Associate Chief Quality Officer, Warner Robins & Perry

Emory • Warner Robins, GA

1d • Hybrid

About The Position

Emory Healthcare (EHC) is seeking a board-certified physician leader to serve as Associate Chief Quality Officer (ACQO) at Emory Hospital Warner Robins (EHWR). This physician executive will lead quality and patient safety initiatives while maintaining a small clinical practice. The Associate Chief Quality Officer provides leadership for quality management, regulatory compliance, and performance improvement initiatives across EHWR, comprised of 2 hospitals with 237 staffed beds. Working closely with the EHC Chief Quality Officer and the EHWR Chief Medical Officer, the ACQO will lead initiatives to improve clinical outcomes, patient safety, infection prevention, and publicly reported quality metrics. This position will be structured with a ~0.8 Leadership / ~0.2 Clinical FTE split.

Requirements

• MD or DO with an active board certification in any medical specialty
• Minimum 3 years of progressive leadership experience in healthcare quality
• Experience implementing quality improvement or patient safety initiatives
• Medical degree from an accredited institution; board certification in medical specialty
• Three (3) years of progressive leadership in healthcare quality related position
• Experience with the design and implementation of quality, performance improvement and patient safety efforts in a complex health system
• Change management skills
• Strong team building ability: effectively able to motivate, engage and encourage team participation
• Knowledge of patient safety field and/or hospital flow and efficiency
• Strong analytical/problem-solving, critical thinking, and idea-generating ability
• Experience in working collaboratively with clinical leadership
• Excellent communication and interpersonal skills
• Self-directed and motivated

Nice To Haves

• Experience within a complex health system
• Knowledge of regulatory and accreditation standards
• Leadership experience in physician executive, medical director, or hospital leadership roles
• Strong analytical, communication, and change management skills

Responsibilities

• Lead hospital-based quality improvement and patient safety programs
• Implement Emory Healthcare’s Quality and Patient Safety (QPS) strategic initiatives
• Partner with clinical departments and hospital leadership to drive improvement initiatives
• Monitor performance metrics tied to CMS programs, value-based purchasing, and public reporting
• Ensure readiness for Joint Commission and regulatory surveys
• Investigate adverse events, including Root Cause Analyses and Failure Mode and Effects Analyses
• Participate in hospital and health system committees related to quality and safety
• Provides leadership and support in the oversight for all aspects of quality and patient safety for their assigned facility.
• Provides oversight and administration of OU entity quality management, performance improvement, and regulatory compliance activities, to achieve Emory Healthcare (EHC) goal of clinical excellence
• Collaborates with the EHC CQO, EHI, Inc., Office of Quality to execute the EHC QPS plan and EHC strategic priorities by using methodologies of improvement to drive improvements of clinical and process outcomes related to patient safety, infection prevention, and other key quality performance metrics that are used to determine incentive and potential penalties as measured by CMS, private payers, and public benchmarking of EHC performance
• Helps develop, plan, coordinate, and implement strategic and day-to-day quality (clinical improvement) programs across Emory Healthcare
• Collaborates with local hospital operating unit leaders and EU academic departments to ensure integration of clinical quality management, regulatory compliance, patient safety, and risk management efforts across EHC
• Manages the Quality & Patient Safety staff in adherence with EHC policies and standards with the responsibility for hiring, development, coaching, mentoring and performance management of staff
• Participate in organizational committees at both the hospital and system committees as assigned or needed
• Anticipate national trends and initiatives in performance improvement, clinical quality, health care informatics, and the use of clinical technology for improvement efforts
• Ensures OU entity implements and are well positioned for local, state and national clinical regulatory programs, value-based purchasing methodologies, and comparison ratings
• Proactively reviews key metrics and identifies trends
• Review them with hospital leaders
• Identify opportunities for improvement and drive improvement
• Helps provide direction regarding regulatory standards and compliance: regulatory body hospital-wide review/surveys (the Joint Commission, DCH, etc.) as well as surveys for disease-specific certifications.
• Promote actions to achieve compliance with all relevant city, state and federal laws, government regulations, accrediting agency standards, and health system policies
• Facilitate the dissemination, communication, and implementation EHC policies and procedures
• Partners with IPC leaders to implement EHC IPC strategy and provide leadership of the Infection Prevention program and efforts at OU entity
• Leads and facilitates the patient safety efforts at OU entity in partnership with the Director, Quality & Patient Safety and OU entity leadership.
• Lead or facilitate cause, apparent, or common cause analysis , and FMEA.
• Investigate all major adverse events
• Participate and/or lead patient safety debriefs
• Apprise OU CMO or OU CQO of all major significant events
• Facilitate the investigation of all significant adverse patient events, including complaints/grievances in partnership with patient advocates in a timely (per regulatory requirements)
• Lead, participate and/or facilitate the RCA meeting
• Monitor plans of correction overseen and directed by the responsible party of the plans of correction
• Partners with the risk management team to help facilitate risk management strategies to promote patient safety.
• Provides leadership and input of clinical quality data strategy for improvements in collaboration with data analytics team and information technology team
• Maintain physician credentialing, recredentialing, and to meet regulatory performance evaluations

Benefits

• Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
• EHC will provide reasonable accommodation to qualified individuals with disabilities upon request.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior