This position is incentive eligible.
Job Summary and QualificationsThe Vice President, Quality promotes high quality, patient-centered care by overseeing aspects of the Quality Management/Patient Safety Program(s) and Performance Improvement programs across complex organizations (multi-site campus, service lines). The Vice President ensures the facilitation and utilization of diverse strategies and communication for quality and performance improvement, providing an integrated framework for monitoring, evaluating, and improving quality of care. The Vice President promotes performance improvement to drive care excellence and oversees the hospital regulatory and accreditation program.
What you will do in the role:- Drives facility-wide standardization in targeted process improvement initiatives and evaluates success through pre-established criteria and measurement tools. Manages project flow and alignment to ensure milestones and key performance indicators are met within defined parameters.
- Collaborates with all stakeholders to drive care excellence across a complex organization. Leads in strategy development for performance improvement through system thinking and safety science application across multiple service lines and care settings.
- Develops and implements policies, procedures, and objectives. Reviews and updates the Quality Improvement Plan regularly. Develops, implements, and reviews goals, objectives, and priorities to ensure alignment with hospital strategic plans and compliance with federal, state, and local regulations and standards.
- Collaborates 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.
- Leads and oversees 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 manages members of the quality department team.
- Develops and monitors the department budget.
- Performs 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.
- Ensures effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
- Maintains oversight of Quality and PI software and reporting systems to meet internal and external reporting requirements and surveys. Assists with selection and installation of software applications.
- Monitors completeness, accuracy, and validity of quality files on medical staff and advance practice professionals.
- Participates as an active member of peer review committees; analyzes cases and outcome data and collaborates with physicians to promote and improve practice and optimal patient outcomes.
- Collaborates with division and corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level. Facilitates effective communication with facility and division leadership regarding key clinical performance improvement activities and initiatives.
- Serves 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.
- Ensures the selection, retention and assignment of qualified competent staff to meet organizational needs. Ensures management of department productivity and work prioritization.
- Coordinates with stakeholders and oversees the development of orientation and ongoing education to staff regarding quality and patient safety initiatives; promotes competency, compliance, and performance improvement.
- Coordinates with the Patient Safety Director for event analysis, FMEA development, proactive safety activities to support development of a culture of transparency and safety science. Ensures participation of hospital team members, medical staff, senior leaders, and GME programs, as applicable.
- Directs and leads activities of the Quality Committee of the Board in collaboration with facility leadership.
- Performs other duties as assigned.
- Practices and adheres to the "Code of Conduct" and "Mission and Value Statement."
What qualifications you will need:- (CPHQ) Certified Professional in Healthcare Quality
- Bachelors Degree in nursing or health-related field required
- Masters Degree in nursing or health-related field preferred
- 3+ years data analysis in a healthcare setting required
- 4+ years experience in healthcare quality/risk management with demonstrated leadership required
As a
full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years. We are dedicated to providing comprehensive, quality care, close to home. Our Women's Center offers high-risk OB care, a
Level III NICU, and pediatric services. We have an advanced Brain & Spine Center, which includes a DNV Comprehensive Stroke Center and the Sleep Center of Excellence. Our Orthopedic Center offers total joint replacement surgery using advanced technology. Other services include innovative and customized cardiovascular services, including open heart and vascular surgery and state-of-the-art imaging and endoscopy services for more accurate diagnosis and treatment plans. We are also a
Certified Level I Stroke Center and an Accredited Chest Pain Center. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
If this is the kind of dynamic growth opportunity that compels you, apply for the Vice President of Quality role. We are interviewing apply today!
