Director, Quality & Outcomes


San Francisco, CA

Industry: Patient Care


5 - 7 years

Posted 291 days ago

  by    Robyn Hodge

This job is no longer available.

Role Overview

The Director of Quality & Outcomes (Q&O) is a highly visible, energetic, transformational leader who provides clinical, operational, and strategic leadership to propel Alameda Health System?s mission of caring, healing, teaching, and serving all. 


As the Director of Q&O, you will partner with organizational leaders to build reliable, integrated, clinical approaches for achieving excellence in system-wide quality and safety. As a strong clinical partner, you will focus on clinical delivery strategies that ensure patient-centered care and quality outcomes. You will standardize quality measurement, ensure compliance with regulatory quality programs, apply rigorous methodology and data-driven approaches for process improvement in clinical quality and support physician peer review. You will lead organizational quality committees, and develop effective channels to disseminate shared learning and best practices throughout AHS.


As a strategic quality leader, you will influence quality and outcomes across the continuum of care (acute, ambulatory, rehabilitation) and across clinical sites (multiple specialties, inpatient psychiatry, skilled nursing). Under the direction of the Vice President of Quality, and in collaboration with Risk, Accreditation, Infection Prevention & Control, and Analytics, you will spearhead continuous improvement in quality and outcomes at AHS.


  • Successfully reports and drives performance improvement in regulatory quality programs (core measures, IPPS, IQR, OQR, HACs, VBP, MACRA, TJC).
  • Collaborates with the medical staff and clinical departments to support physician peer review, OPPE, and FPPE and to lead systems quality improvement initiatives that address care gaps identified from these processes.
  • Standardizes best practices and reduces variation in clinical processes, particularly those that do not meet expectations of regulatory bodies such as The Joint Commission, CDPH, and CMS by leading quality improvement initiatives.
  • Inspires front line staff and organizational leaders by consistently demonstrating expertise in quality improvement methodology (IHI, Lean, Six Sigma, change management), standard work, data analysis and interpretation, and quality benchmarks described by leading authorities (AHRQ, NQF, CMS, TJC, FPSC, Vizient, etc.).
  • Tracks outcomes, disseminates data and designs dashboards, communicates shared learnings, and ensures sustainability of systems quality initiatives by chairing several high priority quality committees across facilities.
  • Directs the strategic use of Quality & Outcomes division resources to drive systems-wide clinical quality improvement for strategic priorities.
  • Actively coaches the health system staff and leaders how to continuously raise the standards of excellence in patient safety, quality, and patient experience by advocating for best practice and evidence-based medicine in patient care.
  • Partners with medical informatics to design safe, high quality workflows.
  • Develops long- and short-term business strategies and operational plans and monitors execution on key performance indicators laid out in Annual Plan for the Quality & Outcomes division.
  • Partners withother leaders to assure compliance with regulatory programs (CDPH, Title XXII, TJC, etc.) and readiness for accreditation surveys.
  • Fosters effective relationships within the hospitals and clinics, academic programs, medical and patient care staff, and with external agencies and stakeholders related to quality and safety initiatives.
  • Manages the division budget to meet fiscal requirements and achieve department goals
  • Creates healthy work environment for staff by recruiting talent, mitigating personnel performance gaps according to human resource guidelines, and mentoring the team.


Education: Master?s degree in relevant healthcare related field or Business Administration.

Experience: Five years?experience in quality program reporting, design and evaluation of quality improvement initiatives, Lean, Six Sigma, IHI, change management, patient safety, peer review and/or other related quality programs.

Experience with the Joint Commission, the California Department of Public Health and/or Title XXII requirements is preferred. Leadership experience as a nurse, advanced practice provider or physician is preferred.

Licenses/Certifications: Certified Professional in Healthcare Quality (CPHQ) is preferred.

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.