About The Position

Purpose & Scope: The Associate Vice President (AVP), Quality & Patient Safety serves as the organization’s Patient Safety Officer (PSO) and is responsible for leading, coordinating, and advancing the hospital’s quality, safety, performance improvement, and regulatory readiness strategies within the hospital and associated VHC Medical Group Practices.This executive leader partners closely with clinical, operational, nursing, medical staff leadership, and risk management to ensure delivery of safe, high-quality, patient-centered care aligned with CMS, Joint Commission, Leapfrog, and other regulatory and accreditation standards while supporting the hospital’s strategic objectives related to quality, safety, and patient experience. .The AVP reports to the Chief Medical Officer and works collaboratively with nursing, operations, service line leaders, and the medical staff.

Requirements

  • Master’s degree in Healthcare Administration, Nursing, or Public Health is required
  • Five years of healthcare, nursing, or patient care experience is required.
  • Demonstrated leadership ability is required.
  • Data interpretation/presentation experience is required.
  • Certified Professional in Healthcare Quality (CPHQ)
  • Executive presence and exemplary communication skills
  • Strong analytical capability
  • Ability to manage conflict in safety investigations
  • Systems thinking
  • Change management expertise
  • High emotional intelligence
  • Demonstrated success improving CMS Star Ratings and regulatory performance.
  • Deep knowledge of: CMS Conditions of Participation, Joint Commission standards, Quality measurement methodologies

Nice To Haves

  • Graduation from an accredited school of nursing is preferred.
  • Lean/Six Sigma certification preferred
  • Licensed as a Registered Nurse by the Virginia Department of Health Professions or Compact State Licensure in Nursing is preferred.

Responsibilities

  • Leading, coordinating, and advancing the hospital’s quality, safety, performance improvement, and regulatory readiness strategies
  • Partnering closely with clinical, operational, nursing, medical staff leadership, and risk management to ensure delivery of safe, high-quality, patient-centered care aligned with CMS, Joint Commission, Leapfrog, and other regulatory and accreditation standards
  • Supporting the hospital’s strategic objectives related to quality, safety, and patient experience
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