformance trends, APR DRGs, coding optimization, third-party payor requirements related to quality indicators, and regulatorystandards DNV, CMS, etc.).*Licenses/Certification*Registered Nurse (RN) - single state or compact RN PreferredCertified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Quality (CPHQ) Required#IND1Job Type: Full-timeBenefits:* 401(k)* Dental insurance* Employee discount* Health insurance* Health savings account* Life insurance* Paid time off* Professional development assistance* Retirement plan* Tuition reimbursement* Vision insuranceAbility to Relocate:* Hazard, KY 41701: Relocate before starting work (Required)Work Location: In person