Position Summary Under the strategic leadership of the Vice President of Quality and Patient Safety, the Director of Quality and Performance Improvement leads hospital-wide initiatives that ensure high-quality, safe, and effective patient care. This leader drives clinical quality, peer review, and performance improvement programs while partnering with physicians, nursing, and administrative teams to foster a culture of safety, accountability, and continuous improvement across the organization. [
As a successful candidate, you will: - Lead the hospital's clinical quality program, ensuring alignment with regulatory and accreditation standards
- Monitor and improve key hospital quality indicators such as mortality, readmissions, and patient safety outcomes
- Partner with physician and nursing leadership to implement evidence-based care practices
- Oversee quality data collection, validation, and reporting to regulatory agencies
- Direct medical staff peer review processes and ensure compliance with Joint Commission standards
- Lead performance improvement initiatives using methodologies such as Lean, Six Sigma, and PDSA cycles
- Facilitate interdisciplinary teams to address patient safety events and drive measurable improvements
- Develop and present quality dashboards, scorecards, and insights to executive leadership
- Collaborate with risk and patient safety teams to support a culture of transparency and safety
- Serve as a strategic advisor to senior leadership and drive organization-wide quality initiatives
Your qualifications should include: - Bachelor's degree in Nursing, Healthcare Administration, Public Health, or related field (RN required)
- 5+ years of progressive leadership experience in hospital quality, performance improvement, or clinical operations
- Expertise in peer review, OPPE/FPPE, and hospital regulatory compliance
- Strong knowledge of quality metrics, data analytics, and performance improvement methodologies
- Experience with Lean, Six Sigma, or similar frameworks
- Advanced analytical, communication, and leadership skills
- Proven ability to influence physicians and senior stakeholders
- Master's degree (MHA, MPH, MSN, MBA, or related) preferred
- Certifications such as CPHQ or Lean Six Sigma preferred
Additional Information: Job Status: Full time, exempt
City of Hope employees' pay is based on the following criteria: work experience, qualifications, and work location.
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