Chief Quality Officer

State of Massachusetts • Boston, MA

57d

About The Position

The Lemuel Shattuck Hospital, operated by the Massachusetts Department of Public Health (DPH) is seeking an experienced and skilled professional to serve as the Chief Quality Officer (CQO) for the hospital. The selected candidate must have experience in hospital quality/risk management and must be a Registered Nurse. The CQO is accountable to lead, support and guide the Senior Leadership team in matters related to regulatory requirements, quality, and patient safety. This position will be responsible for building and maintaining collegial and collaborative relationships with Medical Staff, Operational Leaders, and other members of the Public Health Hospital System (PHHS) team.

The CQO reports directly to the Hospital CEO and indirectly to the System Quality Officer and is charged with overall management of the hospital Quality program as part of the overarching PHHS Quality Program and Plan which includes annual quality priorities and goals, risk management and regulatory reporting requirements. The incumbent is the operational leader for the Quality Management Department including oversight of Joint Commission Survey Readiness, Performance Improvement, Clinical Quality, Quality Data Management, Patient Advocacy and HIPAA Privacy.

Hours: Monday-Friday 8:30-4:30PM, Weekends Off

Please Note: Must have a current license as a Registered nurse in Massachusetts.

Requirements

• Applicants must have at least (A) six (6) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in a particular specialty (i.e. scientific, professional, or technical) and must possess current license and/or registration requirements established for the performance of the position, of which (B) at least two (2) years must have been in a project management, supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below.
• Must have a current license as a Registered nurse in Massachusetts.

Nice To Haves

• Certification as a Certified Specialist in Healthcare Accreditation (CSHA) and/or Certified Professional in Healthcare Quality (CPHQ) desirable.
• Extensive knowledge of regulatory requirements, including those of The Joint Commission, CMS, DPH, and other accrediting bodies.
• Current and up-to-date knowledge of changes to existing laws, standards, and regulations, and the ability to explain and interpret same to facility wide personnel.
• Exceptional research and presentation skills with a talent for engaging a variety of audiences, primarily comprised of adult learners.
• Demonstrated understanding of external agency interface with Infection Control, Patient Safety, Risk Management and Quality (Performance) Improvement.
• High degree of organizational skills and the ability to motivate, coach and supervise staff, to analyze complex problems and issues to design workable solutions.
• Progressive leadership experience in directing a hospital Quality Management Department.
• Strong written and oral communication skills, including methods of general report writing.
• A commitment to promoting a culture of safety, high reliability, and patient-centered care.
• Demonstrated knowledge of process improvement methodologies and team dynamics.
• Technology proficient Microsoft Office applications including Excel, Word, Outlook, PowerPoint, and Teams.

Responsibilities

• Collaborates with hospital leaders to develop and implement the organization's quality and patient safety plan.
• Oversees the development, review, and revision of the hospital's Quality Improvement Plan.
• Evaluates operational structure and department processes to ensure alignment with effective quality programs.
• Leads the Quality Management department, which includes Infection Prevention and Control, and sets expectations for performance efficiency and effectiveness to achieve goals.
• Chairs and participates in committee meetings pertinent to quality and safety.
• Delegates responsibility and sets expectations for quality management staff, including timely responses to regulatory bodies, including but not limited to, The Joint Commission on Accreditation of Healthcare Organizations (TJC), Centers for Medicaid and Medicare Services (CMS), Department of Public Health (DPH), and Department of Public Health Division of Health Care Quality.
• Coordinates closely with clinical information technology and health information management to achieve organizational goals.
• Partners with hospital leadership and providers to achieve organizational goals, leading root cause analysis (RCAs) and failure modes and effects analyses (FMEAs) analyses and debriefings.
• Recommends quality measures and coordinates the process of monitoring, measuring, and assessing patient care.
• Evaluates regulatory compliance for operational strategies and provides recommendations to maintain compliance.
• Serves as a resource for medical staff, clinicians, and other staff for quality improvement activities and education.
• Promotes a culture of safety, high-reliability, patient and staff engagement, and overall positive work environment for all employees.
• Assesses educational needs for staff and guides quality related education and as appropriate; supports leadership for safety culture surveys

Benefits

• Comprehensive Benefits
• When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
• Explore our Employee Benefits and Rewards!

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees