CHIEF OF QUALITY AND SAFETY (Repost)

State of Maryland•Howard, MD

14d•Onsite

About The Position

This position supports the mission and vision of Clifton T. Perkins Hospital Center (CTPHC) by providing executive leadership, strategic oversight, and system-wide coordination of the hospital’s Quality, Safety, and Performance Improvement infrastructure. This position ensures that quality assurance, performance improvement, risk management, patient safety, and environment of care programs are effectively integrated across all service lines in alignment with federal, state, and accreditation standards (e.g., The Joint Commission and OHCQ). This position champions a culture of safety, accountability, and continuous learning, ensuring that care delivery systems within CTPHC uphold the highest standards of clinical excellence, patient rights, and patient safety. This position develops, implements, and monitors data-driven quality initiatives to reduce risk, improve patient outcomes, and advance the hospital’s journey toward high reliability and zero harm. Key areas of accountability include: Oversight and coordination of Quality Assurance, Performance Improvement, Risk Management, Patient Safety, and Environment of Care programs. Leadership of survey readiness, accreditation compliance, and regulatory response activities. Facilitation of root cause analyses, failure mode and effects analyses, and other quality methodologies to proactively identify and mitigate risk. Collaboration with interdisciplinary leadership to ensure safe, therapeutic, and recovery-oriented care for individuals adjudicated as Not Criminally Responsible (NCR) or Incompetent to Stand Trial (IST). This position receives managerial supervision from the Chief Executive Officer and serves as a strategic advisor to the hospital’s Executive Leadership Team, Quality Council, and governing bodies on all matters related to patient safety, quality performance, and regulatory compliance. CTPHC is looking for candidates with a working knowledge of Joint Commission standards, CMS Conditions of Participation, and state regulatory requirements; demonstrated experience leading Root Cause Analyses (RCA), Failure Mode and Effects Analysis (FMEA), and Performance Improvement (PI) initiatives; experience managing incident reporting systems and monitoring corrective actions; familiarity with infection prevention principles, risk management processes, and data-driven quality improvement methods (e.g., PDSA cycles, Lean, or Six Sigma); and, excellent written and verbal communication skills for reporting, staff education, and collaboration with regulatory and clinical partners. CTPHC is also looking for candidates who possess experience in quality, safety, or performance improvement in a psychiatric, forensic, or correctional healthcare setting, demonstrated success leading regulatory readiness and survey response activities (e.g., Joint Commission, CMS, MDH Office of Health Care Quality), building or modernizing Quality Management Systems — including dashboards, data reporting structures, and PI committees, and a proven track record of fostering a Just Culture and promoting staff engagement in quality and safety initiatives. Leadership competencies are also desired (i.e., ability to lead and influence interdisciplinary teams across clinical, security, and administrative domains, skills in coaching leaders on incident analysis, documentation improvement, and systems-based problem solving, and strong change management, training, and project management skills aligned with hospital modernization goals.

Requirements

A Master's degree in Nursing or a health related field from an accredited college or university.
Four years of experience as a Registered Nurse in a psychiatric setting including two years in a supervisory, consultative, teaching or administrative capacity.
Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing, 4140 Patterson Avenue, Baltimore, Maryland 21215 or possess a current multi-state license in party states that candidates have declared as primary states of residence.
Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator's license valid in the State of Maryland.
Employees in this classification are subject to call-in and, therefore, will be required to provide the facility with a phone number at which they can be reached.
Employees in this classification are subject to substance abuse testing in accordance with Code of Maryland Regulations 17.04.09, Testing for Illegal Use of Drugs.

Nice To Haves

The desired candidate should possess a Doctoral degree (e.g., DNP, DrPH, PhD, PsyD) or advanced post-graduate training in Quality, Patient Safety, or Healthcare Leadership.
Experience in healthcare quality management, performance improvement, or patient safety, preferably in a behavioral health or hospital setting and a minimum of three (3) years in a supervisory, management, or administrative role overseeing quality or safety functions.
The desired candidate should also possess National Certification such as: Certified Professional in Healthcare Quality (CPHQ); Certified Professional in Patient Safety (CPPS); Certified Professional in Healthcare Risk Management (CPHRM); Lean Six Sigma Green/Black Belt.

Responsibilities

Oversight and coordination of Quality Assurance, Performance Improvement, Risk Management, Patient Safety, and Environment of Care programs.
Leadership of survey readiness, accreditation compliance, and regulatory response activities.
Facilitation of root cause analyses, failure mode and effects analyses, and other quality methodologies to proactively identify and mitigate risk.
Collaboration with interdisciplinary leadership to ensure safe, therapeutic, and recovery-oriented care for individuals adjudicated as Not Criminally Responsible (NCR) or Incompetent to Stand Trial (IST).